在冬季出现的关节形成术患者中,维生素D缺乏的患病率更高
Harrison Beadel1, N Amir Sandiford2,3
1Southland Hospital, Health New Zealand, Kew Road, Invercargill, New Zealand. Harrison.Beadel@southerndhb.govt.nz.
Journal of orthopaedic surgery and research
|November 29, 2025
概括
维生素D缺乏症在接受全关节整形术 (TJA) 的患者中很常见. 定期补充维生素D显著降低了缺乏症的风险,改善了手术结果.
科学领域:
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 全关节整形术 (TJA) 的需求不断增加,需要确定可修改的不良结果的风险因素.
- 维生素D缺乏是TJA患者手术前优化的潜在目标.
研究的目的:
- 为了确定选择性TJA患者中维生素D缺乏症的患病率.
- 为了确定与维生素D缺乏相关的风险因素.
- 研究维生素D缺乏与手术结果之间的关系.
主要方法:
- 回顾性队列研究等待选择性部或膝关节关节整形手术的患者.
- 收集的人口统计数据,手术前维生素D水平和补充状态.
- 在缺陷和非缺陷组之间比较手术结果 (停留时间,并发症,重复手术).
主要成果:
- 在不定期补充维生素D的患者中,维生素D缺乏的高患病率 (72%).
- 缺陷在年轻的男性和冬季更常见.
- 维生素D缺乏组的再接收率更高 (7%对1%),尽管绝对数字很小.
结论:
- 在接受选择性TJA的患者中,很大一部分患者表现出维生素D缺乏.
- 定期补充维生素D可以有效地减少缺乏症的发生率.
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