骨科门诊患者维生素D水平调查  

Vitamin D status of patients in the orthopaedic clinic

作　　者：马云辉[1] 张寿[1] 陈文远[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院骨科中心,海口570208

出　　处：《中华骨质疏松和骨矿盐疾病杂志》2015年第4期317-321,共5页Chinese Journal Of Osteoporosis And Bone Mineral Research

摘　　要：目的调查骨科门诊患者维生素D水平。方法选取2011年1月至12月中南大学湘雅医学院附属海口医院骨科门诊就诊的12 535例患者中检查维生素D的患者879例,记录行维生素D检查患者的年龄、性别、25羟基维生素D（25 hydroxy vitamin D,25OHD）水平、症状。25OHD采用电化学发光法进行检测。结果骨科门诊行25OHD检测人数占总门诊量的7.01%（879/12 535）,男性25OHD水平高于女性（P〈0.05）,所有患者的维生素D均值为10.1μg/L,其中维生素D水平缺乏占90.6%（796例）,维生素D水平不足占7.5%（66例）,维生素D水平正常占1.9%（17例）。男性维生素D缺乏占85.5%,低于女性的95.0%,男女性比较差异有统计学意义（P〈0.05）。未发现年龄与25OHD水平呈线性相关（P=0.072）,所有维生素D缺乏患者年龄服从正态分布（P=0.176）,21~50岁年龄段所占人数最多。结论骨科门诊患者维生素D缺乏普遍,以青年为主,应加强门诊患者维生素D检测。Objective To evaluate vitamin D status in the orthopaedic clinic patients. Methods To record the age,gender,25 hydroxy vitamin D（ 25OHD） and symptoms of 879 patients who had been checked vitamin D concentration from 12 535 orthopaedic clinic patients from January 2011 to December 2011,according to the compute system.Statistic analysis was done by SPSS 12. 0 statistical package. The concentration of 25 OHD was measured by electrochemiluminescence. Results The percentage of the patients that had been checked vitamin D was 7. 01% in the orthopaedic clinic. The 25 OHD level of the male was higher than that of female. The mean value of 25 OHD in 879 patients was10. 1 μg / L,in which the incidence of vitamin deficiency was 90. 6%（ 796 cases）,and the incidence of vitamin D insufficiency was 7. 5%（ 66 cases）,but sufficient vitamin D status was only account for 1. 9%（ 17 cases）. The percentage of the vitamin D deficiency of the male（ 85. 5%） was lower than that of female（ 95. 0%）. The vitamin D status was irrelevant to the age. The age of patients with vitamin D deficiency behaved to normal distribution. Vitamin D deficiency was common in the age of 21 to 50 years old. Conclusion Vitamin D deficiency is common in the orthopaedic clinic patients,especially in the young people. Vitamin D should be commonly checked in the orthopaedic clinic.

关 键 词：维生素D 25OHD 骨科 门诊 

分 类 号：R681[医药卫生—骨科学]