长期使用活性维生素D安全性的相关性研究
Study of the safety of long-term use of active vitamin D
  
DOI:10.3969/j.issn.1006.7108.2013.07.012
中文关键词:  骨质疏松  活性维生素D  尿钙  生理剂量  肝肾功能正常  安全
英文关键词:Osteoporosis:Active vitamin D  Urinary calcium  Physiological dose  Normal liver and kidney function  Safe
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作者单位
张楠楠1 郝艳华2* 1.哈尔滨医科大学公共卫生学院在读硕士研究生现就职于大庆油田总医院老年病科骨质疏松特色门诊哈尔滨150081 2哈尔滨医科大学公共卫生学院哈尔滨150081 
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中文摘要:
      目的 对连续和间断服用活性维生素D治疗6个月的骨质疏松症者,测24 h尿钙定量比较,了解长期使用活性维生素D的安全性。方法 采用美国GE公司生产的Luner Prodigy Advance型骨密度仪测定骨密度确定为骨质疏松者106例。56例患者连续服用活性维生素D6个月为治疗组,50例患者间断服用活性维生素D6个月为对照组。采用美国强生VIPRO 250仪器干化学法测定24 h尿钙定量。采用德国罗氏MODULAR PPISE 900仪器酶速率法测定血液生化指标。结果 治疗组与对照组相比,差异无显著性(P>0.05)。结论 肝肾功能正常的骨质疏松患者,生理剂量内活性维生素D连续服用6个月,对机体是安全的。
英文摘要:
      Objective To investigate the safety of long-term use of active vitamin D by detecting 24-hour urinary calcium in patients who received 6-month continuous or intermittent therapy of oral active vitamin D for the treatment of osteoporosis. Methods A total of 106 patients, who were diagnosed with osteoporosis by detecting bone mineral density using Luner Prodigy Advance bone absorptiometry(GE Co.,USA),were included in this study. Fifty-six patients in treatment group continuously took active vitamin D for 6 months, while 50 patients in control group intermittently took active vitamin D for 6 months. The quantitative 24-hour urinary calcium was detected using dry chemical method with VIPRO 250 devices(Johnson & Johnson,USA).The blood biochemical parameters were measured using enzyme velocity method with MODULAR PPISE 900 devices(Roche, Germany).Results No significant difference between the 2 groups was observed (P>0.05).Conclusion For the osteoporosis patients with normal liver and renal function, it is safe to administer physiological doses of active vitamin D for 6 months
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