[维生素B9和B12:临床表现,查和替代]
Lisa Polikar1, Helena Wegelius1, Jean-François Lambert2
1Service de médecine interne, Hôpital de Nyon, Groupement hospitalier de l'Ouest lémanique, 1260 Nyon.
Revue medicale suisse
|September 6, 2024
概括
维生素B9和B12缺乏是常见的,特别是在老年人中. 口服补充剂在治疗这些维生素缺乏症方面与注射一样有效.
科学领域:
- 营养科学 营养科学
- 内部医学 内部医学
- 老年病的医生 老年病的医生
背景情况:
- 维生素B9 (叶酸) 和维生素B12的缺乏很普遍,特别是在老年人群中.
- 这些缺陷可以表现为微妙或阴险的临床表现.
- 在一般实践中,识别有风险的个体和理解缺陷症状至关重要.
研究的目的:
- 概述维生素B9和B12缺乏症的临床表现.
- 讨论这些常见缺陷的有效查策略.
- 为了比较维生素B9和维生素B12替代疗法的服用途径.
主要方法:
- 审查与维生素B9和B12缺乏相关的临床表现.
- 基于症状和风险因素的查方法的分析.
- 对治疗疗效的评估,比较口服和肌肉内给药途径.
主要成果:
- 维生素B9和维生素B12缺乏症的临床症状可能是非特异性的和阴险的.
- 查应考虑呈现症状和可识别的风险因素.
- 口服维生素替代证明了与肌内注射相比的有效性.
结论:
- 在初级保健中,早期识别和查维生素B9和B12缺乏是必不可少的.
- 风险因素评估有助于识别需要针对这些常见维生素缺乏症进行评估的患者.
- 口服是维生素B9和B12补充的可行和有效途径.
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