摘要
采用4项不同诊断指标,对82例佝偻病患儿进行诊断分析。结果显示,血清25-(OH)D_3在佝偻病诊断中阳性率最高,早期诊断率达78.18％(X^2检验,P<0.01),是佝偻病早期诊断的最佳指标。腕部X光片特异度最高,是佝偻病骨骼改变的特异性指标。血清碱性磷酸酶适用于佝偻病的临床普查。尿羟脯氨酸与肌酐比值灵敏度较高,特异性较差,适用于佝偻病大面积普查。
The author of artical has undergone diagnostic analysis hy four different diagnostic indexes for 82 children with rickets. The results demonstrated that the serum 25-(OH)D3 was the Best diagnostic index in rickets and diagnostic rate of early stage was 78. 18% (X2 Test, P < 0. 01) Wrist X-rays was a peculiar index of bone change in rickets. The serum ALP was suited to genera clinical examination and urine THP/cr was suited to general (screening in rickets).
关键词
佝偻病
诊断指标
诊断
儿童
Rickets Diagnositc index Diagnostic value
