与药物相关的骨骨髓缩:阿根廷两个中心进行的6年后期研究
Nicolás Leonardi1, Gerardo Gilligan2, Federico Garola2
1Universidad Católica de Córdoba.
概括
与药物相关的下骨硬化 (MRONJ) 影响使用抗吸收药物的患者. 在阿根廷,使用索莱德酸盐和拔牙与MRONJ有关,特别是在骨质疏松症女性中.
科学领域:
- 口腔医学是指口腔医学.
- 药理学 药理学是指药理学的学科.
- 在瘤学瘤学.
背景情况:
- 与药物相关的下骨硬化 (MRONJ) 是抗吸收/抗血管原药物的已知不良影响.
- 南美洲对MRONJ的观察性研究有限.
- 这项研究的重点是阿根廷科尔多瓦的MRONJ患者.
研究的目的:
- 描述阿根廷科尔多瓦MRONJ患者的人口统计,药理和血清学变量.
- 为了确定 MRONJ 在这个人群中的相关风险因素.
- 审查关于MRONJ的最新文献.
主要方法:
- 来自两个口腔医学系的53名MRONJ患者 (2016-2022) 的横截面研究.
- 使用千平方和学生t测试进行统计分析.
- 过去10年的文献综述.
主要成果:
- 在骨质疏松症组中观察到女性占主导地位.
- 骨质疏松症的平均抗吸收治疗持续时间为10.43年.
- 在统计学上,使用佐勒多酸与MRONJ发育有关.
- 部比部更经常受到影响.
- 拔牙是最常见的触发因素 (75%).
- 43.4%的人被诊断为第一阶段的红斑.
结论:
- 阿根廷MRONJ患者的特征与全球发现一致.
- 不充分的抗吸收疗法控制可能会导致骨质疏松症女性的MRONJ.
- 一般牙医和医生必须认识到风险人群中的MRONJ风险.
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