首页|脂溶性维生素与儿童Tourette综合征严重程度的相关性研究及干预效果评价

脂溶性维生素与儿童Tourette综合征严重程度的相关性研究及干预效果评价

扫码查看
目的 分析血清脂溶性维生素与儿童Tourette综合征(TS)严重程度的相关性,评估补充维生素D3对TS病情的影响.方法 82例儿童TS患者作为研究组,66例健康体检儿童作为对照组,比较脂溶性维生素水平差异;并进一步将研究组分为轻度组(n=50)和中重度组(n=32),比较耶鲁综合抽动严重程度量表(YGTSS)评分和脂溶性维生素水平差异,同时分析病情严重程度与脂溶性维生素水平的相关性;最后选择轻度组病例中符合维生素D缺乏或不足标准的儿童作为干预组(n=36),进行维生素D3干预及效果评价.结果 研究组与对照组的血清25-羟基维生素D[25(OH)D]水平差异有统计学意义(P<0.001),研究组明显降低;轻度组和中重度组的YGTSS评分、25(OH)D水平差异有统计学意义(P<0.001),中重度组YGTSS评分高于轻度组,25(OH)D水平低于轻度组,病情严重程度与25(OH)D水平存在负相关关系(r=-0.791,P<0.001);口服维生素D3干预后YGTSS评分降低,25(OH)D水平升高(P<0.001).结论 儿童维生素D缺乏与TS密切相关,而且TS病情严重程度与25(OH)D水平成负相关关系,对维生素D不足或缺乏的轻度TS儿童补充维生素D3可以改善其病情.
A study on the correlation between fat-soluble vitamins and the severity of Tourette's syndrome in children and on the evaluation of intervention effects
Objective This paper aims to analyze the correlation between serum fat-soluble vitamins and the severity of Tourette syndrome(TS)in children and evaluate the effect of vitamin D3 supplementation on the severity of TS.Methods Eighty two children with TS were used as the study group and sixty six healthy children as the control group,and the differences of fat-soluble vitamins were compared.The study group was further divided into mild group(n=50)and moderate-severe group(n=32),and the differences in the scores of Yale Comprehensive Tic Severity Scale(YGTSS)and the level of fat-soluble vitamins were compared,and the correlation between the severity of the disease and the level of fat-soluble vita-mins was analyzed.Children who meet the standard of vitamin D deficiency or deficiency in mild cases were selected as the intervention group(n=36),and vitamin D3 intervention and effect evaluation were carried out.Results The difference in the serum level of 25-hydroxyvitamin D[25(OH)D]between the study group and the control group was statistically significant(P<0.001),and that in the study group was significantly decreased.There was statistical significance on the difference between mild group and moderate-severe group in YGGTSS score and 25(OH)D level(P<0.001).The YGGTSS score in moderate-severe group was higher than that in mild group,and the 25(OH)D level was lower than that in mild group.There was a negative correlation between the severity of the disease and the 25(OH)D level(r=-0.791,P<0.001).After oral vitamin D3 intervention,the YGTSS score decreased and the level of25(OH)D increased.Conclusion Vitamin D deficiency in children is closely related to TS,and the severity of TS is negatively correlated with the level of 25(OH)D.Vitamin D3 sup-plementation can improve the condition of mild TS children with vitamin D deficiency or deficiency.

Fat-soluble vitaminsTourette's syndrome25-hydroxyvitamin D

黄秋玲、郁峰、邹小杰、徐震

展开 >

湖州市中心医院,浙江 313000

脂溶性维生素 Tourette综合征 25-羟基维生素D

2023

中国卫生检验杂志
中华预防医学会

中国卫生检验杂志

影响因子:0.771
ISSN:1004-8685
年,卷(期):2023.33(23)
  • 4