儿科维生素C缺乏症的临床特征和结果
Thanaporn Trangkanont1, Maneerat Puwanant1, Thirachit Chotsampancharoen2
1Nutrition Division, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand.
Nutrients
|December 11, 2025
概括
儿童维生素C缺乏是一个问题,通常与不良的水果和蔬菜摄入量有关. 早期检测和饮食干预对于改善儿童的结果至关重要.
科学领域:
- 儿科 儿科 儿科
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 维生素C缺乏症 (疹) 在儿童中未被充分认识到,特别是在东南亚.
- 这项研究调查了临床特征,饮食风险和儿科维生素C缺乏症的结果.
- 聚焦于泰国南部的第三级医院环境.
研究的目的:
- 描述儿童维生素C缺乏症的临床表现.
- 为了确定与这种情况相关的饮食风险因素.
- 评估治疗结果,并为预防策略提供信息.
主要方法:
- 对被诊断患有维生素C缺乏症的儿童 (1-15岁) 的医疗记录的回顾性审查 (2004-2024年).
- 基于血清 Askorbic 酸水平 (<0.4 mg/dL) 或临床放射性证据的诊断.
- 数据包括人口统计,饮食,临床症状,成像,实验室结果,治疗和结果.
主要成果:
- 46名儿童被诊断;中位数年龄为4.8岁,54.4%的儿童发育迟缓.
- 常见的症状:四肢疼痛 (76.1%),拒绝走路 (52.2%),牙出血 (39.1%).
- 低水果/蔬菜摄入量 (73%) 和与缺乏相关的过度牛奶消费 (p<0.05).
结论:
- 儿童维生素C缺乏仍然是一个重大问题,需要及早检测.
- 饮食史对于识别有风险的儿童和预防误诊至关重要.
- 关于营养的家长教育对于减少发病率和改善结果至关重要.
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