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近年来小儿佝偻病多以临床诊断为主,但常常可靠性不定,特别在早期轻度佝偻病时。为提高佝偻病临床诊断可靠性,正确认识目前我国小儿佝偻病发病状况,本文研究了佝偻病临床诊断与实验室结果符合情况。结果发现201例临床诊断佝偻病的小儿中经骨X线诊断VitD缺乏性佝偻病15例(7.7％),血生化证实为佝偻病17例(8.7％)。同时经骨X线与血生化检查证实者12例,占临床诊断的6.1％。佝偻病的症状和某些体征的敏感性较低,可作为佝偻病的临床筛查指标,确诊应有骨X线和血生化检查。
In recent years, pediatric rickets mostly clinical diagnosis, but often uncertain, especially in early mild rickets. In order to improve the reliability of clinical diagnosis of rickets, and correctly understand the current incidence of rickets in children in our country, this paper studies the clinical diagnosis of rickets and laboratory results in line with the situation. The results showed that in 201 children diagnosed with rickets, 15 cases (7.7%) were diagnosed as vitamin D deficiency rickets by bone radiography and 17 cases (8.7%) were confirmed as rickets by blood biochemistry. At the same time, bone X-ray and blood biochemical tests confirmed 12 cases, accounting for 6.1% of clinical diagnosis. The symptoms of rickets and some of the signs of the lower sensitivity can be used as a clinical screening rickets indicators, the diagnosis should be bone X-ray and blood biochemical tests.