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为探求当今衣食无忧条件下所致小儿佝偻病的原因及其骨骼改变的特点以及治疗和预防措施。从 2 0 0 0～ 2 0 0 1年在我院就诊的有骨骼畸形表现的佝偻病患儿中 ,随机选择城市非贫困居民之子女 80 0例为研究对象 ,按 1980年全国佝偻病协作组修订的诊断标准分度 ,对其骨骼畸形进行分析。结果显示 ,有骨骼改变的佝偻病患儿中轻度占 72 .87% ,中度占 2 4 .2 5 % ,重度占 2 .875 %。认为生活条件较好的患儿 ,因饮食习惯、喂养方式、环境污染、疾病等因素导致体内VitD、钙缺乏从而引起佝偻病 ,形成骨骼畸形。经合理喂养、消除病因、补VitD、按摩、固定、支架矫形、运动康复治疗可改善 ,永久性畸形可行截骨术等。
In order to find out the reasons for today’s illnesses and diseases and the characteristics of skeletal changes and the treatment and preventive measures. From 2007 to 2001, 80 children with non-poor urban residents who were diagnosed as having skeletal deformities in our hospital were randomly selected as the study subjects. According to the 1980 revision of the National Rickale Disease Cooperative Group Diagnostic standard indexing, analysis of its skeletal deformity. The results showed that mild skeletal changes in children with rickets 72. 87%, moderately 24.52%, severe accounted for 2. 875%. Children with better living conditions, due to diet, feeding, environmental pollution, diseases and other factors lead to VitD, calcium deficiency caused by rickets, the formation of skeletal deformities. Reasonable feeding, eliminate the cause, fill VitD, massage, fixation, orthosis, rehabilitation therapy can be improved, permanent deformity feasible osteotomy.