检验医学 ›› 2014, Vol. 29 ›› Issue (7): 727-726.DOI: 10.3969/j.issn.1673-8640.2014.07.008

• 临床应用研究·论著 • 上一篇    下一篇

血清25-羟基维生素D检测在儿童社区获得性肺炎中的应用及意义

王朋,陈佳琦,宋志纯,李凌云,李金美,吴伟平   

  1. 温州医科大学附属第六医院血液病实验室,浙江 丽水 323000
  • 收稿日期:2013-10-22 出版日期:2014-07-30 发布日期:2014-07-21
  • 作者简介:王朋,男,1981年生,学士,主管技师,主要从事临床免疫学和血液学检验工作。

The application and significance of serum 25-hydroxyvitamin D determination in children with community-acquired pneumonia

WANG Peng,CHEN Jiaqi,SONG Zhichun,LI Lingyun,LI Jinmei,WU Weiping   

  1. Department of Hematology Laboratory, the Sixth Affiliated Hospital of Wenzhou Medical College, Zhejiang Lishui 323000,China
  • Received:2013-10-22 Online:2014-07-30 Published:2014-07-21

摘要:

目的 探讨儿童社区获得性肺炎(CAP)患儿血清25-羟基维生素D水平及临床意义。方法 采用电化学发光法和免疫透射比浊法分别测定66CAP患儿和52名健康体检者(正常对照组)血清25-羟基维生素DC反应蛋白(CRP)水平,并根据儿童CAP病情的轻重分为轻症组和重症组。结果 儿童CAP组血清25-羟基维生素D水平[27.05±10.93μg/L]明显低于正常对照组[32.77±9.78μg/L]P0.01),而CRP水平[11.77±5.98mg/L]则高于正常对照组[4.56±2.48mg/L]P0.01)。同时,重症组血清25-羟基维生素D水平明显低于轻症组(P0.01),而平均年龄则大于轻症组(P0.01);CRP水平在两组之间无明显差异(P0.05)。结论 血清25-羟基维生素D的缺乏可能是儿童CAP的潜在病因,在判断疾病的轻重上也有一定的意义。

关键词: 25-羟基维生素D , C反应蛋白, 社区获得性肺炎, 儿童

Abstract:

Objective To investigate serum 25-hydroxyvitamin D level and its clinical significance in community-acquired pneumoniaCAP children. Methods The level of serum 25-hydroxyvitamin D and C-reactive proteinCRP were determined in 66 children with CAP and 52 healthy subjectshealthy control groupby electrochemiluminescence immunoassay and turbidimetry immunoassay. The children were classified into mild symptom group and intensive symptom group according to the severity of CAP. Results The level of serum 25-hydroxyvitamin D in CAP group[27.05±10.93 μg/L] was obviously lower than that in healthy control group[32.77±9.78 μg/L]P0.01. However CRP in CAP group [11.77 ±5.98 mg/L] was higher than that in healthy control group [4.56 ±2.48 mg/L]P0.01. Meanwhile the level of serum 25-hydroxyvitamin D in intensive symptom group was lower than that in mild symptom group and the average age in intensive symptom group was elder than that in mild symptom groupP0.01), but there was no statistical significance for CRP between the 2 groupsP0.05. Conclusions The lack of serum 25-hydroxyvitamin D may be the potential role for CAP in children and there also is a certain significance in judging the severity of disease.

Key words: 25-hydroxyvitamin D, C-reactive protein, Community-acquired pneumonia, Child

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