维生素D的最新研究进展
Recent research advances in vitamin D
  
DOI:10.3969/j.issn.1006-7108.2018.10.024
中文关键词:  维生素D  佝偻病  骨质疏松  维生素D缺乏
英文关键词:Vitamin D  rickets  osteoporosis  Vitamin D deficiency
基金项目:
作者单位
陈超 刘志超 祝永刚 肖辉灯 郭菲宇 张万祥 卢通 齐磊 柳根哲* 首都医科大学附属北京中医医院骨科北京 100010 
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中文摘要:
      维生素D(vitamin D,VD)是调节骨代谢的重要维生素,婴幼儿及儿童缺乏VD会导致佝偻病,成人及老人缺乏VD会导致骨质疏松症。近期研究表明,VD与高血压、2型糖尿病、血脂紊乱、代谢综合征、过敏性疾病及哮喘、免疫调节和抗炎、抗纤维化、心血管疾病、结核病、慢性肾脏病、各种癌症、感染、甚至死亡等方面密切相关。随着我国老龄化社会的到来和现代生活水平的提高,人们对VD的缺乏越来越重视,因此VD缺乏的患者越来越少。相反,因过量服用VD后中毒的病例却时有发生。安全始终是首要考虑的因素,在中毒剂量范围内补充人体需要的VD,应做好VD摄入水平及VD中毒的健康宣教。外源性途径摄入VD的同时,增加户外活动时间,多进行日光照射产生内源性维生素。在VD缺乏的预防和治疗过程中,应注意掌握VD摄入量和用药周期,密切观察,定期随访,避免VD中毒事件的发生,以期达到降低维生素D缺乏及维生素D缺乏性佝偻病的发生。
英文摘要:
      Vitamin D (VD) is an important vitamin that regulates bone metabolism. VD deficiency in infants and children can cause rickets, and VD deficiency in adults and the elderly can lead to osteoporosis. Recent studies have shown that VD is closely related to hypertension, type 2 diabetes mellitus, dyslipidemia, metabolic syndrome, allergic diseases and asthma, immune regulation and anti-inflammatory, anti-fibrosis, cardiovascular disease, tuberculosis, chronic kidney disease, various cancers, infections, and even death. With the advent of aging society and the improvement of modern living standards, people are paying more and more attention to the deficiency of VD, so there are fewer and fewer patients with VD deficiency. On the contrary, the cases of poisoning happen now and then caused by the overdose of VD. Safety should always be the primary consideration. When providing the human needs of VD in the range of toxic doses, adequate healthcare education on vitamin D intake level and vitamin D poisoning should be given. In addition to vitamin D supplementation, increasing outdoor activity time and more sun exposure could increase the endogenous production vitamin D. In the course of prevention and treatment of VD deficiency, we should pay attention to the dosage and timing of VD supplementation, give close observation and regular follow up to avoid the occurrence of VD poisoning, in order to reduce the incidence of vitamin D deficiency and the occurrence of vitamin D deficiency rickets.
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