值夜班的医护人员25-羟维生素D水平的调查  

Investigation on Vitamin D status of night-shift medical personnel in Lishui'tertiary hospital

作　　者：黄桂英[1] 莫寿勇[1] 

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《浙江医学教育》2015年第1期59-61,共3页Zhejiang Medical Education

摘　　要：目的:调查经常上夜班的医院医护人员维生素D的水平。方法:用整群抽样的方法选取2013年10月至2014年3月丽水市中心医院国际体检中心本院医护人员684名,采用电化学发光免疫分析方法(ECLLA)检测血清25-羟基维生素D[25(OH)D]浓度。结果:684名需轮值夜班的医护人员血清25(OH)D的平均水平为(18.8±7.3)ng/ml,25(OH)D缺乏(<20.0ng/ml)、不足(≥20.0且<30.0ng/ml)、正常(≥30.0ng/ml)比率分别为66.1%、25.9%、8.0%。同性别不同年龄段间的25(OH)D水平差异无统计学意义(P>0.05),同年龄不同性别间的25(OH)D水平差异也无统计学意义(P>0.05)。夜班高频组血清25(OH)D)缺乏率达69.2%,显著高于低频组(P<0.01)。结论:医务工作者中需轮值夜班人员25(OH)D营养状况不佳,存在严重的维生素D不足和缺乏状况。[Objective]To evaluate vitamin D status of night-shift medical personnel in Lishui＇tertiary hospital.[Method]serum samples were collected from the hospital＇s 684 doctors and nurses in the Central Hospital of Lishui City by cluster sampling method between October 2013 and March2014.Electrochemiluminescence immunoassay method was used to detect serum25 hydroxyvitamin D concentrations in684 doctors and nurses.[Result]The average serum25（OH）D concentration of 684 night-shift doctors and nurses was（18.8±7.3）ng/ml,The percentages of vitamin D deficiency[25（OH）D〈20.0ng/ml],insufficiency[20.0ng/ml25（OH）D〈30.0ng/ml],and sufficiency[25（OH）D〉30.0ng/ml]were 66.1%,25.9%,and 8.0%,respectively.There was no significant difference in serum level of 25（OH）D among different age groups in the same gender（P〉0.05）,There was no significant difference between man and female among the same age groups.（P〉0.05）The percentage of vitamin D deficiency in the high-frequency night shift group was 69.2%,higher than the low-frequency night shift group.（P=0.038）.[Conclusion]Vitamin D status of night-shift medical personnel in Lishui＇tertiary hospital is not optimistic,Vitamin D insufficiency and deficiency is a quite serious problem,especially among the doctors and nurses with high-frequency night shift.

关 键 词：25-羟维生素D 医护人员 维生素D缺乏 夜班 

分 类 号：R591.44[医药卫生—内科学]