论文部分内容阅读
目的探讨老年慢性阻塞性肺疾病血清25-羟维生素D水平与其肺功能及CAT评分之间的相关性。方法选取确诊的老年慢性阻塞性肺疾病患者62例,采用自身对照的方法,分别于急性加重期及稳定期检测患者血清25-羟维生素D水平、肺功能,同时进行CAT评分。结果急性加重期与稳定期相比,患者血清25-羟维生素D水平明显下降(P<0.05)。急性加重期及稳定期患者血清25-羟维生素D水平与肺功能指标第1秒用力呼气流量(FEV1)占预计值百分比[FEV1(%)]呈正相关,与CAT评分呈负相关。结论老年COPD患者存在维生素D缺乏,患者血清25-羟维生素D水平与肺功能及CAT评分有关。临床中应关注老年COPD患者血清25-羟维生素D水平,补充维生素D可能对减缓老年COPD急性加重期患者肺功能的下降有一定的临床意义。
Objective To investigate the correlation between serum 25-hydroxyvitamin D level and lung function and CAT score in elderly patients with chronic obstructive pulmonary disease. Methods Sixty-two elderly patients with chronic obstructive pulmonary disease (COPD) were selected and their serum levels of 25-hydroxyvitamin D and pulmonary function were measured at the same period with acute exacerbation and stable phase respectively. Results Serum 25-hydroxyvitamin D levels were significantly lower in acute exacerbation than in stable (P <0.05). Serum 25-hydroxyvitamin D levels in acute exacerbation and stable patients were positively correlated with FEV1 (FEV1 (%)], and negatively correlated with CAT score. Conclusion There is vitamin D deficiency in elderly patients with COPD. The serum 25-hydroxyvitamin D level is correlated with lung function and CAT score. Clinicians should pay attention to the elderly patients with COPD serum 25-hydroxy vitamin D levels, vitamin D supplementation may be slow down in elderly patients with acute exacerbations of pulmonary function decline in a certain clinical significance.