低维生素D水平与儿科骨折患者的愈合时间延长有关
Michael Guyot1, William Ross1, Catalina Baez2
1Department of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Journal of the Pediatric Orthopaedic Society of North America
|January 22, 2026
概括
儿童维生素D水平较低与骨折愈合时间较长有关,特别是在下肢和手术后. 这强调了评估儿科骨折患者的维生素D状况的重要性,这些患者经历了延迟恢复.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科医学 儿科医学
- 内分泌学 在内分泌学.
背景情况:
- 维生素D对骨健康和吸收至关重要.
- 以前的研究集中在成人骨折的预防,留下儿科骨折愈合未经探索.
- 这项研究研究了维生素D水平与儿科骨折的愈合时间之间的联系.
研究的目的:
- 调查低维生素D水平与儿科骨折中延长愈合时间之间的相关性.
- 在儿科患者群体中确定特定的患者群体,由于维生素D缺乏,他们可能更容易受到延迟愈合的影响.
- 为了向临床实践提供有关儿童骨折维生素D评估的信息.
主要方法:
- 对患有四肢骨折的儿科患者 (0-17岁) 的回顾性评估.
- 收集了有关人口统计,伤害细节,治疗,结果和维生素D水平 (正常>30.0 ng/mL,低≤29.9 ng/mL) 的数据.
- 该研究于2015年1月至2022年5月期间在美国东南部的一个机构进行.
主要成果:
- 61.4%的患者的维生素D水平较低.
- 低维生素D与显著更长的临床和放射治疗时间相关 (P=.019,P=.001).
- 在下肢骨折和需要手术的患者中,延长愈合更为明显.
结论:
- 低维生素D水平与儿科骨折中愈合延迟有关.
- 儿科整形外科医生应考虑在长时间愈合的患者中对维生素D进行评估.
- 早期评估和补充可能会改善维生素D不足的儿科骨折患者的结果.
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