糖尿病合并轻度COVID-19患者25-羟基维生素D水平及炎症标志物的评估

A. Şenat, Soner Yesilyurt, Osman Erinc, Ayşegül OĞLAKÇI İLHAN
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摘要

25-羟基维生素D (25(OH) D)对炎症的影响越来越受到关注,特别是对患有COVID-19的糖尿病患者。因此,我们检测了患有轻度COVID-19的糖尿病患者的25(OH) D和炎症相关标志物。材料和方法:本研究为回顾性研究。本研究涵盖了2020年3月至2022年11月期间在我院申请的患者的医疗记录。所有患者都患有COVID-19。对照组(n = 30)无糖尿病,研究组(n = 36)有糖尿病。除了25 (OH) D水平外,还测量了每个受试者的炎症标志物,如铁蛋白、c反应蛋白和红细胞沉降率。同时,从医院数据库中获得全血细胞计数结果。结果:我们的参与者在研究组之间的性别和年龄方面是匹配的。ESR、CRP、铁蛋白和25 (OH) D水平等变量在非糖尿病组和糖尿病组之间无显著差异(p>0.05)。此外,我们根据25 (OH) D缺乏症对所有参与者进行了评估,并没有对患有COVID-19的糖尿病受试者进行炎症标志物评估。然而,我们的研究结果显示,糖尿病患者的铁蛋白水平和Hba1c水平显著正相关。结论:糖尿病和25 (OH) D缺乏是COVID-19的危险因素。但与患有COVID-19的非糖尿病参与者相比,我们的研究结果并未显示糖尿病患者炎症标志物和25 (OH) D的显著升高。
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An Assessment of 25-hydroxyvitamin D Levels and Inflammation Markers in Diabetic Patients with Mild COVID-19
Abstract Introduction: The effects of 25-hydroxyvitamin D (25(OH) D) on inflammation are gaining attention, particularly for diabetic individuals with COVID-19. Therefore, we examined 25(OH) D and inflammation-related markers in diabetic subjects with mild COVID-19. Materials and Methods: This investigation was intended to be retrospective. The present study covered the medical records of patients who applied to the our hospital between March 2020 and November 2022. All patients suffer from COVID-19. The control group (n = 30) had no diabetes, while the study group (n = 36) had diabetes. Inflammatory markers such as ferritin, C-reactive protein and erythrocyte sedimentation rate were measured in addition to 25 (OH) D levels in each subject. Also, the results of the complete blood count were obtained from the hospital database. Results: Our participants were matched in terms of gender and age between study groups. ESR, CRP, ferritin, and 25 (OH) D levels, among other variables, did not significantly differ between the non-DM and DM groups (p>0.05). Also, we evaluated all participants according to deficiency of 25 (OH) D, and inflammatory markers were not evaluated in diabetic subjects with COVID-19. However, our findings showed that ferritin levels and Hba1c levels in diabetic individuals significantly correlated positively. Conclusion: Diabetes mellitus and deficiency of 25 (OH) D are known as risk factors for COVID-19. But as compared to non-diabetic participants with COVID-19, our findings did not reveal any considerable elevation neither inflammatory markers nor changes 25 (OH) D in the diabetics.
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