早产儿代谢性骨病临床管理专家共识(2021年)  

Expert consensus on clinical management of metabolic bone disease of prematurity(2021)

作　　者：常艳美[1] 林新祝 张蓉 刘喜红 童笑梅[1] 陈平洋[5] 封志纯 中国医师协会新生儿科医师分会营养专业委员会 中国医师协会儿童健康专业委员会新生儿营养与健康管理学组 中国当代儿科杂志编辑委员会 CHANG Yan-Mei;LIN Xin-Zhu;ZHANG Rong;LIU Xi-Hong;TONG Xiao-Mei;CHEN Ping-Yang;FENG Zhi-Chun;Nutritional Committee of Neonatology Branch of Chinese Medical Doctor Association;Neonatal Nutrition and Health Management Group;Professional Committee of Child Health;Chinese Medical Doctor Association;Editorial Committee of Chinese Journal of Contemporary Pediatrics(Department of Pediatrics,Peking University Third Hospital,Beijing 100191,China;不详)

机构地区：[1]北京大学第三医院儿科,北京100191 [2]厦门大学附属妇女儿童医院/厦门市妇幼保健院新生儿科,福建厦门361003 [3]复旦大学附属儿科医院新生儿科,上海201102 [4]广州市妇女儿童医疗中心临床营养科,广东广州510623 [5]中南大学湘雅二医院儿童医学中心新生儿专科,湖南长沙410011 [6]解放军总医院第七医学中心八一儿童医院新生儿科,北京100700 [7]不详

出　　处：《中国当代儿科杂志》2021年第8期761-772,共12页Chinese Journal of Contemporary Pediatrics

摘　　要：早产儿代谢性骨病(metabolic bonediseaseofprematurity,MBDP)是由于机体钙磷代谢紊乱导致骨矿物质含量减少的全身性骨骼疾病。我国目前对MBDP尚缺乏深入研究和系统认识,在临床管理方面存在很多不规范之处。现基于国内外相关研究,采用证据推荐分级的评估、制定与评价方法(Grading ofRecommendations Assessment,Development andEvaluation),制定MBDP临床管理专家共识,从MBDP的高危因素、筛查/诊断、预防、治疗及出院后随访等5个方面提出推荐意见,旨在为相关从业人员提供MBDP临床管理的建议,以减少MBDP的发生及改善其近远期预后。Metabolic bone disease of prematurity(MBDP)is a systemic bone disease with a reduction in bone mineral content due to disorder of calcium and phosphorus metabolism.There is still a lack of in-depth research and systematic understanding of MBDP in China,and there are many irregularities in clinical management of this disease.Based on relevant studies in China and overseas,Grading of Recommendations Assessment,Development and Evaluation was used to develop the expert consensus on the clinical management of MBDP,which provides recommendations from the following five aspects:high-risk factors,screening/diagnosis,prevention,treatment,and post-discharge follow-up of MBDP,so as to provide relevant practitioners with recommendations on the clinical management of MBDP to reduce the incidence rate of MBDP and improve its short-and long-term prognosis.

关 键 词：代谢性骨病 专家共识 骨质减少 骨矿化和生长 早产儿 

分 类 号：R722.6[医药卫生—儿科]