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Purpose: to study biochemical indicators of blood for prescribing and correct dosage of vitamin D in rickets. Materials and methods: 203 children under 1 year of age were under our observation. Serum 25(OH)D levels as well as calcium and phosphorus levels were determined in all children. Results: determination of the level of 25(OH)D3 in the blood serum of children with rickets showed a low level in 112 (86.1%) of those examined, and a normal level in 18 (13.8%). In 50 children (68.4%) with NTPZ, it was found that the level of 25 (OH) D was low, and in 23 (31.5%) this indicator was at a normal level. The average value of 25(OH)D3 in the blood serum of children with mild rickets was 15.23±1.32 nmol/l, and the average value was 18.75±2.76 nmol/l.Calcium and phosphorus levels in mild rickets are 2.13±0.03 and 0.96±0.02 mmol/l, respectively, in moderate rickets 1.73±0.02 and 0.77±0 It was .02 mmol/l. The amount of 25(OH)D3, calcium, and phosphorus in blood serum in children with rickets and NTPZ was 17.4±4.24 nmol/l, 1.96±0.05, and 0.88±0.03 mmol/l. Children had normal levels of Ca and P in the blood (2.48±0.07 and 1.11±0.40 mmol/l, respectively), so they received only vitamin D without taking additional calcium preparations. Conclusion: For children with rickets, the recommendation of vitamin D preparations in combination with calcium preparations and general strengthening treatment in the form of an individual scheme significantly increased the effectiveness of treatment. At the same time, there was a decrease in the clinical signs of rickets, its residual assorts, signs of spasmophilia, and an increase in the amount of 25 (OH) D3 in blood serum.
rickets, treatment, serum 25(OH)D levels, calcium and phosphorus levels, vitamin D
rickets, treatment, serum 25(OH)D levels, calcium and phosphorus levels, vitamin D
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