评估巴姆市医疗中心转诊的 COVID-19 患者的维生素 D 水平及其与临床症状的关系。

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
GMS Hygiene and Infection Control Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI:10.3205/dgkh000512
Seyed Mojtaba Mortazavi, Saeed Khoshnood, Reza Faraji, Rezvan Bagheri Baravati, Hakime Khalili, Ali Radfar, Elham Jalali, Maria Nezam Nia, Sousan Akrami, Maryam Shirani
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引用次数: 0

摘要

背景:维生素D是一种类固醇激素,通过影响先天和适应性免疫反应来预防病毒感染。补充维生素D3对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:该描述性回顾性研究于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。使用人口统计学变量组成的核对表收集数据,并对血清25(OH) D的实验室评估进行评估和记录。在患者单次口服200,000 IU维生素D3后,研究了血清维生素D与患者临床结果之间的关系。结果:治疗新冠肺炎患者71例。不同25(OH)D水平的个体放射学结果没有显著变化。服用单剂量维生素D3后,25-羟基维生素D的平均血液水平显著升高,插管和SpO2的需求降低,因COVID-19需要住院治疗的患者的呼吸速率也有所下降。结论:单次给予20万IU维生素D3可显著降低COVID-19的严重程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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 SpO2 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.

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GMS Hygiene and Infection Control
GMS Hygiene and Infection Control PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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