[1]付庆萍,黄万秀,李 毅.维生素D水平与成人哮喘及非哮喘的相关性研究[J].医学信息,2019,(05):87-90.[doi:10.3969/j.issn.1006-1959.2019.05.026]
 FU Qin-ping,HUANG Wang-xiu,LI Yi.Correlation between Vitamin D Levels and Adult Asthma and Non-asthma[J].Medical Information,2019,(05):87-90.[doi:10.3969/j.issn.1006-1959.2019.05.026]
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维生素D水平与成人哮喘及非哮喘的相关性研究
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年05期
页码:
87-90
栏目:
论著
出版日期:
2019-03-01

文章信息/Info

Title:
Correlation between Vitamin D Levels and Adult Asthma and Non-asthma
文章编号:
1006-1959(2019)05-0087-04
作者:
付庆萍黄万秀李 毅
(四川大学华西广安医院/广安市人民医院呼吸内科,四川 广安 638000)
Author(s):
FU Qin-pingHUANG Wang-xiuLI Yi
(Department of respiration,West China Guangan Hospital,Sichuan University/Guang’an People’s Hospital,Guangan 638000,Sichuan,China)
关键词:
维生素D哮喘肺功能嗜酸性粒细胞计数
Keywords:
Vitamin DAsthmaLung functionEosinophil count
分类号:
R562.25
DOI:
10.3969/j.issn.1006-1959.2019.05.026
文献标志码:
A
摘要:
目的 评估哮喘及非哮喘者的血清维生素D水平及其与肺功能、嗜酸性粒细胞计数的相关性。方法 选取我院2015年9月1日~2016年1月20日收治的85例哮喘患者以及73例健康体检者作为研究对象。根据皮肤过敏试验结果将哮喘患者分为过敏哮喘组56例和非过敏性哮喘组29例,对比两亚组间维生素D水平的差异性;采外周血测量嗜酸性粒细胞计数,用肺功能仪测量肺功能,包括肺活量(FVC)、第1秒最大呼气量(FEV1)、第1秒最大呼气率(FEV1/FVC),分析过敏哮喘组和非过敏性哮喘组维生素D水平与肺功能、嗜酸性粒细胞计数的相关性。结果 哮喘患者的维生素D水平为(14.36±0.57)ng/ml,低于健康体检组的(22.13±0.84)ng/ml,统计学意义显著(P<0.01)。过敏哮喘组和非过敏哮喘组的维生素D水平比较,差异无统计学意义(P>0.05)。低水平维生素D患哮喘的风险增加1.2倍(优势比:1.194,95%可信区间:1.194~1.286,P<0.01)。维生素D水平与肺功能和嗜酸性粒细胞计数水平无显著相关性。结论 哮喘患者的维生素D水平低于正常人群,维生素D的缺乏与哮喘的发生密切相关;维生素D水平与肺功能、嗜酸性粒细胞计数没有相关性。
Abstract:
Objective To assess serum vitamin D levels in asthma and non-asthmatic individuals and their association with lung function and eosinophil count. Methods 85 patients with asthma and 73 healthy subjects were enrolled in our hospital from September 1, 2015 to January 20, 2016. According to the results of skin allergy test, asthma patients were divided into 56 patients with allergic asthma and 29 patients with non-allergic asthma. The difference of vitamin D levels between the two subgroups was compared. The eosinophil count was measured by peripheral blood. Measurement of lung function, including vital capacity (FVC), maximum expiratory volume in 1 second (FEV1), maximum expiratory rate in 1 second (FEV1/FVC), analysis of vitamin D levels and pulmonary function in allergic asthma and non-allergic asthma groups Correlation between eosinophil counts. Results The vitamin D level of asthmatic patients was (14.36±0.57) ng/ml, which was lower than that of healthy subjects (22.13±0.84) ng/ml, which was statistically significant (P<0.01). There was no significant difference in vitamin D levels between the allergic asthma group and the non-allergic asthma group (P>0.05). The risk of asthma with low levels of vitamin D increased 1.2-fold (odds ratio: 1.194, 95% confidence interval: 1.194 to 1.286, P<0.01). There was no significant correlation between vitamin D levels and lung function and eosinophil counts. Conclusion The vitamin D level of asthma patients is lower than that of normal people. The deficiency of vitamin D is closely related to the occurrence of asthma. There is no correlation between vitamin D level and lung function and eosinophil count.

参考文献/References:


[1]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗和管理方案)[J].中华结核和呼吸杂志,2008,31(3):177-185.
[2]Meems LM,de Borst MH,Postma DS,et al.Low levels of vitamin D are associated with multimorbidity: results from the LifeLines Cohort Study[J].Ann Med,2015,47(6):474-481.
[3]Hall SC,Fischer KD,Agrawal DK.The impact of vitamin D on asthmatic human airway smooth muscle[J].Expert Rev Respir Med,2015,28(12):1-9.
[4]Ahmed SZ,Jaleel A,Hameed K.Does Vitamin D deficiency contribute to the severity of asthma in chiildren and adults?[J].J Ayub Med Coll Abbottabad,2015,27(2):458-463.
[5]Castro M,King TS,Kunselman SJ,et al.Effect of vitamin D3 on asthma treatment failures in adults with symptomatic asthma and lower vitamin D levels: the VIDA randomized clinical trial[J].JAMA,2014,311(20):2083-2091.
[6]Holy X,Bégot L,Renault S.Seasonal influence over serum and urine metabolic markers in submariners during prolonged patrols[J].Physiol Rep,2015,3(8):e12494.
[7]Urry Z,Chambers ES,Xystrakis E,et al.The role of 1ɑ,25-dihydroxyvitamin D3 and cytokines in the promotion of distinct Foxp3+ and IL-10+ CD4+ T cells[J].Eur J Immunol,2012,42(10):2697-2708.
[8]Poon AH,Mahboub B,Qutayba Hamid Q.Vitamin D deficiency and severe asthma[J].Pharmacol Ther,2013,140(2):148-155.
[9]Menon J,Maranda L,Nwosu BU.Serum 25-hydroxyvitamin D levels do not correlate with asthma severity in a case-controlled study of children and adolescents[J].J Pediatr Endorinol Metab,2012,25(7-8):673-679.
[10]Brehm JM,Acosta-Pérez E,Klei L,et al.Vitamin D insufficiency and severe asthma exacerbations in Puerto Rican children[J].Am J Respir Crit Care Med,2012,186(2):140-146.
[11]Vimaleswaran KS,Berry DJ,Lu C,et al.Causal relationship between obesity and vitamin D status: bi-directional Mendelian randomization analysis of multiple cohorts[J].PLoS Med,2013,10(2):e1001383.
[12]Tolppanen AM,Sayers A,Granell R,et al.Prospective association of 25-hydroxyvitamin d3 and d2 with childhood lung function, asthma, wheezing, and flexural dermatitis[J].Epidemiology,2013,24(2):310-319.
[13]Li F,Peng M,Jiang L,et al.Vitamin D deficiency is associated with decreased lung function in Chinese adults with asthma[J].Respiration,2011,81(6):469-475.
[14]马秀丽,甄艳芬.支气管哮喘儿童血清25-(OH)D3和总免疫球蛋白E的变化[J].中国当代儿科杂志,2011,13(7):551-553.
[15]Tripathi P,Awasthi S,Gao P.ADAM metallopeptidase domain 33 (ADAM33): a promising target for asthma[J].Mediators Inflamm,2014(4):572025.

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更新日期/Last Update: 2019-03-01