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首页> 外文期刊>Bone Reports >Effects of denosumab versus teriparatide in glucocorticoid-induced osteoporosis patients with prior bisphosphonate treatment
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Effects of denosumab versus teriparatide in glucocorticoid-induced osteoporosis patients with prior bisphosphonate treatment

机译:Denosumab与萜烯酮在糖皮质激素诱导的骨质疏松症患者的先前双膦酸盐治疗的影响

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IntroductionOsteoporosis is one of the serious adverse effects associated with glucocorticoid therapy. Although bisphosphonates have been used for glucocorticoid-induced osteoporosis (GIO), some patients have shown an inadequate response. In such cases, denosumab or teriparatide are used. However, there is no consensus on which of these two drugs is superior. We prospectively compared denosumab's and teriparatide's effects on the bone mineral density (BMD) in GIO patients with prior bisphosphonate treatment.Materials and methodsAfter receiving oral bisphosphonates for ≥2?years, GIO patients with low T-score BMD (
机译:引文是与糖皮质激素治疗相关的严重不良影响之一。虽然双膦酸盐已被用于糖皮质激素诱导的骨质疏松症(GIO),但有些患者响应不足。在这种情况下,使用Denosumab或Teriparate。但是,这两种药物中的哪一种是普遍的共识。我们前瞻性地与先前双膦酸盐处理的Gio患者骨矿物密度(BMD)进行了比较了Denosumab和Teriparatide对骨密度(BMD)的影响。接受口服双膦酸盐≥2岁的材料和方法,切换了低T-Score BMD(<β2.5)的GIO患者从双膦酸盐到Denosumab(n?=Δ2)或每日萜状水(n?=Δ21)。我们每6次测量两组的BMD(腰椎,股骨颈和总臀)24个月24个月。治疗24个月,腰椎BMD在Denosumab和Teriparatide组中的基线显着增加(基线与denosumab和teriparatide; 5.9?±5.6%,p?<0.001和7.9?±5.4%,p?<0.001)。从萜段组(6.6?±10.8%,p?<0.05)中仅发生从基线的股骨颈部BMD显着增加。 Denosumab(1.5?±5.0%)。在任一组中的基线的总髋关节BMD中没有发生显着变化(?0.1?±5.6%和3.3?±7.5%)。 Denosumab和Teriparatide组在腰椎和股骨颈部BMD中的24个月之间没有显着差异,但在12?月份的Teriparatide组中显着高出显着高(P?<?0.01和P?<β05在腰部分别为脊柱和股骨颈。ConclusionTeriparatide可能与Denosumab的一些优势,并且是治疗GIO患者的先前双膦酸盐处理的替代方案。

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