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维生素 D 和锌水平对 COVID-19 阳性儿童免疫反应的临床意义。

The Clinical Significance of Vitamin D and Zinc Levels with Respect to Immune Response in COVID-19 Positive Children.

机构信息

Department of Pediatrics, Tekirdağ Çorlu District State Hospital, Ministry of Health, 59850 Tekirdağ, Turkey.

Department of Biochemistry, Tekirdağ Çorlu District State Hospital, Ministry of Health, 59850 Tekirdağ, Turkey.

出版信息

J Trop Pediatr. 2022 Aug 4;68(5). doi: 10.1093/tropej/fmac072.

Abstract

AIM

In this study, we aimed to evaluate serum vitamin D and zinc levels in children diagnosed with coronavirus disease 2019 (COVID-19).

MATERIALS AND METHODS

In this study, 88 children with COVID-19 disease and 88 healthy children aged 1-18 years were enrolled between 01 July 2021 and 30 October 2021 in the Pediatrics Clinic of Tekirdağ Çorlu State Hospital. Serum vitamin D and zinc levels have been measured and NCSS (Number Cruncher Statistical System) program has been utilized for statistical analysis.

RESULTS

We included 88 COVID-19 positive pediatric patients [50% (n = 44) female] and 88 healthy children [48.86% (n = 43) female] in this study. The mean serum vitamin D levels of COVID-19 positive patients were statistically significantly lower than the control group (p = 0.0001). The zinc mean values of the study group were found to be statistically significantly lower than the control group (p = 0.0001). There was a statistically significant correlation between serum vitamin D and zinc values in all patient groups (r = 0.245, p = 0.001).

CONCLUSION

As a result, zinc and vitamin D levels were observed lower in COVID-19 patients than in healthy individuals. Since there is no defined treatment protocol for COVID-19 infection on children yet, zinc and vitamin D supplementation can be used as a supportive treatment in COVID-19 infection.

摘要

目的

本研究旨在评估诊断为 2019 冠状病毒病(COVID-19)的儿童的血清维生素 D 和锌水平。

材料和方法

本研究纳入了 2021 年 7 月 1 日至 10 月 30 日在泰基尔达格乔鲁州立医院儿科诊所就诊的 88 例 COVID-19 患儿和 88 例健康儿童。测量了血清维生素 D 和锌水平,并使用 NCSS(Number Cruncher Statistical System)程序进行了统计分析。

结果

本研究纳入了 88 例 COVID-19 阳性儿科患者[50%(n=44)为女性]和 88 例健康儿童[48.86%(n=43)为女性]。COVID-19 阳性患者的血清维生素 D 水平明显低于对照组(p=0.0001)。研究组的锌平均值明显低于对照组(p=0.0001)。所有患者组的血清维生素 D 和锌值之间存在显著相关性(r=0.245,p=0.001)。

结论

因此,COVID-19 患者的锌和维生素 D 水平低于健康个体。由于目前尚无针对儿童 COVID-19 感染的明确治疗方案,因此锌和维生素 D 补充剂可作为 COVID-19 感染的辅助治疗。

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