检验医学 ›› 2017, Vol. 32 ›› Issue (4): 276-279.DOI: 10.3969/j.issn.1673-8640.2017.04.007

• 临床应用研究·论著 • 上一篇    下一篇

佳木斯地区6岁以下儿童血清维生素A、25-羟基维生素D、维生素E水平分析

王丽敏, 张雪玲, 王文娟, 王海燕, 霍明霞, 袁晓辉, 袁博洋   

  1. 佳木斯大学附属第一医院儿科,黑龙江 佳木斯 154000
  • 收稿日期:2016-03-18 出版日期:2017-04-20 发布日期:2017-05-01
  • 作者简介:null

    作者简介:王丽敏,女,1964年生,硕士,主任医师,主要从事小儿心肾疾病及儿童保健的临床和动物试验研究。

    通信作者:王海燕,联系电话:0454-8623704。

  • 基金资助:
    国家卫生计生委医药卫生科技发展研究中心资助项目(W2015EAE109)

Levels of serum vitamin A,25-hydroxyvitamin D and vitamin E of children under 6 years old in Jiamusi

WANG Limin, ZHANG Xueling, WANG Wenjuan, WANG Haiyan, HUO Mingxia, YUAN Xiaohui, YUAN Boyang   

  1. Department of Pediatrics,the First Affiliated Hospital of Jiamusi University,Jiamusi 154000,Heilongjiang,China
  • Received:2016-03-18 Online:2017-04-20 Published:2017-05-01

摘要:

目的 了解黑龙江佳木斯地区6岁以下儿童血清维生素A(Vit A)、25-羟基维生素D[25(OH)D]、维生素E(Vit E)水平,为临床高危年龄段人群合理补充Vit A、维生素(Vit D)、Vit E及预防相关疾病的发生提供参考。方法 将5 169名6岁以下儿童按年龄分为<1岁组(732名)、1~岁组(831名)、2~岁组(693名)、3~岁组(1 164名)、4~岁组(1 008名)、5~岁组(741名)。完成问卷调查,抽取静脉血,采用高效液相色谱法检测血清Vit A、Vit E水平,采用高效液相色谱串联质谱法检测血清25(OH)D水平。结果 5 169名6岁以下儿童血清Vit A水平为(0.28±0.087)mg/L、不足率为54.09%、缺乏率为13.46%,不同年龄段血清Vit A水平差异有统计学意义(F=4.370,P=0.001),其中<1岁组血清Vit A水平最低[(0.25±0.071)mg/L],不足率为61.48%、缺乏率为19.67%。血清25(OH)D水平为(24.20±9.97)ng/mL,不足率为18.57%、缺乏率为17.99%;随着年龄的增大,血清25(OH)D水平逐渐降低。血清Vit E平均水平为(8.68±2.49)mg/L,不足率为21.53%,缺乏率为0.58%,随着年龄的增大,血清Vit E水平呈减低趋势。结论 佳木斯地区6岁以下儿童Vit A、25(OH)D水平不容乐观,需要针对高危年龄段人群及时检测、合理补充,以预防维生素缺乏症的发生,而Vit E营养状况相对良好。

关键词: 维生素A, 25-羟基维生素D, 维生素E, 维生素不足, 维生素缺乏

Abstract:

Objective To investigate the levels of serum vitamin A(Vit A),25-hydroxyvitamin D [25(OH)D] and vitamin E(Vit E) of children under 6 years old in Jiamusi,and to provide a reference for the reasonable supplementation of Vit A,vitamin D(Vit D) and Vit E and preventing from related diseases. Methods According to ages,5 169 children were classified into 6 groups,<1-year-old group(732 cases),1-year-old group(831 cases),2-year-old group (693 cases),3-year-old group(1 164 cases),4-year-old group (1 008 cases) and 5-year-old group(741 cases). After achieving questionnaires,the venous blood was extracted. The levels of Vit A and Vit E were determined by high-performance liquid chromatography,and the level of 25(OH)D was determined by high-performance liquid chromatography tandem mass spectrometry. Results The level of Vit A was(0.28±0.087)mg/L. The insufficiency rate was 54.09%,and the deficiency rate was 13.46%. There was statistical significance with different ages (F=4.370,P=0.001). The minimal level of Vit A was (0.25±0.071)mg/L in <1-year-old group,the insufficiency rate was 61.48%,and the deficiency rate was 19.67%. The level of 25(OH)D was (24.20±9.97)ng/mL,the insufficiency rate was 18.57%,and the deficiency rate was 17.99%. With the increasing of ages,the levels of 25(OH)D decreased. The average level of Vit E was(8.68±2.49)mg/L,the insufficiency rate was 21.53%,and the deficiency rate was 0.58%. With the increasing of ages,the level of Vit E had a decreasing tendency. Conclusions The nutritional status of Vit A and 25(OH)D of children under 6 years old is not optimistic in Jiamusi. It is necessary to determine and give reasonable supplementation of vitamin for high-risk subjects in order to prevent from vitamin deficiency disorder. The nutritional status of Vit E is relatively good.

Key words: Vitamin A, 25-Hydroxyvitamin D, Vitamin E, Vitamin insufficiency, Vitamin deficiency

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