摘要
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 nutrition status of serum 25-hydroxy vitamin D in children .Methods A stratification analysis of the nutrition status of serum 25-hydroxy vitamin D was performed in 2554 inhospital children in Huai＇an Maternal and Child Health Hospital in the years of 2015 to 2016 .Results Serum level of 25-hydroxy vitamin D in 2554 children aged from 1 month to 13 years old was （86.21 ± 39.51）nmol/L ,of whom 389 children（15.23% ） with deficiency/inadequate of vitamin D .The incidence rates of deficiency/inadequate of vitamin D in spring ,summer ,autumn and winter were 23.26% ,19.97% ,9.03% and 6.07% ,respectively ,which was the highest in spring （P〈0 .05） .The incidence rates of deficiency/inadequate of vitamin D were 25.51% and 41.96% in age groups of 3-5 years old and 6-13 years old ,which were significantly higher than 12.63% in those＆lt;1 year and 13.36% in those aged 1-3 years old （P＆lt;0 .05） .The incidence rates of deficiency/inadequate of vitamin D were 23.91% ,19.35% and 12.86% in the children with neurological disease , digestive disease and respiratory disease ,respectively ,which was the highest in the children with neurological disease（P＆lt;0 .05） .Conclusion The inhospital children in Huai＇an area have a higher prevalence of vitamin D deficiency/inadequate ,especially in those aged more than 3 years old and in winter season .Attention should be paid to the need for vitamin D supplementation and eduation in its prevention .
出处
《江苏医药》
CAS
2017年第21期1553-1555,共3页
Jiangsu Medical Journal
