慢性阻塞性肺疾病加重患者血清25-羟基维生素D水平:简短交流

Atie Talebzadeh, Sayyed Gholamreza Mortazavimoghaddam, V. Raeesi, B. Bijari
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摘要

关于维生素D的免疫调节作用及其对慢性阻塞性肺疾病(COPD)的影响,本研究旨在评估COPD加重患者血清维生素D水平。研究人群包括70名COPD加重患者,他们在伊朗Birjand医学大学附属医院的普通病房住院。从患者身上采集血样,并在血清分离后送到实验室进行维生素D血清水平评估。根据全球慢性阻塞性肺疾病倡议(GOLD)标准对患者进行分期。在病情加重期间和出院后1个月进行肺活量测定。研究患者的平均±SD年龄为65.44±13.3岁。在这项研究的70例患者中,分别有33例(47.1%)、28例(40%)和9例(11.7%)患者维生素D缺乏、维生素D水平不足和血清维生素D水平正常。研究患者血清维生素D水平平均值±SD为14.1±1.98 ng/dl。不同阶段COPD患者血清维生素D水平差异无统计学意义(P=0.26)。根据获得的结果,大多数COPD加重患者患有维生素D缺乏症。因此,对这些患者进行血清维生素D水平的检测和维生素D补充剂的处方似乎是必要的措施
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Serum 25-hydroxy Vitamin D levels in patients with Chronic Obstructive Pulmonary Disease exacerbation: Short Communication
Regarding immune-regulatory roles of vitamin D as well as its effect on Chronic Obstructive Pulmonary Disease (COPD), the present study aimed to evaluate serum vitamin D levels in patients with COPD exacerbation. The study population included 70 patients with COPD exacerbation who were hospitalized in the general ward of an affiliated hospital with Birjand University of Medical Sciences, Birjand, Iran. Blood samples were taken from the patients and transmitted to the laboratory for vitamin D serum levels assessment after serum separation. The patients were staged according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. Spirometry was performed during the disease exacerbation and one month after discharge. The Mean±SD age of the studied patients was 65.44±13.3 years. Out of the70 studied patients in this study, 33 (47.1%), 28 (40%), and 9 (11.7%) cases had vitamin D deficiency, insufficient levels of vitamin D, and normal serum levels of vitamin D, respectively. Mean±SD vitamin D serum level in the studied patients was obtained at 14.1±1.98 ng/dl. No significant difference was observed between vitamin D serum levels in different stages in terms of severity of COPD (P=0.26). Based on the obtained results, most patients with COPD exacerbation suffer from vitamin D deficiency. Therefore, the measurement of vitamin D serum level and prescription of vitamin D supplements seem to be a necessary measure for these patients
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