Клиническое значение количественного ультразвукового исследования костной прочности у детей

Практические рекомендации.

1 Рекомендуется дли скрининга возрастного развития скелета, особенно л периоди интенсивною роста, включить количественное ультразвуковое исследование костей, а стандарты лисимкеританни детского касслсннж.

2. Педиатру считать целесообразным нспольюиание для опенки костной прочное ги у детей разработанные нами средневозрастные показатели SOS и лерпентнльные таблицы J. При снижении индивидуальных значений костной прочности у детей ниже 10% перцеитнди << назначение дозированных физических нагрузок, препаратов казьпия с юн амнион Д).

4 Рекомендуемся использовать количественное ультразвуковое исследование .зля оценки обеспеченности кальцием и эффективности пищевой коррекции дефицита кальция у детей в периоды шгтененвного роста, в том числе у детей первою года жкнш.

Перингтнлыюе распределение juhihu тела мальчиков всирает 3 Id 25 50 75 90 97.

3 91.9 95.6 '11 102 105 103.7 109.5.

4 99 IE LOW N0 114 115 117,3.

S 'S. 6 Ml 112 114 11″ 122 124.2.

6 IQM HJ 117 121 123.5 12! 130.4.

7 1I6. S MS.5 120,9 127 130.1 1347 136.1.

8 323 327 129,5 133 136 133.6 N2.6.

9 L1S. I 133.5 135.9 139 144.3 147.5 N9.9.

LO 119,1 1315 137 143 146.5 147 153 J.

II — ' 143,3 1J6.4 350.6 154.8 161.3 166.

12 MM 14″ 148,6 152 IS9.5 Ift2.8 16ft ft.

13 I44J IS1.5 155 160 167,3 173.5 176,3.

14 Iii 355.9 163. 169 174,6 176,7 180.9.

15 354.2 163.7 163.1 172.6 176 1711,9 184,5.

16 |HJ 165. S 163 173 176 132 182,7.

1 k-piunH г il. imhk" ('>.1 1411 с ii с дш|мь| ill-lj дфнчп позрает 3 10 15 50 71 90 97 з 1} Щ 97 101 10ft.5 109.fi 111.4.

4 99.5 id: 106.5 109 3 32.3 115 116.11.

S Ю IDS 110 113.8 117 119.7 112 A б inIII 315.5 119 121 123 129.

7 116.7 120 123 125 J 330,4 135 136,9.

J 20. J 122 ''! 1 1M. I 133.I 13S.9 140.7.

0 123.2 131.5 134.3 337,3 141 145.5 150.3.

19 1 il 132.9 t37. S 342 147,5 152.9 156.7 il 137.8 141 t44J 150, 5 IS7.5 IftO 163.

12 143.7 146 149 134 133. 161.9 163.2.

13 349.2 IK 154,1 139 164 169 173.1 и 155.1 156.7 100 1663 163 171.7 173.9.

If 353,2 I55. S 1IW 163 166.1 1702 174.9.

IG 157.4 155." 161 166.5 170.3 173.7 176.

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