首页|儿童过敏性紫癜的营养状况和25-羟基维生素D3水平的临床研究

儿童过敏性紫癜的营养状况和25-羟基维生素D3水平的临床研究

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目的 探讨不同营养状况及血清25-羟基维生素D3[25-(OH)D3]水平与儿童过敏性紫癜(HSP)的相关性。方法 选取2019年9月至2020年2月于首都医科大学附属北京儿童医院确诊的HSP患儿共119例作为观察组,根据营养状况进一步分为营养正常组(67例)与营养不良组(52例),同时选取同时期于首都医科大学附属北京儿童医院门诊进行健康体检的儿童90例作为对照组。比较分析观察组和对照组、营养正常组和营养不良组儿童的25-(OH)D3水平。结果 对照组儿童的25-(OH)D3水平显著高于观察组患儿,差异有统计学意义(P<0。05);营养不良组患儿的25-(OH)D3水平低于营养正常组,差异有统计学意义(P<0。05)。结论 HSP患儿25-(OH)D3水平与健康儿童相比明显降低,HSP合并营养不良患儿的25-(OH)D3水平与营养状态正常的HSP患儿相比明显降低。
Analysis of nutritional status and significance of changes in 25-hydroxyvitamin D3 levels in children with Henoch-Sch?nlein purpura
Objective To investigate the relationship between different nutritional status and serum 25-hydroxyvitamin D3[25-(OH)D3]level and children's Henoch-Schönlein purpura(HSP).Method A total of 119 children with HSP diagnosed in Beijing Children's Hospital,Capital Medical University from September 2019 to February 2020 were selected as the observation group,and further divided into normal nutrition group(67 cases)and malnutrition group(52 cases)according to their nutritional status.Meanwhile,90 children who underwent physical examination in the outpatient department of Beijing Children's Hospital,Capital Medical University were selected as the control group.The 25-(OH)D3 levels of children in observation group and control group,normal nutrition group and malnourished group were compared and analyzed.Result The level of 25-(OH)D3 in control group was significantly higher than that in observation group,and the difference was statistically significant(P<0.05).The level of 25-(OH)D3 in malnutrition group was lower than that in normal nutrition group,and the difference was statistically significant(P<0.05).Conclusion The levels of 25-(OH)D3 in children with HSP were significantly lower than those in the healthy children group;the levels of 25-(OH)D3 in the HSP combined with malnutrition group were significantly lower than those in the HSP group with normal nutritional status.

25-hydroxyvitamin D3Henoch-Schönlein purpuraMalnutrition

潘长鹭、王美辰、赵文利、栗达、闫洁

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国家儿童医学中心 首都医科大学附属北京儿童医院临床营养科,北京 100045

25-羟基维生素D3 过敏性紫癜 营养不良

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(8)