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评估转诊至巴姆市医疗中心的新冠肺炎患者的维生素D水平及其与临床症状的关系。

Evaluation the level of vitamin D and its relationship with clinical symptoms in patients with COVID-19 referred to the medical center in Bam city.

作者信息

Mortazavi Seyed Mojtaba, Khoshnood Saeed, Faraji Reza, Baravati Rezvan Bagheri, Khalili Hakime, Radfar Ali, Jalali Elham, Nezam Nia Maria, Akrami Sousan, Shirani Maryam

机构信息

Non-Communicable Diseases Research Center, Bam University of Medical Sciences, Bam, Iran.

Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

GMS Hyg Infect Control. 2024 Nov 5;19:Doc57. doi: 10.3205/dgkh000512. eCollection 2024.

Abstract

BACKGROUND

Vitamin D is a steroid hormone that protects against viral infections by influencing innate and adaptive immune responses. The effectiveness of vitamin D3 supplementation in COVID-19 is unknown. The study's goal was to elucidate the relationship between blood vitamin D levels and COVID-19 clinical outcomes by examining the effect of a single high dose of vitamin D3 on the length of hospital stay in COVID-19 patients.

METHODS

The descriptive, retrospective study was performed from March to May 2021 at a referral center for patients with COVID-19, in Bam, Iran. A checklist consisting of demographic variables was used to gather data, and laboratory assessments of serum 25(OH) D were evaluated and documented. The connection between serum vitamin D and patient clinical outcomes was investigated after patients were given a single oral dose of 200,000 IU of vitamin D3.

RESULTS

71 COVID-19 patients were treated. Radiological results did not change substantially amongst individuals with various levels of 25(OH)D. After a single dosage of vitamin D3, mean blood levels of 25-hydroxyvitamin D increased considerably and the need for intubation and SpO decreased, and as did the respiratory rate in patients requiring hospitalization due to COVID-19.

CONCLUSION

A single administration of 200,000 IU of vitamin D3 significantly reduced the severity of COVID-19.

摘要

背景

维生素D是一种类固醇激素,可通过影响先天性和适应性免疫反应来预防病毒感染。补充维生素D3对2019冠状病毒病(COVID-19)的有效性尚不清楚。该研究的目的是通过研究单次高剂量维生素D3对COVID-19患者住院时间的影响,阐明血液维生素D水平与COVID-19临床结局之间的关系。

方法

2021年3月至5月,在伊朗巴姆的一家COVID-19患者转诊中心进行了这项描述性回顾性研究。使用包含人口统计学变量的清单收集数据,并对血清25(OH)D进行实验室评估并记录。在患者单次口服200,000 IU维生素D3后,研究血清维生素D与患者临床结局之间的关系。

结果

71例COVID-19患者接受了治疗。不同25(OH)D水平的个体之间,影像学结果没有显著变化。单次服用维生素D3后,25-羟基维生素D的平均血液水平显著升高,插管需求和血氧饱和度(SpO)降低,因COVID-19住院的患者呼吸频率也降低。

结论

单次服用200,000 IU维生素D3可显著降低COVID-19的严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d5/11636272/3a7c8ae9b632/HIC-19-57-t-001.jpg

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