抗骨质疏松药物治疗老年人足跟痛

Treatment of heel pain in elderly people with anti-osteoporosis drugs

目的 观察应用抗骨质疏松药物治疗老年人足跟痛的疗效,探讨老年人足跟痛与骨质疏松症的关系。方法 40例老年人顽固性跟痛症患者给予抗骨质疏松(OP)药物治疗(益钙宁和钙尔奇D)。对照组40例给予抗炎镇痛药。在治疗前后皆拍跟骨的侧位X光片,同时测腰2-4的骨密度(BMD)。并对疼痛症状的变化进行观察。结果 3个月后,治疗组疼痛基本消失,L2-4的BMD明显提高(P<0.05)。结论 老年人顽固性足跟痛,应考虑为骨质疏松所致。采用抗OP的疗法:即联合应用抑制骨溶解、促进骨生成和加速骨矿化的药物,效果显著。

Objective To study the effects of anti-osteoporosis drugs on treatment of heel pain in elderly people and discuss the relationship between osteoporosis and heel pain in them.Methods Forty old people with obstinate heel pain were treated with anti-osteoporosis drugs (calcitonint caltrate D), while 40 cases as controls were given anttiinflammatory-analgesic agents. Before and after treatment, lateral roentgenographs of calcaneum were taken, the bone mineral densities (BMD) of lumber vertebrae 2-4 (L2-4) were measured, and the symptom of pain were observed. Results After 3 months, the pain disappeared and the BMD of L2-4 significantly increased in the anti-osteoporosis group (P < 0.05) . Conclusion The heel pain in the elderly is caused by osteoporosis. Hence anti-osteoporosis therapy should be applied, using anti-osteoporosis drugs in combination that inhibit bone dissolution, promote bone generation and accelerate bone mineralization.