潍坊地区不同年龄段儿童血清微量元素及25-(OH)D检验结果分析

Analysis of the Serum Trace Elements and 25-hydroxyvitamin D Test Results between Different Ages Children of Weifang Area

目的 分析潍坊地区不同年龄段儿童血清微量元素及25-（ OH） D检验结果,为临床诊断、治疗及预防提供依据.方法 选取2014年1月~2014年6月我院儿科门诊主动要求检测微量元素和25-（ OH） D的244例儿童,根据年龄不同将其分为婴儿组（52例）、幼儿组（58例）、学龄前组（62例）、学龄组（72例）,分析不同年龄组微量元素及25-（OH）D检验结果. 结果 ①各年龄段血清钙、镁、锌水平均在正常范围;②血清铁缺乏的比例由高到低依次为：婴儿组、幼儿组、学龄前组、学龄组,各组之间比较均具有统计学差异（P〈0.05）;③血清25-（OH）D缺乏的比例由高到低依次为：学龄组、学龄前组、婴儿组、幼儿组,学龄组缺乏的比例最高,其余各组与学龄组比较均具有统计学差异（P〈0.05）;④血铜水平：婴儿组和幼儿组均在正常范围,学龄前组7 例（11. 29%）血铜升高,学龄组10例（13.89%）血铜升高. 结论 ①潍坊地区不同年龄段儿童容易缺乏血清铁和25-（ OH） D,年龄越小,血清铁缺乏的比例越高;②学龄儿童较其他年龄段更易缺乏维生素D,应注重学龄儿童维生素D缺乏的预防;③部分3岁以上年长儿血铜水平偏高.

Objective To analyze the serum trace elements and 25-hydroxyvitamin D [25-（ OH） D] test re-sults between different ages children of weifang area in order to provide evidence for clinical diagnosis ,treatment and pre-vention.Methods From January 2014 to June 2014,a total of 244 patients in our pediatric clinics which assay the trace elements of serum actively .According to different age group ,they will be divided into infant group ,young children group , preschool group ,and school age group .Then analyze the difference inspection result of the trace elements and 25-（ OH） D in different age groups .Results ①The contents of serum calcium ,magnesium and zinc levels are normal among all a-ges′s group;②The proportion of iron deficiency patients ranges from high to low is the infant group , young children group,preschool-aged group,and school-aged group（P〈0.05）;③The proportion of 25-（OH）D deficiency patients ran-ges from high to low is school-aged group , preschool-aged group , infant group and young children group .Compared the school-aged group with the other groups （ P〈0.05）;④The copper levels are normal among both infant and young chil-dren groups,seven（11.29%） preschool-aged children and ten（13.89%） school-aged children have excessive copper . Conclusion ①Children of weifang area are vulnerable to lack of serum iron and 25-（ OH） D;The younger the children have the higher percentage in iron deficiency;②25-（OH）D deficiency were more prevalent in school-age children,and it is important to pay attention to the prevention of their 25-（ OH） D deficiency;③Part of children over 3 years old are copper excessive .