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抽动障碍患儿血清25-羟维生素D水平

[Serum levels of 25-hydroxyvitamin D in children with tic disorders].

作者信息

Li Hong-Hua, Wang Bing, Shan Ling, Wang Cheng-Xin, Jia Fei-Yong

机构信息

Department of Developmental and Behavioral Pediatrics, First Hospital of Jilin University, Changchun 130021, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2017 Nov;19(11):1165-1168. doi: 10.7499/j.issn.1008-8830.2017.11.008.

Abstract

OBJECTIVE

To examine serum 25-hydroxyvitamin D levels in children with tic disorders (TD) and to explore the relationship between vitamin D level and TD.

METHODS

One hundred and thirty-two children who were diagnosed with TD between November 2016 and May 2017 were enrolled as the TD group, including 8 cases of Tourette syndrome, 32 cases of chronic TD, and 92 cases of transient TD. One hundred and forty-four healthy children served as the control group. Peripheral venous blood samples were collected from each child. Serum levels of 25-hydroxyvitamin D were measured using HPLC-MS/MS. The categories of vitamin D status based on serum 25-hydroxyvitamin D level included: normal (>30 ng/mL), insufficiency (10-30 ng/mL) and deficiency (<10 ng/mL).

RESULTS

Mean serum level of 25-hydroxyvitamin D in the TD group was significantly lower than that in the control group (P<0.01). The rate of vitamin D insufficiency or deficiency in the TD group was significantly higher than in the control group (P<0.01). Mean serum level of 25-hydroxyvitamin D in the transient tic group was higher than in the TS group (P<0.05).

CONCLUSIONS

Vitamin D insufficiency or deficiency might be associated with the development of TD, and the level of serum 25-hydroxyvitamin D might be related to the classification of TD.

摘要

目的

检测抽动障碍(TD)患儿血清25-羟维生素D水平,探讨维生素D水平与TD的关系。

方法

选取2016年11月至2017年5月期间确诊为TD的132例患儿作为TD组,其中包括8例抽动秽语综合征、32例慢性TD和92例短暂性TD。选取144例健康儿童作为对照组。采集每个儿童的外周静脉血样本。采用高效液相色谱-串联质谱法测定血清25-羟维生素D水平。根据血清25-羟维生素D水平划分的维生素D状态类别包括:正常(>30 ng/mL)、不足(10 - 30 ng/mL)和缺乏(<10 ng/mL)。

结果

TD组血清25-羟维生素D的平均水平显著低于对照组(P<0.01)。TD组维生素D不足或缺乏的发生率显著高于对照组(P<0.01)。短暂性抽动组血清25-羟维生素D的平均水平高于抽动秽语综合征组(P<0.05)。

结论

维生素D不足或缺乏可能与TD的发生有关,血清25-羟维生素D水平可能与TD的分类有关。

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[Serum levels of 25-hydroxyvitamin D in children with tic disorders].抽动障碍患儿血清25-羟维生素D水平
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