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超声骨密度检测早期儿童佝偻病的临床应用价值分析 |
潘慧 |
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(儿科 产科) |
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摘要: |
【】目的:研究探讨超声骨密度检测法对诊断早期儿童佝偻病的临床应用价值,以期为早期儿童佝偻病的诊断提供新的方法。方法:选择2015年1月~2016年12月来本院就诊的160例儿童佝偻病患者和在本院进行体检的健康儿童100例为研究对象。分别编入观察组(n=160)和对照组(n=100),对两组儿童行超声骨密度检测。统计比较骨密度对早期儿童的佝偻病的诊断正确率;其次,对观察组和对照组儿童骨密度值进行比较分析;再者,对两组儿童的血钙、碱性磷酸酶浓度进行比较。结果:(1) 通过与佝偻病诊断金标准骨骼X射线检查法相比,超声骨密度检查法有着较高的诊断正确率,且表现为年龄越小诊断准确率越高;(2) 在各个年龄段观察组患者骨密度Z值均显著低于对照组儿童(P<0.05),且年龄越低与对照组间差异越大,观察组患者不同性别间骨密度Z值无显著性差异(P>0.05);(3) 观察组患者的血钙浓度低于对照组,碱性磷酸酶浓度则高于对照组,在观察组内血钙浓度随着骨密度的增加而增加,碱性磷酸酶浓度随着骨密度增加而降低。结论:通过超声骨密度的检查能够及早的对儿童佝偻病进行确诊,且有着很高的诊断准确率,是一种有效的临床诊断儿童佝偻病的新方法,并加以推广应用。 |
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投稿时间:2017-05-22修订日期:2018-07-23 |
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Clinical value of ultrasonic bone mineral density in early childhood rickets |
panhui |
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Abstract: |
Objective: To investigate the clinical value of ultrasonic bone mineral density (BMD) in early diagnosis of rickets in children, so as to provide a new method for early diagnosis of rickets in children. Methods: 160 children with rickets who were treated in our hospital from January 2015 to ~2016 in and healthy children in our hospital in December were selected as the subjects. Into the observation group (n=160) and the control group (n=100), two groups of children with ultrasonic bone mineral density detection. The correct diagnosis rate of statistical comparison of bone mineral density on early childhood rickets; secondly, the observation group and control group were compared and analyzed the value of children"s bone density; moreover, the comparison of two groups of children serum calcium, alkaline phosphatase concentration. Results: (1) compared with the gold standard in the diagnosis of rickets bone X radiography, ultrasound bone density examination method has higher diagnostic accuracy, and performance for the younger the accurate diagnosis rate is high; (2) patients in the observation group Z bone density in each age group were significantly lower than those in control group (children P<0.05), and the lower the age differences between control group and the observation group of patients with different gender, bone mineral density Z value had no significant difference (P>0.05); (3) to observe the serum calcium concentration group were lower than control group, alkaline phosphatase concentration is higher than the control group, the observation group increased with the concentration of serum calcium bone mineral density increased, the concentration of alkaline phosphatase decreased with an increase in bone density. Conclusions: through ultrasound bone density examination can early diagnosis of rickets in children, and has a high diagnostic accuracy, is a new effective method for clinical diagnosis of rickets in children, and to promote the application. |
Key words: Bone density Rickets diagnosis Serum calcium Alkaline phosphatase |
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