发育医学电子杂志 2017, Vol. 5 Issue (4): 217-219
生长发育
专题笔谈
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儿童慢性肾脏疾病的生长发育评估 与应对策略
夏正坤 卢枚 高春林
南京军区南京总医院,南方医科大学临床医学院 儿科,江苏 南京 210002
Assessment of growth and development and coping strategies for children with chronic renal disease
XIA Zheng-kun, LU Mei, GAO Chun-lin
摘要 儿童慢性肾脏疾病可能导致儿童生长发育障碍。随着疾病进展,特别是发展至终末阶段时生长发育障碍愈发突出,很大一部分儿童最终未能达到理想成年终身高,影响儿童身心健康及生活质量。慢性肾脏疾病儿童的生长发育受代谢紊乱及各种并发症影响,例如钙磷代谢紊乱、酸中毒、高脂血症、营养障碍、代谢性骨病及贫血等。保睿和陈朝英对37例慢性肾脏疾病3~5期的儿童进行研究,结果显示,身高在同年龄、同性别人群第3百分位数以下的儿童约占60%;此外,慢性肾脏疾病儿童还存在肥胖或消瘦的情况。现对影响慢性肾脏疾病儿童生长发育的相关因素、评估指标及治疗措施进行探讨。
关键词:
儿童
慢性肾脏疾病
生长发育
收稿日期: 2017-08-12
出版日期: 2017-10-30
发布日期: 2018-01-23
期的出版日期: 2017-10-30
基金资助: 江苏省重点研发计划-临床前沿技术项目(BE2017719);江苏省儿科医学创新团队项目(CXTDA2017022)
通讯作者:
夏正坤:https://baike.baidu.com/item/%E5%A4%8F%E6%AD%A3%E5%9D%A4/6225384?fr=aladdin
E-mail: njxzk@126.com
作者简介: 夏正坤:https://baike.baidu.com/item/%E5%A4%8F%E6%AD%A3%E5%9D%A4/6225384?fr=aladdin
引用本文:
夏正坤 卢枚 高春林. 儿童慢性肾脏疾病的生长发育评估 与应对策略 [J]. 发育医学电子杂志, 2017, 5(4): 217-219.
XIA Zheng-kun, LU Mei, GAO Chun-lin. Assessment of growth and development and coping strategies for children with chronic renal disease . Journal of Developmental Medicine(Electronic Version), 2017, 5(4): 217-219.
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