急性呼吸道感染住院儿童的 25 (OH) 维生素 D 状态研究:初步结果

Gena S. Petkova, Boiko R. Shentov
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摘要

摘要 我们的研究旨在测定和分析血清中25 (OH)维生素D和甲状旁腺激素(PTH)的水平,以评估维生素D缺乏症是导致儿童急性呼吸道感染(ARI)发病率增加的一个风险因素。血清副甲状腺激素水平的变化被用作维生素 D 不足的标准,因为正常的 PTH 值需要 25 (OH) 维生素 D 的最佳水平。研究包括 87 名儿童,分为四个亚组,分别是急性支气管肺炎患儿(49 人)、急性喉气管炎患儿(11 人)、急性支气管炎患儿(16 人)和对照组(11 人)。各组的维生素 D 水平均不正常:支气管肺炎组有 18 名儿童显示维生素 D 含量不足;喉气管炎儿童组有 5 名儿童维生素 D 含量不足,1 名儿童维生素 D 缺乏;急性支气管炎儿童的维生素 D 含量异常:7 名儿童维生素 D 含量不足,1 名儿童维生素 D 缺乏。急性支气管炎患儿的维生素 D 含量出现异常:7 名患儿维生素 D 含量不足,2 名患儿维生素 D 含量缺乏。初步结果显示,与健康儿童相比,患急性呼吸道感染的儿童更容易出现维生素 D 状态偏差。
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Study on 25 (OH) Vitamin D Status in Hospitalizied Children with Acute Respiratory Infections: Preliminary Results
Summary Our study aimed to determine and analyze the serum levels of 25 (OH) vitamin D and parathyroid hormone (PTH) to assess vitamin D deficiency as a risk factor for increased morbidity of acute respiratory infections (ARI) in childhood. The changes in the serum parathormone level were used as a criterion for vitamin D sufficiency since an optimal level of 25 (OH) vitamin D is required for normal PTH values. The study included 87 children divided into four subgroups, respectively – children with acute bronchopneumonia (n=49), children with acute laryngotracheitis (n=11), children with acute bronchiolitis (n=16), and a control group (n=11). Subnormal Vit. D levels were found in the individual groups: in the bronchopneumonia group, 18 children showed evidence of insufficiency; in the group of children with laryngotracheitis, five children showed insufficiency, and one child had Vit.D deficiency; children with acute bronchiolitis showed abnormalities in vit. D levels: seven children with insufficiency and two children - with deficiency. The preliminary results showed that Vit. D status deviations are more common in children with acute respiratory infections than in healthy children.
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