克罗恩病患者维生素D缺乏症临床研究的主要考虑因素和结果:系统综述

Gouvêa Ma, D. Lg, Kaiser Junior Rl, Liedtke Kaiser Fs, L. Crivelin, Z. Ij, Dennis Mf, T. Casella
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引用次数: 0

摘要

文献显示,克罗恩病的发病率与年龄有关,呈双峰型,15-40岁和50-80岁为高峰,女性克罗恩病患者多于男性。临床研究表明维生素D缺乏与克罗恩病有直接关系。目的:通过系统综述,本研究的目的是确定维生素D与克罗恩病临床研究的主要相关性和结果。方法:按照系统评价(PRISMA)的规则,使用的关键搜索词是克罗恩病、维生素D、临床研究、免疫治疗和生活质量。应用排除标准后,纳入117篇文献进行讨论。结论:已证实克罗恩病患者血清维生素D水平低。然而,仍需要进一步的更全面的研究,特别是旨在评估血清维生素D水平对临床治疗的影响以及补充维生素D对疾病活动性和粘膜愈合的影响的研究。因此,有可能优化克罗恩病患者的治疗,从而提高他们的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Major Considerations and Outcomes of Clinical Studies on Vitamin D Deficiency in Patients with Crohn’s Disease: Systematic Review
Introduction: The literature shows a bimodal incidence of Crohn's disease in relation to age, with peaks from 15-40 and from 50-80 years and more women have Crohn's disease than men. Clinical studies have shown a direct correlation of vitamin D deficiency with Crohn's disease. Objective: Using a systematic review, the objective of this study was to identify the main correlations and outcomes of clinical studies about vitamin D in Crohn's disease. Methods: Following the rules for systematic reviews (PRISMA), the key search terms used were Crohn’s disease, vitamin D, clinical studies, immunotherapy and quality of life. After applying exclusion criteria, 117 articles were included and discussed in this study. Conclusion: The prevalence of low serum vitamin D levels has been demonstrated in patients suffering from Crohn's disease. However, further studies that are more comprehensive are still needed, in particular investigations that aim to evaluate the effects of serum vitamin D levels on clinical treatment and the effects of vitamin D supplementation on disease activity and mucosal healing. Thus, it may be possible to optimize the treatment of Crohn's disease patients thereby improving their quality of life.
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