检验医学 ›› 2014, Vol. 29 ›› Issue (5): 464-467.DOI: 10.3969/j.issn.1673-8640.2014.05.008

• 临床应用研究·论著 • 上一篇    下一篇

海南地区成人血清25羟基-维生素D参考区间的初步调查

熊燏1, 钱士匀1, 熊小泉2, 崔开媚1, 蔡群芳1, 邬强1   

  1. 1.海南医学院热带医学与检验医学院, 海南 海口 571101;
    2.罗氏诊断(上海)有限公司武汉办事处, 湖北 武汉 430022
  • 收稿日期:2013-09-26 出版日期:2014-05-30 发布日期:2014-05-27
  • 通讯作者: 钱士匀, 联系电话:0898-66890322。
  • 作者简介:熊 燏, 1980年生, 硕士, 讲师, 主要从事疾病的生化诊断和临床遗传病基因诊断研究。

Primary survey for the reference intervals of serum 25-hydroxy vitamin D from adults in Hainan area

XIONG Yu1, QIAN Shiyun1, XIONG Xiaoquan2, CUI Kaimei1, CAI Qunfang1, WU Qiang1.   

  1. 1.School of Tropical and Laboratory Medicine, Hainan Medical University, Hainan Haikou 571101, China;
    2. Wuhan Agency, Roche Diagnostics(Shanghai) Company Limited, Hubei Wuhan 430022, China
  • Received:2013-09-26 Online:2014-05-30 Published:2014-05-27

摘要: 目的 对海南地区健康成人25羟基-维生素D(25OH-D)参考区间进行调查, 为合理补充维生素D提供科学依据。方法 选择海南地区生活背景相似、年龄不同的健康体检者1 978名(男1 008名、女970名), 收集对象的基本资料, 采用电化学发光法测定所有对象的血清25OH-D水平。按性别和年龄分别分组进行统计分析。结果 调查所用的25OH-D检测系统准确度、精密度良好。血清25OH-D水平呈非正态分布, 采用百分位数(P2.5P97.5)设立参考区间。男、女性间血清25OH-D水平差异有统计学意义(P<0.01);≤50岁及>50岁男、女性之间血清25OH-D水平差异均有统计学意义(P均<0.01);男性≤50岁的参考区间为6.77~26.80 ng/mL, >50岁的参考区间为4.51~19.73 ng/mL;女性≤50岁的参考区间为5.96~24.79 ng/mL, >50岁的参考区间为3.71~16.34 ng/mL。结论 针对海南地区人群的实际情况, 建立了不同性别和年龄的25OH-D参考区间。

关键词: 25羟基-维生素D, 成人, 参考区间

Abstract: Objective To survey the reference intervals of serum 25-hydroxy vitamin D(25OH-D) from adults in Hainan area, and provide scientific reference for reasonable supplement of vitamin D. Methods Basic data of 1 978 healthy subjects(1 008 males and 970 females) with similar livelihood background and different ages were collected, and the level of serum 25OH-D was analyzed by electro-chemiluminescence. The subjects were classified according to sex and age, and the results were analyzed statistically. Results The accuracy and precision of the 25OH-D detection system were good, and the levels of serum 25OH-D had non-Gaussian distribution. The reference intervals were established by percentile (P2.5-P97.5). There were statistical significances of 25 OH-D between males and females (P<0.01). There was statistical significance between ≤50 years old and >50 years old among males and females(P<0.01). The reference interval of males ≤50 years old was 6.77-26.80 ng/mL, and that of males >50 years old was 4.51-19.73 ng/mL. The reference interval of females ≤50 years old was 5.96-24.79 ng/mL and that of females >50 years old was 3.71-16.34 ng/mL. Conclusions The reference interval for specific sex and age should be established for the population of Hainan area.

Key words: 25-hydroxy vitamin D, Adult, Reference interval

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