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在接受全肩或肘关节整形手术的患者中,维生素D缺乏的高发病率
Miledi Hoxha1, Tizian Heinz2, Maximilian Rudert1,2
1Orthopaedic Center for Musculoskeletal Research, University of Wuerzburg, 97074 Wuerzburg, Germany.
Nutrients
|August 28, 2025
概括
在接受上肢关节置换的患者中,维生素D缺乏是常见的. 建议进行手术前的维生素D检测,因为补充剂显著降低了缺乏症的风险.
科学领域:
- 整形外科
- 内分泌学
- 营养科学
背景情况:
- 维生素D缺乏是一个全球性的健康问题,
- 低维生素D水平会对骨科条件和手术结果产生负面影响,特别是在接受全关节整形手术 (TJA) 的患者中.
- 在接受上肢 (肩膀和肘部) 关节整形手术的患者中,对维生素D状况的研究有限.
研究的目的:
- 确定计划进行肩部或肘部整形手术的患者中维生素D缺乏的患病率.
- 在该患者群体中确定低维生素D的潜在风险因素.
主要方法:
- 一个单一的队列研究测量了手术前的血清25- 维生素D (25OHD) 水平,对108名接受肩部或肘部整形手术的患者进行了测量.
- 为了确定风险因素,收集了人口统计数据,外科信息和并发症.
- 用多变量回归分析确定维生素D不足和缺乏的风险因素.
主要成果:
- 很大一部分患者 (87%) 没有报告定期摄入维生素D,其血清维生素D水平较低,其中63. 6% 缺乏维生素D.
- 与没有服用维生素D补充剂的患者相比,服用维生素D补充剂的患者维生素D水平显著提高 (平均36. 4 ng/ mL与18. 4 ng/ mL).
- 维生素D水平呈季节性变化,春季最低,夏季最高.
结论:
- 接受肩膀或肘部关节整形手术的患者有高维生素D下降的风险.
- 维生素D补充剂显示,维生素D缺乏的可能性降低了94%.
- 季节性因素是低维生素D水平的关键风险因素,这表明手术前维生素D水平测量应该是标准的护理.
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