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补充维生素D可改善骨折老年患者的身体功能

2016-10-31 MedSci MedSci原创

近日,一项新的研究发现表明,髋关节骨折的老年患者通常并不服用维生素D,而增加维生素D的摄入量或可改善身体功能。此项多中心随机对照试验共纳入了1111名持续性股骨颈骨折患者。均采用松质骨螺钉或滑动髋螺钉治疗。在625名患者的子群中,研究人员随访2年探究维生素D的摄入量。在随访的前6个月基于患者补充维生素D的频率将患者维生素D的摄入量分类为连续的(三到四次),不连续的(一至两次)或者未依从服用。使用多

近日,一项新的研究发现表明,髋关节骨折的老年患者通常并不服用维生素D,而增加维生素D的摄入量或可改善身体功能。

此项多中心随机对照试验共纳入了1111名持续性股骨颈骨折患者。均采用松质骨螺钉或滑动髋螺钉治疗。研究结果将报告在骨质疏松相关年会上

在625名患者的子群中,研究人员随访2年探究维生素D的摄入量。在随访的前6个月基于患者补充维生素D的频率将患者维生素D的摄入量分类为连续的(三到四次),不连续的(一至两次)或者未依从服用。

使用多元回归分析来比较补充维生素D对身体机能的影响。总体而言,首次分析中,共有575名患者纳入分析,患者的平均年龄为74.5岁,65.8%的患者为女性,72.6%的患者有移位骨折。

调查结果显示,18.7%的患者未摄入维生素,35.6%的患者未连续服用维生素D,45.7%的患者连续服用维生素D。

此外,连续服用维生素D的患者1年时期身体机能得分增加了2.42分,并未发现维生素D补充剂和再手术率之间具有关联。

原始出处:


Slobogean G. Paper. Presented at: Orthopaedic Trauma Association Annual Meeting; Oct. 5-8, 2016; National Harbor, Md.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=154751, encodeId=ac1b154e51fc, content=维生素D的作用学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Nov 10 10:11:25 CST 2016, time=2016-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152672, encodeId=a0ac1526e241, content=又学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Nov 01 12:55:35 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152671, encodeId=a8851526e130, content=有意思~, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Nov 01 12:55:22 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152533, encodeId=f64915253321, content=补充维生素D, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Tue Nov 01 06:39:45 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152515, encodeId=832015251504, content=老年人骨质疏松,常规小剂量补充钙剂,是可以延缓或降低骨质疏松的。回家常给老人备着。但是有没有具体补钙的指南?, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKDtuWHtWxToIW0ZEvbHgDb4ibqQ1xaDQxcsHC5NIc2RJUxQgHJOLGEg8OUT345rDPmka4icU0WHPgw/0, createdBy=379f1941464, createdName=艳阳天2016, createdTime=Tue Nov 01 00:35:35 CST 2016, time=2016-11-01, status=1, ipAttribution=)]
    2016-11-10 大爰

    维生素D的作用学习了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=154751, encodeId=ac1b154e51fc, content=维生素D的作用学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Nov 10 10:11:25 CST 2016, time=2016-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152672, encodeId=a0ac1526e241, content=又学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Nov 01 12:55:35 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152671, encodeId=a8851526e130, content=有意思~, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Nov 01 12:55:22 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152533, encodeId=f64915253321, content=补充维生素D, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Tue Nov 01 06:39:45 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152515, encodeId=832015251504, content=老年人骨质疏松,常规小剂量补充钙剂,是可以延缓或降低骨质疏松的。回家常给老人备着。但是有没有具体补钙的指南?, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKDtuWHtWxToIW0ZEvbHgDb4ibqQ1xaDQxcsHC5NIc2RJUxQgHJOLGEg8OUT345rDPmka4icU0WHPgw/0, createdBy=379f1941464, createdName=艳阳天2016, createdTime=Tue Nov 01 00:35:35 CST 2016, time=2016-11-01, status=1, ipAttribution=)]
    2016-11-01 保守主义

    又学习了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=154751, encodeId=ac1b154e51fc, content=维生素D的作用学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Nov 10 10:11:25 CST 2016, time=2016-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152672, encodeId=a0ac1526e241, content=又学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Nov 01 12:55:35 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152671, encodeId=a8851526e130, content=有意思~, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Nov 01 12:55:22 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152533, encodeId=f64915253321, content=补充维生素D, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Tue Nov 01 06:39:45 CST 2016, time=2016-11-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=152515, encodeId=832015251504, content=老年人骨质疏松,常规小剂量补充钙剂,是可以延缓或降低骨质疏松的。回家常给老人备着。但是有没有具体补钙的指南?, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKDtuWHtWxToIW0ZEvbHgDb4ibqQ1xaDQxcsHC5NIc2RJUxQgHJOLGEg8OUT345rDPmka4icU0WHPgw/0, createdBy=379f1941464, createdName=艳阳天2016, createdTime=Tue Nov 01 00:35:35 CST 2016, time=2016-11-01, status=1, ipAttribution=)]
    2016-11-01 保守主义

    有意思~

    0

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    2016-11-01 ann y

    补充维生素D

    0

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    2016-11-01 艳阳天2016

    老年人骨质疏松,常规小剂量补充钙剂,是可以延缓或降低骨质疏松的。回家常给老人备着。但是有没有具体补钙的指南?

    0

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背景:目前的观察研究表明,较低的维生素D水平与缺血性脑卒中较差预后风险较高相关。这种相关性是否受血脂水平的影响还不清楚。研究者旨在调查血清维生素D,尤其是维生素D的缺乏对不同血脂水平的缺血性卒中预后的影响。方法:中国急性缺血性脑卒中的降压试验中纳入3181例缺血性患者,检测患者基线血清25 -羟维生素D水平。前瞻性地随访急性缺血性卒中后3个月患者死亡,主要的残疾和血管事件的发生。应用多变量logi

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