唑来膦酸注射液治疗老年骨质疏松性腰背痛患者的临床疗效.docxVIP

卩坐来麟酸注射液治疗老年骨质疏松性腰背痛患者的临床疗 效 湖南省岳阳市第一人民医院414000 摘要：目的：对卩坐來麟酸注射液用来治疗老年骨质疏松性腰背痛患者 的临床疗效进行观察。方法：结合前來我院治疗的临床病例进行对比试验，对 63例患有老年骨质疏松性腰背痛的病人将他们随机分为对照组33例和治疗组30 例，在治疗过程屮给治疗组静脉注射卩坐来麟酸注射液每年一次，在给药期 间给予患者充足的水分，同时服用非笛体类的镇痛药，给对照组250mL的生理 盐水静脉注射作为对照。在治疗期间均给两组患者长期服用D600mg的钙尔奇， 每日两次，0.25mu;g,每口 一次，治疗后医师对患者自我VAS疼痛进行有效的 评分和评估，并同时对患者骨密度进行测定和评价功能。结果：63个病例中， 对照组有1例因为出现心脏病而死亡，其余的62例均治疗正常，治疗组与对照 组相比，治疗组患者腰背痛症状评分得到明显的改善(Plt;0.05),结果显示骨 密度也是明显增加(Plt;0.05)o结论：在老年骨质疏松性腰背痛的治疗屮，呼 來麟酸注射液可在治疗的早期和屮期起到明显的治疗效果，可以明显的减轻疼痛, 在临床治疗屮值得推广，但在I型骨质疏松性腰背痛患者治疗是应慎重使用。 关键词：卩坐來麟酸注射液；治疗；老年骨质疏松性；腰背痛；临床疗 效 【abstract］： objective： to azole phosphonic acid injection used to treat the clinical curative effect of senile osteoporotic patients with low back pain.Method: to come to our hospital treatment of clinical cases of comparative tests, 63 cases of patients with senile osteoporosis sex lumbago will they 33 patients were randomly divided into control group and treatment group, 30 cases in the treatment process for the treatment group to phosphonic acid injection intravenous azole 5 mg, once a year, their patients hydrated during delivery, at the same time, taking non-steroidal an algesics, to the control group of 250 ml sali ne i nt rave nous in jecti on as control.During the period of treatment are to two groups of patients with Iong-term use of D600mg calcium,, twice a day, 0.25 mu g, once per day, physicians to patients after treatment VAS pain score and effectively evaluate themselves, and for the patients with bone density measurement and evaluation function.Results： 63 cases, control group 1 case because of heart disease and death, the rest of the 62 cases were normal treatment, the treatment group compared with control group, treatment group to improve symptoms of patients with low back pain score obviously(P lt; 0.05), the results show that the bone mineral density was increased significantly (P lt; 0.05) .Conclusion： in the treatment of senile osteoporotic low back pain, azole to phosphonic acid injection in t