Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (33): 4899-4904.doi: 10.3969/j.issn.2095-4344.2016.33.005

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Additive effect of elcatonin to risedronate for chronic back pain and quality of life in postmenopausal women with osteoporosis

Liu Zhen-yu   

  1. Department of Orthopedics, Chongqing Jiulongpo District Hospital of Traditional Chinese Medicine, Chongqing 400010, China
  • Received:2016-05-16 Online:2016-08-12 Published:2016-08-12
  • About author:Liu Zhen-yu, Associate chief physician, Department of Orthopedics, Chongqing Jiulongpo District Hopital of Traditional Chinese Medicine, Chongqing 400010, China
  • Supported by:

    2015 Research Project of Health and Family Planning Commission of Chongqing, China, No. 2015MSXM151

Abstract:

BACKGROUND: Salmon calcitonin or elcatonin has been reported to alleviate acute and severe back pain caused by osteoportic fracture.
OBJECTIVE: To evaluate the effects of the combined use of elcatonin and risedronate in the treatment of chronic back pain and the improvement of quality of life in postmenopausal women with osteoporosis.
METHODS: Forty-five postmenopausal women with osteoporosis accompanied by chronic back pain persisting for more than 3 months, after excluding women with fresh vertebral fractures within the last 6 months, were randomly assigned to a risedronate group (administration of risedronate alone, n=22) and a combined drug group (combined administration of risedronate and elcatonin, n=23). Pain was evaluated using a visual analogue scale (VAS) and the Roland-Morris questionnaire. Bone mineral density was determined by dual-energy X-ray. Quality of life was assessed using the Medical Outcomes Study 36-Item Short-Form (SF-36) at 6 months after treatment.
RESULTS AND CONCLUSION: There were 20 and 19 cases in the risedronate and combined drug groups, respectively included in the final analysis. Significant improvements were found in the combined drug group for VAS and mental health status section scores in the SF-36 at final follow-up compared with baseline and 3-month follow-up, while no change was found in the risedronate group. Bone mineral density was increased significantly in both groups, while no significant difference was found between groups. These findings suggest that the use of elcatonin in addition to risedronate for more than 3 months may reduce chronic back pain in osteoporosis patients.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: Calcitonin, Diphosphonates, Osteoporosis, Pain, Tissue Engineering

CLC Number: