二价金属离子;肺结核的关键因素

Dr. Ahsan Ashfaq, T. Khan, Syeda Sadia Fatima
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摘要

摘要简介:微量元素在结核病感染中发挥着重要作用,微量元素缺乏可能与免疫力下降有关。本研究的目的是比较结核和非结核个体的人口统计资料和二价金属离子。方法:采用病例对照研究,共345例。将患者分为肺结核(病例组)115例和非肺结核(对照组)230例。通过已设计的形式记录人口统计和饮食概况。采用无菌凝胶管4 ~ 5ml采集血样。然后对样品进行离心,并对血清进行检查,以检查铁和铜的水平。使用SPSS version 25对数据进行评估。结果:男性患者比女性患者更易患结核病。与正常血清铜相比,低于正常血清铜的患者发生结核病的可能性较小,高于正常血清铜的患者发生结核病的可能性较大。与血清铁正常的患者相比,血清铁低于正常水平的患者也更容易患结核病。结论:男性结核病多见于生产年龄组。在结核病患者中,我们发现与健康对照相比,血清铁浓度较低,血清铜浓度明显较高。因此,低铁浓度与血清铜水平升高协同作用可能增加人对结核分枝杆菌感染的易感性。关键词:结核分枝杆菌,铁,铜,BMI,营养状况。
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Divalent Metal Ions; Key factor towards Pulmonary Tuberculosis
ABSTRACT   Introduction: In tuberculosis disease infection, trace elements perform a significant role as their insufficiencies may be related to weakened immunity. The purpose of this study was to compare demographic profile and divalent metal Ions in Tuberculosis and Non-Tuberculosis individuals. Methodology: This case control study was carried out on 345 subjects. Patients were grouped into two categories i.e. Pulmonary Tuberculosis (cases group) with 115 patients and without Pulmonary Tuberculosis (control group) with 230 subjects. Demographic and dietary profile was recorded through already designed proforma. 4 to 5 ml sterile gel tube was used to collect blood samples. The samples, which were then centrifuged, and the serum were examined to check the levels of iron and copper. Data was evaluated using SPSS version 25. Results: Male patients are more likely to have TB in comparison of female patient. In comparison of patient with normal serum copper, patient with serum copper below normal are less likely for TB and patient with serum copper above normal are more likely to develop TB. Patient with serum iron below normal are also more likely to develop TB in comparison of patients with normal serum iron. Conclusion: Male patients in productive age groups were commonly affected with tuberculosis. In Tuberculosis patients, we found low serum iron concentrations along with significantly high concentration of serum of copper when compared to healthy controls. Subsequently, low iron concentrations synergistically with increased serum copper levels may increase the human susceptibility to the infection of mycobacterium tuberculosis Keywords: Mycobacterium tuberculosis, Iron, Copper ,BMI,  Nutritional status.
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