骨转换标志物监测双膦酸盐治疗反应
Bone turnover markers in monitoring the early response to bisphosphonates treatment
  
DOI:10.3969/j.issn.1006-7108.2014.10.007
中文关键词:  骨转换标志物  双膦酸盐  监测
英文关键词:Bone turnover marker  Bisphosphonates  Monitoring
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作者单位
李毅中1 郭良瑞1 庄华烽1 蔡思清2 潘源城1 1.福建医科大学附属第二医院骨科,福建泉州362000 2. 福建医科大学附属第二医院放射科,福建泉州362000 
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中文摘要:
      目的 利用骨转换标志物监测双膦酸盐治疗的早期反应。方法 对60例新接受双膦酸盐治疗的绝经后骨质疏松症患者,在治疗前和16周时监测血清β-CTX和P1NP,判断治疗有效性 。结果 治疗前β-CTX:0.390±0.230 ng/ml,P1NP:51.445±25.955 ng/ml;24例存在骨转换标志物升高,36例骨转换标志物正常;治疗后血清β-CTX:0.133±0.120 ng/ml,P1NP:18.853±10.225 ng/ml,均非常显著降低,治疗有效率达95%。结论 β-CTX和P1NP是监测双膦酸盐早期治疗反应的有效方法。
英文摘要:
      Objective To monitor the early response to bisphosphonates treatment with bone turnover markers. Methods Serum β-CTX和P1NP were monitored for 60 postmenopausal women before and 16 weeks after the bisphosphonates treatment, in order to evaluate the efficacy of the treatment. Results β-CTX was 0.390±0.230 ng/ml and P1NP was 51.445±25.955 ng/ml before the bisphosphonates treatment. Bone turnover was high in 24 patients and normal in 36 before the treatment. β-CTX was 0.133±0.120 ng/ml and P1NP was 18.853±10.225 ng/ml after the bisphosphonates treatment. The significant reduction in β-CTX和P1NP was present. The efficacy of the treatment was 95%. Conclusion The measurement of β-CTX and P1NP are effective method for monitoring the bisphosphonates treatment.
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