儿童和青少年的骨周转标记物 (BTM) 的参考间隔 (RIs):有效使用建议
Vincenzo Brescia1, Roberto Lovero1, Antonietta Fontana1
1Clinical Pathology Unit, AOU Policlinico Consorziale di Bari-Ospedale Giovanni XXIII, 70124 Bari, Italy.
Biomedicines
|January 25, 2025
概括
确定了儿童和青少年骨循环标记的参考间隔,揭示了年龄和性别相关的变化,这对于准确的生长评估和疾病监测至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 生物标志物研究 生物标志物研究
- 临床化学 临床化学
背景情况:
- 骨循环标记 (BTM) 对于评估儿童和青少年的骨生长和疾病至关重要.
- 建立适当的参考间隔 (RIs) 对于准确解释BTMs至关重要.
研究的目的:
- 为关键骨周转标记物 (BALP,CTX,PINP,OC,TRAcP-5b) 建立血清参考间隔 (RIs).
- 分析看似健康的1-18岁儿童和青少年的BTM.
主要方法:
- 分析了来自202名健康儿童和青少年 (1-18岁) 的血清样本.
- 用于生物标志物量化,使用了自动化免疫测试.
- 使用CLSI C28-A3指南计算参考间隔,按年龄和性别分层.
主要成果:
- BTM度与青春期生长有显著差异,并且在标记物之间存在差异.
- 确定了BALP,CTX,PINP,OC和TRAcP-5b的特定年龄的RI.
- 根据年龄和性别的共同变量确定了不同的RI组.
结论:
- 在儿童群体中,BTM度受年龄和性别的影响.
- 已建立的RI为儿科骨健康的临床解释提供了关键数据.
- 根据年龄和性别进行分层是必要的,以准确评估儿童和青少年的BTM.
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