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维生素 D 与血液参数。

Vitamin D and Blood Parameters.

机构信息

Department of Neurology, St. Joseph Hospital Berlin-Weissensee, Gartenstr. 1, 13088 Berlin, Germany.

MFSZ GmbH, Sternstr 28, 01139 Dresden, Germany.

出版信息

Biomolecules. 2021 Jul 12;11(7):1017. doi: 10.3390/biom11071017.

Abstract

BACKGROUND

Vitamin D has a steroid- and an anabolic-resembling chemical structure. Vitamin D is essential for many processes in the human body after hydroxylation.

AIMS OF THE STUDY

To investigate the impact of 25-hydroxy-vitamin D plasma concentrations on the blood parameters number of erythrocytes, hematocrit, mean corpuscular hemoglobin and mean corpuscular volume.

METHODS

Serial assessments were done in 290 patients with multiple sclerosis and repeated after a mean interval of 245 days. A recommendation for vitamin D supplementation was given in case of a concentration lower than 20 ng/mL combined with a prescription of a formulation containing vitamin D but not vitamin K.

RESULTS

There was a fall of vitamin D in 119 subjects and a rise in 164, while no change appeared in 7 participants. When vitamin D values went down between both assessments moments, the computed increase of mean corpuscular haemoglobin was significantly lower compared with the rise of mean corpuscular haemoglobin associated with a vitamin D elevation. When vitamin D declined, the computed fall of mean corpuscular volume fall was significantly lower compared with the decrease of mean corpuscular volume, when vitamin D rose. Positive correlations were found between differences of vitamin D and mean corpuscular haemoglobin, respectively mean corpuscular volume. Inverse relations appeared between disparities of vitamin D and erythrocytes, respectively haematocrit.

CONCLUSIONS

The elevation of vitamin D plasma levels provides enhanced preconditions for a better tissue oxygenation on a cellular level.

摘要

背景

维生素 D 具有类固醇和合成代谢的化学结构。维生素 D 在羟化后对人体许多过程至关重要。

研究目的

研究 25-羟维生素 D 血浆浓度对红细胞数量、红细胞压积、平均红细胞血红蛋白和平均红细胞体积等血液参数的影响。

方法

对 290 例多发性硬化症患者进行了连续评估,并在平均 245 天后重复评估。如果浓度低于 20ng/ml 且同时伴有维生素 D 但不含维生素 K 的制剂处方,则建议补充维生素 D。

结果

在 119 名受试者中维生素 D 下降,在 164 名受试者中维生素 D 上升,而在 7 名受试者中维生素 D 没有变化。当两次评估之间的维生素 D 值下降时,与维生素 D 升高相关的平均红细胞血红蛋白的计算增加明显低于与维生素 D 降低相关的平均红细胞血红蛋白的增加。当维生素 D 下降时,与维生素 D 升高时相比,平均红细胞体积下降的计算下降明显较低。发现维生素 D 和平均红细胞血红蛋白之间存在差异,分别与平均红细胞体积之间存在正相关。维生素 D 和红细胞之间存在反比关系,分别是红细胞压积。

结论

提高维生素 D 血浆水平为细胞水平的组织更好地供氧提供了更好的前提条件。

相似文献

1
Vitamin D and Blood Parameters.维生素 D 与血液参数。
Biomolecules. 2021 Jul 12;11(7):1017. doi: 10.3390/biom11071017.
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Vitamin D rise enhances blood perfusion in patients with multiple sclerosis.维生素 D 升高可增强多发性硬化症患者的血液灌注。
J Neural Transm (Vienna). 2019 Dec;126(12):1631-1636. doi: 10.1007/s00702-019-02093-x. Epub 2019 Oct 16.

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Vitamin D rise enhances blood perfusion in patients with multiple sclerosis.维生素 D 升高可增强多发性硬化症患者的血液灌注。
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