首页|探讨极低出生体重儿的血25(OH)D水平对促进患儿生长发育所发挥的作用

探讨极低出生体重儿的血25(OH)D水平对促进患儿生长发育所发挥的作用

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目的 探讨极低出生体重儿的血25(OH)D水平对促进患儿生长发育所发挥的作用.方法 选取广东省深圳市中西医结合医院新生儿科 2020年 7月—2023年 5月收治的 80例极低出生体重儿(Very Low Birth Weight,VLBW)早产儿作为研究对象,依据随机数表法将患儿分为对照组(n=40)和研究组(n=40),对照组口服维生素D3 900 IU/D,研究组口服维生素D3 1 300 IU/D.对比两组的骨代谢指标、生长发育指标、并发症情况.结果 研究组治疗21 d、35 d的血25(OH)D、血钙、血磷水平均高于对照组,血碱性磷酸酶、甲状旁腺激素水平均低于对照组,差异有统计学意义(P均<0.05);研究组并发症发生率为12.50%,低于对照组的22.50%,差异无统计学意义(χ2=2.813,P>0.05).结论 补充维生素D3 1 300 IU/D能有效提高VLBW早产儿血25(OH)D水平,调节钙磷代谢,促进患儿生长发育,降低早产儿代谢性骨病等并发症风险.
Role of Blood 25(OH)D Levels in Promoting Growth and Development in Very Low Birth Weight Infants
Objective To investigate the role of blood 25(OH)D level in promoting the growth and development of very low birth weight infants.Methods A total of 80 very low birth weight(VLBW)premature infants admitted to the Department of Neonatology,Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine from July 2020 to May 2023 were selected as study objects.According to the random number table method,the children were di-vided into control group(n=40)and study group(n=40).The control group was given oral vitamin D3 900 IU/D,and the study group was given oral vitamin D3 1 300 IU/D.The bone metabolism indexes,growth and development in-dexes and complications of the two groups were compared.Results Blood 25(OH)D,blood calcium and blood phos-phorus of the study group were higher than those of the control group on 21 d and 35 d,and blood alkaline phospha-tase(ALP)and parathyroid hormone were lower than those of the control group,the differences were statistically sig-nificant(all P<0.05).The complication rate of the study group was 12.50%,lower than that of the control group(22.50%),but the difference between groups was not statistically significant(χ2=2.813,P>0.05).Conclusion Supple-mentation of vitamin D3 1 300 IU/D can effectively increase blood 25(OH)D level,regulate calcium and phosphorus metabolism,promote growth and development of infants,and reduce the risk of metabolic bone disease and other com-plications in VLBW premature infants.

Very low birth weight infantsPremature infantsBlood 25(OH)DGrowth and development

赵正秋、黄月娇、程贵辉、范秀玖、文运衡

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广东省深圳市中西医结合医院新生儿科,广东深圳 518104

广东省深圳市中西医结合医院儿科,广东深圳 518104

极低出生体重儿 早产儿 血25(OH)D 生长发育

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2020JD033

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(9)