Treatment of Osteoporosis by a Combination of Calcium. Fluoride and Osteogenon
Léčba osteoporózy kombinacíkalcia, fluoridu a osteogenonu
Byly srovnány 3 soubory nemocných osteoporózou, léčených 1 rok kalciem a fluoridy (Tridin)N=51, samotným Osteogenonem (N=67) a kombinací Tridinu s Osteogenonem (N=43). Zatímcoroční přírůstky denzity na páteři, měřené na DEXA přístroji byly po Tridinu + 6,1 % a poOsteogenonu + 4,75 %, dosahují tytéž přírůstky na proximálním femuru pouze + 3,7 % a 3,2 %.Po roční kombinované léčbě Tridinu s Osteogenonem jsou přírůstky denzity na páteři + 7,6 %na proximálním femuru + 5,98 %, oba přírůstky jsou statisticky významně odlišné od samo-statné léčby. Během sledování došlo pouze k 1 nové fraktuře (Collesově) ve skupině léčenéOsteogenonem. Přes určité vyšší finanční zatížení pro nemocné má tato kombinovaná léčbazatím největší účinek na vzestup mineralizace v obou měřených místech i na výrazné sníženípočtu nových zlomenin kostí.
Klíčová slova:
osteoporóza - léčba - kostní denzita (DEXA) - fluor s kalciem - Osteogenon kombinace fluoru s kalciem a Osteogenonu.
Authors:
J. Kocián
Authors‘ workplace:
1. interní klinika IPVZ, FTN, Praha
Published in:
Prakt. Lék. 2000; (8): 460-462
Category:
Overview
The author compared three groups of patients suffering from osteoporosis treated for one yearwith calcium and fluorides (Tridin) N=51, Osteogenon alone (N=67) and a combination of Tridinand Osteogenon (N=43). While the annual increments of density of the spine assessed on aDEXA apparatus were after Tridin +6.1% and after Osteogenon +4.75%, the same incrementson the proximal femur are only +3,7% and 3.2%. After a one-year combined treatment withTridin and Osteogenon the density increments of the spine are +7.6% and on the proximal femur5.98%. Both increments differ significantly from those after treatment with separate prepara-tions. During the follow up period only one new fracture (Colles fracture) occurred in the grouptreated with Osteogenon. Despite higher costs for the patients this combined treatment is sofar most effective as regards mineralization of both sites and a marked decline of new fractures.
Key words:
osteoporosis - treatment - bone density (DEXA) - fluorine and calcium - Osteogenon
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2000 Issue 8
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