薄春敏, 侯雅萍, 张静. 血清25-羟维生素D、骨源性碱性磷酸酶、超声骨密度联合检测在婴幼儿佝偻病检出中的应用[J]. 上海预防医学, 2020, 32(7): 592-595. DOI: 10.19428/j.cnki.sjpm.2020.19666
引用本文: 薄春敏, 侯雅萍, 张静. 血清25-羟维生素D、骨源性碱性磷酸酶、超声骨密度联合检测在婴幼儿佝偻病检出中的应用[J]. 上海预防医学, 2020, 32(7): 592-595. DOI: 10.19428/j.cnki.sjpm.2020.19666
BO Chun-min, HOU Ya-ping, ZHANG Jing. 25-hydroxyvitamin D, bone source alkaline phosphatase and ultrasound bone density combined in detection of rickets in infants[J]. Shanghai Journal of Preventive Medicine, 2020, 32(7): 592-595. DOI: 10.19428/j.cnki.sjpm.2020.19666
Citation: BO Chun-min, HOU Ya-ping, ZHANG Jing. 25-hydroxyvitamin D, bone source alkaline phosphatase and ultrasound bone density combined in detection of rickets in infants[J]. Shanghai Journal of Preventive Medicine, 2020, 32(7): 592-595. DOI: 10.19428/j.cnki.sjpm.2020.19666

血清25-羟维生素D、骨源性碱性磷酸酶、超声骨密度联合检测在婴幼儿佝偻病检出中的应用

25-hydroxyvitamin D, bone source alkaline phosphatase and ultrasound bone density combined in detection of rickets in infants

  • 摘要:
    目的血清25-羟维生素D、骨源性碱性磷酸酶(BAP)水平、超声骨密度联合检测对提高6~12月的婴幼儿佝偻病检出的应用分析。
    方法随机选取2018年3月—2018年12月来长宁区某医院的6~12个月佝偻病婴幼儿及健康婴幼儿各160例分别作为观察组和对照组,对两组婴幼儿分别进行血清25-羟维生素D水平、BAP活性和超声骨密度检测,分析三者单项检测与联合检测对婴幼儿佝偻病的诊断效能。
    结果观察组婴幼儿血清25-羟维生素D和骨密度水平低于对照组(P < 0.05),BAP活性高于对照组(P < 0.05);对3种检测项目的特异度、灵敏度进行组间比较,差异无统计学意义(P>0.05),3种检测项目联合检测的灵敏度和准确率均优于单独检测(P < 0.05)。
    结论血清25-羟维生素D水平、BAP活性和超声骨密度联合检测可显著提高6~12月婴幼儿佝偻病检出效能,具有一定价值,值得临床推广应用。

     

    Abstract:
    ObjectiveTo analyze the application of serum 25-hydroxyvitamin D (25-OH-D), bone source alkaline phosphatase (BAP) and ultrasonic bone mineral density (BMD) in the detection of infantile rickets aged 3-12 months.
    MethodsSix to 12 months old rickets infants and healthy ones were randomly selected from March to December 2018 in a hospital in Changning, who were divided into two groups as observation or control group (160 infants in each).Two groups were respectively tested with serum 25-OH-D, BAP activity and ultrasonic bone density, so as to explore the diagnostic efficacy of the three combined tests for infant rickets.
    ResultsThe serum 25-OH-D level and the BMD in the observation group were significantly lower than that in the control group (P < 0.05), and the abnormal detection rate of BAP in the control group was significantly lower than that in the observation group (P < 0.05).There was no statistical significance (P>0.05) between the three detection methods, but the sensitivity and accuracy of the three detection methods combined were significantly better than that of any single detection method (P < 0.05).
    ConclusionThe combined detection with serum 25-OH-D level, BAP activity and ultrasonic BMD can significantly improve the detection efficiency of rickets in infants aged 6-12 months, which is valuable and worthy of clinical application.

     

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