抗药物和骨健康:一个全面的综述和元分析
C Buoso1, L C Pezzaioli1, E Gatta1,2
1University of Brescia, Department of Clinical and Experimental Sciences, Italy.
抗药物 (AED) 对骨健康产生负面影响,增加骨折风险. 维生素D和骨治疗可能有所帮助,但需要对较新的AED和患者的骨质疏松症管理进行更多研究.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 和骨质疏松症有着复杂的关系.
- 旧的和新的抗药物 (AED) 都会对骨健康产生不利影响.
- 长期使用AED与代谢性骨变化有关.
研究的目的:
- 审查AED对骨矿物密度 (BMD),骨折和骨周转标记物的影响.
- 分析骨活性治疗在患者的疗效.
主要方法:
- 在Medline (PubMed) 和EMBASE数据库中的系统文献搜索.
- 遵守PRISMA (系统审查和元分析的首选报告项目) 准则.
主要成果:
- 长期使用AED与骨质量降低和骨折风险增加有关,特别是诱导酶的AED.
- 维生素D补充剂和骨活性疗法对骨损伤和死亡率显示出潜在的益处.
- 需要进一步研究非诱导酶的抗氧化药对骨的影响和骨质疏松症管理策略.
结论:
- 慢性AED的使用显著影响骨健康,需要对维生素D,和骨活性治疗进行评估.
- 对于长期接受AED治疗的患者来说,积极的骨健康管理至关重要.
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