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本研究目的在于观察α-骨化醇(BONE-ONE)对糖尿病合并骨质疏松长期治疗的安全性和有效性。绝经后女性Ⅱ型糖尿病合并骨质疏松29例,随机选择其中20例为糖尿病治疗组,9例为糖尿病对照组,年龄等相匹配老年女性骨质疏松10例(老年治疗组)共三组病人进行6个月药物治疗,糖尿病治疗组及老年治疗组服用α-骨化醇剂量为0.5μg·d-1。研究结果:糖尿病与老年治疗组在治疗3个月、6个月后骨密度增高、骨形成指标增加(BPG)、骨吸收指标减少(Crosslap/Cr)和骨痛缓解率明显增加,分别是:骨密度由0.323±0.01,0.297±0.03(g/cm2)升至0.415±0.06,0.378±0.03(g/cm2);BGP由10.19±0.79,9.24±1.26(mg·L-1)升至15.89±0.12,14.55±1.12(mg·L-1);骨吸收指标Croslap/Cr由363.7±91.3,420.2±107.9(μg·mmol-1)减至226.9±53.7,162.14±53.7(μg·mmol-1)但两组间无显著差异,糖尿病对照组无变化。研究结果表明:糖尿病合并骨质疏松病人在良好控制血糖基础上服用α-骨化醇?
The aim of this study was to investigate the safety and efficacy of BONE-ONE in the long-term treatment of diabetic patients with osteoporosis. Postmenopausal women with type Ⅱ diabetes mellitus and osteoporosis in 29 cases were randomly selected 20 cases of diabetes treatment group, 9 cases of diabetic control group, age and other elderly women with osteoporosis in 10 cases (elderly treatment group) a total of three groups of patients Six months of drug treatment, diabetes treatment group and the elderly treatment group taking α-ossified metal dose of 0.5μg · d-1. Results: The bone mineral density, bone formation index (BPG), reduction of bone resorption index (Crosslap / Cr) and bone remission rate were significantly increased in diabetic and geriatric treatment groups at 3 months and 6 months after treatment: The BMD increased from 0.323 ± 0.01 and 0.297 ± 0.03 (g / cm2) to 0.415 ± 0.06 and 0.378 ± 0.03 (g / cm2), respectively. 19 ± 0.79, 9.24 ± 1.26 (mg · L-1) increased to 15.89 ± 0.12,14.55 ± 1.12 (mg · L-1) lap / Cr decreased from 363.7 ± 91.3, 420.2 ± 107.9 (μg · mmol-1) to 226.9 ± 53.7, 162.14 ± 53.7 (μg · mmol-1) However, no significant difference between the two groups, no change in the diabetic control group. The results show that: diabetes patients with osteoporosis in the good control of blood glucose based on the use of α-ossified?