阿仑膦酸钠与利维爱对实验性大鼠骨质疏松症的骨矿含量和生物力学的影响

来源 :白求恩医科大学学报 | 被引量 : 0次 | 上传用户:laobo999
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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
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