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长期隔日服用泼尼松治疗的肾病患儿的骨矿物质含量

Bone mineral content in nephrotic children on long-term, alternate-day prednisone therapy.

作者信息

Polito C, La Manna A, Todisco N, Cimmaruta E, Sessa G, Pirozzi M

机构信息

Department of Pediatrics, Second University of Naples, Italy.

出版信息

Clin Pediatr (Phila). 1995 May;34(5):234-6. doi: 10.1177/000992289503400501.

DOI:10.1177/000992289503400501
PMID:7628164
Abstract

Bone mineral content (BMC) was measured by single-photon absorptiometry in 24 children with steroid-dependent, minimal-lesion nephrotic syndrome after 1 to 6.3 years of alternate-day prednisone therapy and in a sex- and age-matched control group. Bone mineral content was -0.002 +/- 1.2 standard deviation scores in patients and 0.3 +/- 1.4 in controls (t = 1.17; P = 0.25). No significant relation was found between BMC in patients and the amount of prednisone taken or the duration of therapy. Alternate-day prednisone therapy at doses usually needed to keep children with steroid-dependent nephrotic syndrome under control does not significantly affect BMC.

摘要

采用单光子吸收法对24例依赖类固醇的微小病变型肾病综合征患儿进行骨矿物质含量(BMC)测量,这些患儿接受了1至6.3年的隔日泼尼松治疗,并与性别和年龄匹配的对照组进行比较。患者的骨矿物质含量为-0.002±1.2标准差分数,对照组为0.3±1.4(t=1.17;P=0.25)。未发现患者的骨矿物质含量与泼尼松服用量或治疗持续时间之间存在显著关联。以通常用于控制依赖类固醇肾病综合征患儿的剂量进行隔日泼尼松治疗,对骨矿物质含量无显著影响。

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引用本文的文献

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J Clin Diagn Res. 2017 Sep;11(9):SC18-SC21. doi: 10.7860/JCDR/2017/27030.10657. Epub 2017 Sep 1.
2
The effect of vitamin D and calcium supplementation in pediatric steroid-sensitive nephrotic syndrome.维生素 D 和钙补充剂对儿科类固醇敏感性肾病综合征的影响。
Pediatr Nephrol. 2017 Nov;32(11):2063-2070. doi: 10.1007/s00467-017-3716-2. Epub 2017 Jul 19.
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Children with nephrotic syndrome have greater bone area but similar volumetric bone mineral density to healthy controls.
患有肾病综合征的儿童的骨面积大于健康对照组,但体积骨密度相似。
Bone. 2014 Jan;58:108-13. doi: 10.1016/j.bone.2013.10.012. Epub 2013 Oct 18.
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Bone mineral density in children with steroid-sensitive nephrotic syndrome.儿童类固醇敏感性肾病综合征的骨密度。
Indian J Pediatr. 2009 Dec;76(12):1237-9. doi: 10.1007/s12098-009-0256-1.
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Prophylactic calcium and vitamin D treatments in steroid-treated children with nephrotic syndrome.对接受类固醇治疗的肾病综合征患儿进行预防性钙和维生素D治疗。
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