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维生素 D 缺乏对 COVID-19 患者血小板参数的影响。

The effect of vitamin D deficiency on platelet parameters in patients with COVID-19.

机构信息

Department of Biochemistry and Hematology, Semnan University of Medical Sciences, Semnan, Iran.

Department of Bacteriology and Virology, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

Front Cell Infect Microbiol. 2024 Mar 8;14:1360075. doi: 10.3389/fcimb.2024.1360075. eCollection 2024.

Abstract

INTRODUCTION

Since there is very little information about the relationship between platelet parameters and vitamin D concentration in patients with COVID-19, the aim of this study is to investigate the relationship between serum vitamin D level and platelet parameters in patients with COVID-19 and to compare these parameters in patients with COVID-19 without vitamin D deficiency and, subsequently, the prognostic value of these parameters in cases of vitamin D deficiency.

METHODS

Seven hundred and forty-three patients diagnosed with COVID-19 were enrolled in this study. Patients were divided into two groups: those with and without vitamin D deficiency. The associations between platelet indices and vitamin D levels were analyzed by Pearson's correlation analysis and a one-way ANOVA test.

RESULTS

Platelet count and mean platelet volume (MPV) were significantly higher in the patients with vitamin D deficiency than in the patients without vitamin D deficiency. There was a significant negative correlation between platelet count and MPV with vitamin D levels in patients with vitamin D deficiency (r = -0.835, P = 0.001 & r = -0.324, P = 0.042, respectively). Vitamin D levels in COVID-19 patients can determine the platelet count and MPV of the patients.

DISCUSSION

The aforementioned results imply that maintaining an elevated concentration of vitamin D in COVID-19 patients is important because it is associated with a decrease in MPV, which in turn reduces susceptibility to diseases such as coronary artery disease.

摘要

简介

由于关于 COVID-19 患者血小板参数与维生素 D 浓度之间关系的信息很少,因此本研究旨在探讨 COVID-19 患者血清维生素 D 水平与血小板参数之间的关系,并比较 COVID-19 患者中维生素 D 缺乏和不缺乏患者的这些参数,随后评估这些参数在维生素 D 缺乏病例中的预后价值。

方法

本研究纳入了 743 名确诊为 COVID-19 的患者。患者被分为两组:维生素 D 缺乏组和非缺乏组。通过 Pearson 相关分析和单因素方差分析来分析血小板指数与维生素 D 水平之间的关系。

结果

维生素 D 缺乏组的血小板计数和平均血小板体积(MPV)明显高于非缺乏组。维生素 D 缺乏患者中,血小板计数和 MPV 与维生素 D 水平呈显著负相关(r = -0.835,P = 0.001 和 r = -0.324,P = 0.042)。COVID-19 患者的维生素 D 水平可以决定患者的血小板计数和 MPV。

讨论

上述结果表明,在 COVID-19 患者中保持较高的维生素 D 浓度很重要,因为它与 MPV 降低有关,而 MPV 降低又会降低患冠心病等疾病的易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a54/10957640/f587c83f6eef/fcimb-14-1360075-g001.jpg

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