An analgesic effect of synthetic human calcitonin in patients with primary osteoporosis.

P Kapuściński, M Tałałaj, J Borowicz, E Marcinowska-Suchowierska, R Brzozowski
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Abstract

Examinations were performed in 20 adult male and female patients (pts) suffering from acute back pain due to vertebral compression fracture secondary to osteoporosis proved by lateral X-rays of the dorso-lumbar spine (Th3-L5), and bone mineral density with the method of dual energy X-ray absorptiometry. The synthetic human calcitonin (SUC) (0.5 mg) was injected I.M. every day during 28 days. Analgesic effect was evaluated on 0, 3, 7, 14, 21 and 28th day by patient's assessment of functional capacity, and physician's assessment of pain and mobility. On the same days biochemical variables of Ca-P homeostasis were determined. Treatment with calcitonin resulted in a positive analgesic effect. The functional capacity and mobility of pts increased with diminution of pain. No significant alterations of Ca-P homeostasis was observed. Mild and transient side effects as nausea and tachycardia were negligible. SHC appears to have a significant analgesic effect in treatment of primary osteoporosis.

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合成人降钙素对原发性骨质疏松患者的镇痛作用。
对20例成年男女骨质疏松性椎体压缩性骨折并发急性背痛患者进行检查,经腰背侧位x线片(Th3-L5)和骨密度双能x线吸收仪证实。每天静脉注射合成人降钙素0.5 mg,连续28 d。分别于第0、3、7、14、21和28天通过患者功能能力评估和医师疼痛和活动能力评估镇痛效果。同日测定钙磷稳态生化指标。降钙素治疗有积极的镇痛作用。患者的功能能力和活动能力随疼痛的减轻而增加。Ca-P稳态未见明显变化。轻微和短暂的副作用,如恶心和心动过速可以忽略不计。SHC在治疗原发性骨质疏松症中具有显著的镇痛作用。
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