低剂量与高剂量维生素D用于营养病的治疗:系统性审查和元分析
Davinder Kaur1, Lovely Jain1, Pooja Dewan2
1Advanced Centre for Evidence Based Child Health (ACEBCH), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Indian pediatrics
|February 17, 2026
概括
低剂量和高剂量维生素D疗法在治疗儿童营养性狂犬病方面表现出类似的疗效. 这项研究发现,两种维生素D剂量策略之间的结果或不良事件没有显著差异.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 临床研究 临床研究
背景情况:
- 营养病源于维生素D,或酸盐缺乏.
- 目前用于治疗的维生素D治疗方案各不相同,低剂量与高剂量的比较疗效尚不清楚.
研究的目的:
- 为了比较低剂量 (≤300,000 IU) 与高剂量 (300,000-600,000 IU) 维生素D在治疗儿童营养狂犬病的疗效和安全性.
主要方法:
- 系统地搜索多个数据库和试验注册表,查找相关的随机对照试验 (RCT) 和准RCT.
- 两位独立审查员选了研究,提取了数据,并使用GRADE方法评估了偏差风险.
主要成果:
- 包括四项研究. 在12周后,低剂量和高剂量维生素D组之间没有观察到血清25(OH) D水平,放射性改善 (Thacher评分),甲状腺激素或性酸酶的显著差异.
- 在任何治疗组中都没有报告任何严重的不良临床事件.
结论:
- 低剂量和高剂量维生素D疗法在治疗儿童营养病方面表现出可比的疗效和安全性.
- 这些发现表明,低剂量维生素D疗法可能是治疗狂犬病的可行选择.
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