患有青少年异常性关节炎的儿童增长迟缓的危险因素:一个病例对照研究
Ying Zhang1, Liping Song1, Weihu Ma1
1Department of Pediatric, Hebei Medical University Third Hospital, 139 Ziqiang Road, Shijiazhuang City, 050051, Hebei Province, China.
BMC musculoskeletal disorders
|January 28, 2025
概括
增长迟缓影响了超过25%的患有青少年异常性关节炎 (JIA) 的儿童. 关键的风险因素包括更长的疾病持续时间,较少的运动和活跃的疾病,这些可以用来预测结果.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 增长和发展 增长和发展
- 临床儿科 临床儿科
背景情况:
- 青少年无形性关节炎 (JIA) 对儿童发育构成重大挑战.
- 增长迟缓是被诊断为JIA的儿童的常见并发症.
- 识别风险因素对于及时干预和改善患者结果至关重要.
研究的目的:
- 调查导致青少年异常性关节炎 (JIA) 患者增长迟缓的因素.
- 确定影响JIA儿童成长结果的关键风险因素.
- 评估已识别的生长迟缓风险因素的预测价值.
主要方法:
- 从155名JIA患者 (2019年1月至2022年12月) 的临床数据的回顾性分析.
- 对有增长迟缓和没有增长迟缓的儿童进行比较 (身高Z-score < -2 SD).
- 后勤回归和ROC曲线分析以识别和评估风险因素.
主要成果:
- 在25.81% (40/155) 的JIA患者中观察到增长迟缓.
- 确定了独立的风险因素:疾病持续时间≥3年,运动时间<1小时/天,使用葡萄糖皮质激素和活跃疾病.
- 综合因素显示出一个高的预测值 (AUC = 0.702).
结论:
- 在JIA患者中增长迟缓的高发病率.
- 疾病持续时间,运动,葡萄糖皮质激素治疗和疾病活性是显著的贡献者.
- 对这些因素的综合评估提高了对JIA增长迟缓的预测准确度.
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