澳大利亚的炎症性肠病儿童维生素D测试和补充的模式
Angharad Vernon-Roberts1, Andrew S Day1,
1Department of Paediatrics University of Otago Christchurch Christchurch New Zealand.
概括
最佳的维生素D水平有利于患有炎症性肠病 (IBD) 的儿童. 澳大利亚儿科胃肠科医生需要标准化维生素D检测和补充在儿科IBD护理的指南.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 免疫学 免疫学 免疫学
- 营养科学 营养科学
背景情况:
- 维生素D在免疫功能中起着至关重要的作用,具有抗炎性质.
- 最佳的维生素D水平与疾病活性降低,术后复发率降低以及儿科炎症性肠病 (IBD) 的改善生活质量有关.
- 在IBD中维生素D管理的国际指南缺乏一致性.
研究的目的:
- 调查澳大利亚儿科胃肠病学家关于他们目前的维生素D测试和IBD儿童补充剂的做法.
- 为了确定测试频率的变化,补充方案,以及维生素D在儿科IBD管理中的感知益处.
主要方法:
- 一项在线调查分发给澳大利亚儿科胃肠病学,肝病学和营养学学会的成员.
- 受访者提供了关于维生素D测试的频率,补充策略,坚持和IBD儿童感知的益处的数据.
主要成果:
- 32名儿科胃肠道科医生参与了这项研究,90%的患者在诊断和随访时测试了维生素D,尽管频率有所不同.
- 虽然大多数推的补充是基于血清水平,但使用了不一致的切断值.
- 大多数人认为最佳维生素D水平具有显著的整体益处,显著的部分人也对疾病活动的益处进行了积极评价.
结论:
- 对于在澳大利亚管理儿科IBD的临床医生来说,对维生素D测试和补充的标准化指南是必要的.
- 制定共识陈述可以帮助优化该地区IBD儿童的护理.
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