Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1394
4
1
gregorian
2015
7
1
22
133
online
1
fulltext
fa
ارتباط بین سطح سرمی ویتامین D با شدت انسداد در بیماریهای انسدادی مزمن ریه مراجعه کننده به بیمارستان رسول اکرم(ص) طی سال 90-1389
Relation of serum Vitamin D level and pulmonary punction in COPD patients
داخلی ریه
Pulmonary Disease
پژوهشي
Research
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">زمینه و هدف</span></b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">:
</span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">بیماری (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">COPD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">Chronic obstructive pulmonary disease</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) بیماری شایع و ناتوان کننده است و</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">عوامل موثر بر آن همیشه مورد توجه بوده است. هدف از این مطالعه
تعیین میانگین سطح سرمی ویتامین </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> در بیماران دچار بیماری مزمن انسدادی راههای هوایی (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">COPD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) مراجعهکننده به بیمارستان رسول اکرم(ص)
تهران طی سال 90-1389 میباشد.<o:p /></span></p>
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">روش
کا</span></b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">ر:<b> </b>این
مطالعه، یک مطالعۀ مقطعی بود و 56 بیمار مبتلا به </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">COPD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> پس از انجام اسپیرومتری و تأیید </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">COPD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> وارد مطالعه شدند. در همگی بیماران سطح سرمی
ویتامین </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
<span lang="AR-SA">اندازهگیری شد و سپس میانگین سطح سرمی ویتامین </span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> در بیماران </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">COPD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> که بر اساس طبقهبندی موسسه </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">GOLD</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> <span lang="AR-SA">(</span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">Global</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">Initiative on Obstructive Lung Disease</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) به پنج دستهی صفر، یک، دو، سه و چهار
تقسیم میشدند، اندازهگیری شد، در آنالیز
دادهها از نرمافزار </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">SPSS vs. 18</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> استفاده شد.</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><o:p /></span></p>
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">یافته</span></b><b><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"></span></b><b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">ها</span></b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">:<b> </b></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">میانگین
سنی بیماران 3/10</span><span lang="AR-SA" style="font-size: 10pt font-family: 'Times New Roman', serif">±</span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">1/68
سال بود. 6/78% بیماران را مردان تشکیل میدادند. در این مطالعه مشخص شد که 7/85%
بیماران دارای کمبود ویتامین </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> کمتر از </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">ng/dl</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>30 بودند. همچنین در این مطالعه، نشان داده
شد که رابطۀ خطی و مستقیم بین سطح سرمی ویتامین </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> و حجم </span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">FEV<sub>1</sub></span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>(</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">forced</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">Expiratory volume in one second</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>)</span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"> وجود دارد (45/0</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">B=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>، 03/0</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">p=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>).<o:p /></span></p>
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">نتیجهگیری</span></b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">:<b> </b>در این مطالعه نشان داده شد که
کمبود ویتامین </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
در بیماران </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">COPD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
از شیوع بالایی برخوردار میباشد. لذا انجام تستهای تشخیصی از لحاظ کمبود ویتامین
</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
و درمان به موقع این بیماران میتواند از بسیاری عوارض کمبود ویتامین </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> در این بیماران جلوگیری کند.</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><o:p /></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 12pt font-family: 'Times New Roman', serif">Background</span></b><span style="font-size: 12pt font-family: 'Times New Roman', serif">: The aim of this study was to determine the mean of the
serum level of vitamin D in chronic obstructive pulmonary disease (COPD)
patients referred to Rasoul-E-Akram Hospital, Tehran, Iran in 2010-11.<o:p /></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 12pt font-family: 'Times New Roman', serif">Methods</span></b><span style="font-size: 12pt font-family: 'Times New Roman', serif">: In this sectional study 56 patients with COPD were
recruited. The COPD condition was confirmed in these patients following
spirometry. Serum vitamin D level of all patients was measured and categorized
according to the 5 stages of 0,1,2,3, and 4 suggested by Global Initiative on
Obstructive Lung Disease (GOLD). The data were analyzed using SPSS v. 18.<o:p /></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 12pt font-family: 'Times New Roman', serif">Results</span></b><span style="font-size: 12pt font-family: 'Times New Roman', serif">: The mean age of patients was 68.1 ± 10.3. About%76 of
patients were men. The study indicated that%85.1 of the patients were suffering
from vitamin D deficiency with the level less than 30 mg /dl. Also, it was
indicated that there is a direct and linear relation between serum vitamin D
level and forced expiratory volume in one second (FEV1) volume(p= 0.03), (B=
0.4).<o:p /></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 12pt font-family: 'Times New Roman', serif">Conclusion</span></b><span style="font-size: 12pt font-family: 'Times New Roman', serif">: The study demonstrated that vitamin D deficiency in
COPD patients is highly prevalent. Thus, diagnostic examinations of vitamin D
deficiency and on time treatment can prevent from many related problems in
these patients.<o:p /></span></p>
سطح سرمی ویتامین D, بیماری انسدادی مزمن ریه, اسپیرومتری
Serum vitamin D level, COPD, Spirometry
35
40
http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1679&slc_lang=fa&sid=1
هادی
شهراد بجستانی
3900319475328460030026
3900319475328460030026
No
سیدعلی جواد
موسوی
3900319475328460030027
3900319475328460030027
No
سیده زهرا
رضایی
szrezae@yahoo.com
3900319475328460030028
3900319475328460030028
Yes
مریم
حداد زاده شوشتری
3900319475328460030029
3900319475328460030029
No
محسن
عربی
3900319475328460030030
3900319475328460030030
No
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