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目的:评价阿仑膦酸钠(alendronate,ALN)治疗绝经后骨质疏松症的疗效及其与利维爱(LV)的对比。方法:将Wistar雌性大鼠60 只随机分为正常对照组、去势对照(OVX)组、ALN 组、LV 组、ALN+ LV组(每组12 只)。正常对照组做腹腔开关手术,其余4 组做双侧卵巢切除手术。模型成立后,治疗6 个月,治疗过程中测量大鼠的全身和腰椎2~4 的骨密度(BMD)、股骨的极限负荷(LL)和极限挠度(LD)。结果:经治疗后,ALN组、LV组和ALN+ LV 组大鼠的全身骨密度较治疗前分别增加4.49% ,6.12% ,6.74% ,较同期OVX组分别增加13.41% ,15.85% ,15.85% ;腰椎2~4 的BMD 较治疗前分别增加4.98% ,7.73% ,7.70% ,较同期OVX 组分别增加14.29% ,16.75% ,17.24% 。ALN 组、LV 组和ALN+ LV 组大鼠股骨的极限强度和极限挠度较同期OVX组也明显恢复(P< 0.05),取得了良好的疗效。ALN 组的疗效好于LV 组。结论:ALN 是一种对治疗绝经后骨质疏松症有良好疗效的药物,其疗效优于LV,联合应用疗效更好
AIM: To evaluate the efficacy of alendronate (ALN) in the treatment of postmenopausal osteoporosis and its comparison with levofloxacin (LV). Methods: Sixty female Wistar rats were randomly divided into normal control group, OVX group, ALN group, LV group and ALN + LV group (12 rats in each group). Normal control group to do abdominal switch surgery, and the remaining 4 groups to do bilateral ovariectomy. The model was established and treated for 6 months. Body mass and lumbar spine 2 to 4 bone mineral density (BMD), femur ultimate load (LL) and ultimate deformability (LD) were measured during treatment. Results: After treatment, the total body BMD in ALN group, LV group and ALN + LV group increased by 4.49%, 6.12% and 6.74% respectively compared with that before treatment, which was 13.41 %, 15.85% and 15.85% respectively. The BMD of 2 ~ 4 in lumbar spine increased by 4.98%, 7.73% and 7.70% respectively compared with before treatment, which was 14.29% .75%, 17.24%. Compared with the OVX group, the ultimate strength and the ultimate deflection of ALN, LV and ALN + LV groups significantly recovered (P <0.05), and achieved good results. ALN group is better than LV group. CONCLUSIONS: ALN is a good drug for the treatment of postmenopausal osteoporosis. Its efficacy is better than that of LV, and the combination effect is better