首页|25-(OH)D水平检测与小儿多动症量表评分的相关性研究

25-(OH)D水平检测与小儿多动症量表评分的相关性研究

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目的 探究25 羟维生素D[25-(OH)D]水平检测与小儿多动症量表评分的相关性.方法 选取40 例注意缺陷多动障碍(ADHD)儿童为研究对象,并选取同时期40 例健康儿童为正常对照组.将25-(OH)D水平低于30 ng/mL的患儿作为异常组(n =16),高于 30 ng/mL的患儿作为正常组(n =24).比较 ADHD组与对照组25-(OH)D水平,对比不同程度ADHD患儿25-(OH)D水平,检测ADHD患儿不同25-(OH)D水平的Con-ners 父母问卷量表评分的差异.采用Pearson相关性分析DHD患儿25-(OH)D指标与Conners 父母问卷量表评分的相关性,采用受试者工作特征ROC曲线分析25-(OH)D预测ADHD的效能.结果 ADHD组 25-(OH)D水平显著低于对照组(P<0.05);在Conners父母问卷量表中,25-(OH)D异常组的品行问题、学习问题、心身障碍、多动-冲动评分显著大于正常组(P<0.05),其他评分组间比较差异无统计学意义(P>0.05);Conners父母问卷量表评分总分与血清25-(OH)D水平存在负相关关系(P<0.05);血清25-(OH)D水平预测ADHD严重程度的AUC为0.728,95%CI为0.608~0.781.结论 Conners父母问卷量表评分总分与血清25-(OH)D水平存在负相关关系,25-(OH)D检测可提高ADHD的诊断效能,为诊断疾病提供了参考依据.
Research on the correlation between 25-(OH)vitamin D level detection and pediatric ADHD scale scores
Objective To explore the correlation between 25-(OH)vitamin D level detection and pediatric attention deficit hyperactivity disorder(ADHD)scale scores,and to find a model to predict ADHD severity.Methods 40 children with ADHD were se-lected as the study subject and 40 healthy children during the same period were selected as the normal control group.According to the Canadian Association of Pediatrics,children with 25-(OH)D level below 30 ng/ml were selected as the abnormal group(n =16),and children with 25-(OH)D level above 30 ng/ml were selected as the normal group(n =24).The 25-(OH)D level of ADHD group and the control group were compared.The 25-(OH)D levels in children with ADHD of different severity were compared.The differ-ence in the scores of the Conners Parent Questionnaire for ADHD children with different 25-(OH)D levels was detected.Pearson cor-relation was used to analyze the correlation between 25-(OH)D index and Conners parent questionnaire score,and the ROC curve was used to analyze the efficacy of 25-(OH)D in predicting ADHD severity.Results The level of 25-(OH)D in the ADHD group was significantly smaller than that in the control group(P<0.05).According to the Conners Parent Questionnaire,the scores of 25-(OH)D abnormalities were significantly higher than those in the normal group(P<0.05),and there were no significant statistical differences between other groups(P>0.05).There was a negative correlation between the total score of the Conners Parent Questionnaire score and the serum 25-(OH)D level(P<0.05).The AUC for predicting the severity of ADHD by25-(OH)D levels was0.728,with95%CI of 0.608-0.781.Conclusion There is a negative correlation between the total score of Conners Parent Questionnaire and serum 25-(OH)D level,and the 25-(OH)D detection can improve the diagnostic efficiency of ADHD and provide a reference for judging the severity of the disease.

25-(OH)DPediatric ADHD ScaleDetection effectivenessAttention deficit hyperactivity disorder

吴艳红、董淑梅、杨小珍、刘春霞、王宝珍

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宁夏回族自治区人民医院儿童保健科,宁夏银川 750002

25-(OH)D 小儿多动症量表 检测效能 注意缺陷多动障碍

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(4)
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