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不同诊断指标对小儿佝偻病诊断价值的分析
引用本文:张辉,陈连元,薛延.不同诊断指标对小儿佝偻病诊断价值的分析[J].中国儿童保健杂志,1996(4).
作者姓名:张辉  陈连元  薛延
作者单位:山西医学院第一附属医院,山西医学院第一附属医院,北京市积水潭医院创伤骨科研究所 030001,030001
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。

关 键 词:佝偻病  诊断指标  诊断价值

ANALYSIS OF DIAGNOSTIC VALUE FOR CHILDREN WITH RICKETS BY DIFFENENT DIAGNOSTIC INDEX
Zhang Hui,et al.ANALYSIS OF DIAGNOSTIC VALUE FOR CHILDREN WITH RICKETS BY DIFFENENT DIAGNOSTIC INDEX[J].Chinese Journal of Child Health Care,1996(4).
Authors:Zhang Hui  
Institution:The First Affiliated Hospital of Shanxi Medical college
Abstract: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).
Keywords:Rickets Diagnositc index Diagnostic value
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