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目的分析住院患儿维生素D营养状况。方法选取淮安市妇幼保健院小儿内科住院患儿2554例,年龄1个月~13岁,回顾性分析不同年龄、季节以及不同疾病患儿体内25-羟维生素D缺乏情况。结果 2554例患儿血清25-羟维生素D水平为(86.21±39.51)nmol/L。维生素D缺乏/不足389例(15.23%)。春、夏、秋和冬季维生素D缺乏/不足检出率分别为23.26%、19.97%、9.03%和6.07%,其中春季最高(P<0.05)。3岁~和6~13岁年龄组患儿维生素D缺乏/不足检出率分别为25.51%和41.96%,高于1个月~的12.63%和1岁~的13.36%(P<0.05)。神经系统、消化系统和呼吸系统疾病患儿维生素D缺乏/不足率分别为23.91%、19.35%和12.86%,其中神经系统疾病患儿最高(P<0.05)。结论淮安地区住院患儿(尤其是3岁以上儿童)维生素D缺乏/不足发生率仍较高,需重视维生素D的补充。应有针对性地加强宣教和防治工作,尤其在春季应建议常规预防量补充维生素D。
Objective To analyze the nutritional status of vitamin D in hospitalized children. Methods A total of 2554 inpatients with pediatric internal medicine from Huai’an Maternal and Child Health Hospital were selected from 1 month to 13 years old. The 25-hydroxy vitamin D deficiency in children with different ages, seasons and different diseases was retrospectively analyzed. Results 2554 cases of children with serum 25-hydroxy vitamin D levels (86.21 ± 39.51) nmol / L. Vitamin D deficiency / deficiency 389 cases (15.23%). The detection rates of vitamin D deficiency / deficiency in spring, summer, autumn and winter were 23.26%, 19.97%, 9.03% and 6.07% respectively, with the highest in spring (P <0.05). The detection rates of vitamin D deficiency / deficiency in children aged 3 to 6 and 6 to 13 years old were 25.51% and 41.96%, respectively, higher than 12.63% at 1 month and 13.36% at 1 year old (P <0.05). Children with neurological, digestive and respiratory diseases had vitamin D deficiencies / deficiencies of 23.91%, 19.35% and 12.86%, respectively, of which children with neurological diseases were the highest (P <0.05). Conclusions The incidence of vitamin D deficiency / deficiency is still high in children hospitalized in Huai’an area (especially for children over 3 years old). Vitamin D supplementation should be emphasized. Should be targeted to strengthen the mission and prevention and treatment, especially in the spring should be recommended routine preventive doses of vitamin D.