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阿仑膦酸钠联合辛伐他汀对骨质疏松骨折的影响

薛江义 张晶晶 卢向东 徐彬

中国医药科学Issue(10):20-23,4.
中国医药科学Issue(10):20-23,4.

阿仑膦酸钠联合辛伐他汀对骨质疏松骨折的影响

Impact of alendronate combined with simvastatin on osteoporotic fractures

薛江义 1张晶晶 2卢向东 1徐彬1

作者信息

  • 1. 山西医科大学第一医院骨科,山西太原 030001
  • 2. 山西医科大学第一医院内分泌科,山西太原 030001
  • 折叠

摘要

Abstract

To investigate the effects of alendronate combined with simvastatin on the osteoporotic fracture healing in rats.Methods 50 SD adult female rats were randomly divided into 5 groups:(A)sham operation control group;(B)ovariectomized control group;(C)ovariectomized alendronate group;(D)simvastatin group;(E) ovariectomized alendronate and simvastatin group.B,C,D,Egroup underwent ovariectomy surgery,A group only partially excised adipose tissue.8 weeks later,2 rats were selected randomly from each group to confirm osteoporosis successful modeling.Then the midshaft femur fracture model was established by an operation and intramedullary nails fixation was achieved with Kirschner wire.Deal each group of rats with such drug intervention as follows:(A,B) physiological saline 5mL/(kg·d)gavage for 8 weeks; (C)alendronate 0.5mg/(kg·d) gavage for 8 weeks;(D) simvastatin 20mg/(kg·d)gavage for 8 weeks (E)alendronate 0.5mg/(kg·d)+ simvastatin 20mg/(kg·d) gavage for 8 weeks.All the rats were killed and their blood samples and left femurs were collected.The serum calcium, phosphorus,alkaline phosphatase(ALP)content,X-ray bone mineral density(BMD) and biomechanical strength were detected.Results Compared with the sham group,the ovariectomized group had significantly reduced bone mineral density,elevated ALP level and serum calcium,phosphorus content had no significant change.After treatment witn alendronate and simvastatin for 8 weeks,calcium,phosphorus content had no significant change;alkaline phosphatase level decreased;femoral bone mineral density and biomechanical strength were improved.This result is more obvious in alendronate and simvastatin group, the difference was statistically significant.Conclusion Alendronate is beneficial to the restoration of biomechanical function in the osteoporosis fracture healing,and simvastatin can play a synergistic effect.

关键词

双膦酸盐/阿仑膦酸钠/辛伐他汀/骨质疏松/骨折

Key words

Bisphosphonates/Alendronate/Simvastatin/Osteoporosis/Fracture healing

分类

医药卫生

引用本文复制引用

薛江义,张晶晶,卢向东,徐彬..阿仑膦酸钠联合辛伐他汀对骨质疏松骨折的影响[J].中国医药科学,2014,(10):20-23,4.

中国医药科学

2095-0616

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