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口服与注射维生素D疗法治疗印度儿童营养病:一项比较研究
Harshith Patel1, Vikas Gupta1, Kamal Jain2,3
1Central Institute of Orthopaedics, VMMC & Safdarjung Hospital, New Delhi, 110029 India.
Indian journal of orthopaedics
|January 31, 2025
概括
口服每周和注射维生素D疗法都有效治疗儿童. 由于成本和合规性,注射疗法可能更适合印度儿童,副甲状腺激素水平表明治疗反应.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 代谢性骨疾病 代谢性骨疾病
背景情况:
- Rickets 是一种普遍存在的儿童代谢性骨疾病,通常源于维生素D缺乏.
- 营养性狂犬病严重影响儿童的健康,需要有效的治疗策略.
研究的目的:
- 为了比较口服每周维生素D补充剂与印度儿童营养的注射性石头治疗的疗效.
- 为了评估治疗病的儿童的临床,生化和放射性结果.
主要方法:
- 一项前性随机对照试验,涉及40名患有营养的儿童 (6个月16岁).
- 参与者接受了口服维生素D3 (10周每周6万IU) 或一次肌肉内注射 (600万IU).
- 评估包括维生素D,,,性酸酶,副甲状腺激素 (PTH) 和放射治疗 (Thacher得分).
主要成果:
- 这两种疗法在6个月内显著改善了生化标志物和放射性愈合.
- 在大多数参数中,在口服和注射组之间没有发现显著差异.
- 注射疗法显示维生素D水平的持续增加,并且耐受性良好,没有毒性或高血症.
结论:
- 口服每周和注射性疗法在治疗营养性狂犬病方面同样安全有效.
- 注射疗法的成本效益和单剂量管理可能有利于其在印度人口中的使用.
- 血清PTH水平是恶心病严重程度和治疗疗效的有价值的早期指标.
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