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血清25-羟基维生素D缺乏与AECOPD临床分级的相关性研究
引用本文:商娜,刘慧珍,李培兰,聂文娟,王娜,秦卓,刘芦姗,李俊玉.血清25-羟基维生素D缺乏与AECOPD临床分级的相关性研究[J].临床肺科杂志,2021,26(3):325-329.
作者姓名:商娜  刘慧珍  李培兰  聂文娟  王娜  秦卓  刘芦姗  李俊玉
作者单位:100068 北京,首都医科大学康复医学院/中国康复研究中心北京博爱医院急诊科;101149 北京,首都医科大学北京胸科医院结核科
基金项目:2017年度(第三期)“青苗”计划(No.QML20171602)。
摘    要:目的 研究血清25-羟基维生素D25(OH)D]水平与慢性阻塞性肺疾病急性加重期(AEC0PD)临床分级的相关性.方法 收集2017年11月至2019年10月就诊我院急诊科的AECOPD患者(观察组)及同期呼吸科门诊就诊的COPD稳定期(对照组)患者各120例的临床资料,入组后24小时内测定两组的血清25(OH)D水...

关 键 词:慢性阻塞性肺疾病  急性加重  25-羟基维生素D

Correlation between 25-hydroxyvitamin D deficiency and different grades of acute exacerbation of chronic obstructive pulmonary disease
SHANG Na,LIU Hui-zhen,LI Pei-lan,NIE Wen-juan,WANG Na,QIN Zhuo,LIU Lu-shan,LI Jun-yu.Correlation between 25-hydroxyvitamin D deficiency and different grades of acute exacerbation of chronic obstructive pulmonary disease[J].Journal of Clinical Pulmonary Medicine,2021,26(3):325-329.
Authors:SHANG Na  LIU Hui-zhen  LI Pei-lan  NIE Wen-juan  WANG Na  QIN Zhuo  LIU Lu-shan  LI Jun-yu
Institution:(Department of Emergency Medicine,Capital Medical University School of Rehabilitation Medicine,China Rehabilitation Research Center,Beijing Bo′ai Hospital,Beijing100068,China;Tuberculosis Department,Beijing Chest Hospital of Capital Medical University,Beijing101149,China)
Abstract:Objective To study the correlation between 25-hydroxyvitamin D deficiency and different grades of acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 120 patients diagnosed with AECOPD in the emergency department of our hospital were recruited from Nov 1,2017 to Oct 1,2019.Meanwhile,another 120 COPD patients at stable stage visited in respiratory clinic were sampled.Patients with AECOPD were divided into three groups according to the clinical classification standard of AECOPD.The levels of 25(OH)D were measured in all patients.Results The level of 25(OH)D in the case group was significantly lower than that in the control group(P<0.05).The deficiency of 25(OH)D was positively correlated with the level of AECOPD grades(P<0.05).Multivariate logistic regression showed that hypersensitive C-reactive protein(hs-CRP)and 25(OH)D were independent factors of AECOPD.Conclusion The deficiency of 25(OH)D is related to the clinical grades of AECOPD.Early detection of serum 25(OH)D can improve the risk stratification of patients with AECOPD.
Keywords:chronic obstructive pulmonary disease  acute exacerbation  25-hydroxyvitamin D
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