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维生素D治疗支气管哮喘患者临床疗效探讨 被引量:14

Effects of Vitamin D in treatment of bronchial asthma patients
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摘要 目的探讨维生素D治疗支气管哮喘患者临床疗效。方法选取支气管哮喘患者200例,随机分为常规治疗组和常规治疗+维生素D治疗组,所有患者治疗前后均测定血清中IL-2、TNF-α浓度,并进行哮喘控制测试(ACT评分),比较治疗前后上述指标变化情况。结果常规治疗+维生素D治疗组患者血清IL-2、TNF-α水平较常规治疗组明显降低,ACT评分显示完全控制及部分控制患者比例明显高于常规治疗组,差异有统计学意义(P<0.05)。结论血清维生素D可以降低气道反应性,提高支气管哮喘治疗疗效。 【Objective】 To investigate the effects of Vitamin D in Bronchial asthma patients. 【Methods】 200 cases were randomly divided into routine treatment bronchial asthma group and conventional therapy plus vitamin D therapy group, 200 cases of bronchial asthma patients tested serum vitamin D, IL-2 and TNF-a concentration, and ACT scores before and after treatment. 【Results】 Conventional therapy plus vitamin D treatment group of patients serum IL-2, TNF alpha levels decreased significantly comparing with the conventional treatment group, ACT score showed complete control and control patients was significantly higher than the conventional treatment group, there was a significant difference (P 0.05). 【Conclusion】 Vitamin D can reduce airway reactivity, enhance the treatment of bronchial asthma curative effect.
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2012年第32期80-82,共3页 China Journal of Modern Medicine
关键词 支气管哮喘 维生素D 气道炎症 疗效 bronchial asthma vitamin D airway inflammation effect
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参考文献9

  • 1URRY Z, XYSTMKIS E, RICHARDS DF, et a]. Ligation ofTLR9 induced on human IL-10-secreting Tregs by lot, 25-di-hydroxyvitamin D3 abrogates regulatory function [J]. Clin Invest,2009,119(2): 387-398.
  • 2中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南.中华结核和呼吸杂志,2008,:250-250.
  • 3DEVEREUX G, UTONJUA AA, TURNER SW, et al. Maternalvitamin D intake during pregnancy and early childhood wheezing[J]. Am J Clin Nutr, 2007, 85: 853-859.
  • 4CLIFFORD RL, KNOX AJ. Vitamin D-a new treatment for air-way re-modelling in asthma [J]. Br J Pharmacol, 2009, 158(6):1426.
  • 5BOSSfiY, MAGHNI K, HUDSON TJ. la, 25-dihydroxy-vitaminD3 stimu-lation of bronchial smooth muscle cells induces au-tocrine, con-Tractility, and remodeling processes [J]. Physiol Ge-nomics, 2007, 29(2): 161.
  • 6甄艳芬,王琳.维生素D受体基因多态性与儿童喘息性疾病相关性研究[J].中国预防医学杂志,2010,11(10):1055-1058. 被引量:13
  • 7王华光,张佳丽,王鹤尧,齐曼,郑文婕.哮喘大鼠血清中IL-4、IL-5、TNF-α和辅助性T淋巴细胞亚群的变化与哮喘关系的研究[J].中国现代医学杂志,2009,19(2):234-237. 被引量:15
  • 8BREHM JM, CELED6N JC, SOTO-QUIMS ME, et al. serum vi-tamin D levels and markers of severity of childhood asthma incosts rica[J]. Am J Respir Crit Care Med, 2009, 179(9): 765-771.
  • 9HARVEY “ BUMEL H,MCGMTH JJ, et al. Developmental vi-tamin D3 deficiency induces altemtions in immune oi^a morphol-ogy and function in adultoffspring[J]. Stemid Biochem Mol Biol,2010,121(1-2): 239-242.

二级参考文献26

  • 1郁志伟,谢娟娟.喘息性支气管炎和支气管哮喘的相关性研究[J].实用儿科临床杂志,2005,20(4):329-329. 被引量:28
  • 2范永琛.小儿哮喘与“喘息性支气管炎”的区别[J].中华儿科杂志,2006,44(1):68-70. 被引量:48
  • 3DOHERTY T, BROIDE D. Cytokines and growth factors in air- way remodeling in asthma[J]. Curr Opin Immunol, 2007, 19(6): 676-680.
  • 4BRIGHTLING C, BERRY M, AMRANI Y. Targeting TNF-alpha: a novel therapeutic approach for asthma [J]. J Allergy Clin Immunol, 2008, 121(1): 5-10.
  • 5BERRY M, BRIGHTLING C, PAVORD I, et al. TNF-alpha in asthma[J]. Curt Opin Pharmacol, 2007, 7(3): 279-282.
  • 6DALDEGAN MB, TEIXEIRA MM, TALVANI A, et al. Concentration of CCLll, CXCL8 and TNF-alpha in sputum and plasma of patients undergoing asthma or chronic obstructive pulmonary disease exacerbation[J]. Braz J Med Biol Res, 2005, 38 (9): 1359-1365.
  • 7VON GARNIER C, WIKSTROM ME, ZOSKY G, et al. Allergic airways disease develops after an increase in allergen capture and processing in the airway mucosa[J]. J Immunol, 2007, 179 (9): 5748-5759.
  • 8M. LAMPINEN, M. CARl.SON, L. D. HAKANSSON, et al. Cytokine-regulated accumulation of eosinophils in inflammatory disease[J]. Allergy, 2004, 59(8): 793-805.
  • 9BARNES PJ. Immunology of asthma and chronic obstructive pulmonary disease[J]. Nat Rev Immunol, 2008, 8(3): 183-192.
  • 10STEPHEN J, MCGEADY SJ. Immunocompetence and allergy[J]. Pediatrics, 2004, 113(4): 1107-1113.

共引文献122

同被引文献119

  • 1任芳萍,刘大鹏,杨军兰,杨娟利,张瑶,吴朔,吴昌归.成人支气管哮喘患者血清25-羟维生素D_3水平及其与肺功能的关系[J].中华哮喘杂志(电子版),2013,7(4):16-19. 被引量:6
  • 2LABRE MP, HERMAN E J, DUMITRU GG, et al. Public Health Interventions for Asthma[J]. Am J Prev Med, 2012, 42(4): 403- 410.
  • 3PAKHALE S, SUMNER A, COYLE D, et al. (Correcting) misdi- agnoses of asthma: a cost effectiveness analysis[J]. BMC Pulm Med, 2011, 11(1): 27.
  • 4VAN HUISSTEDE A, CASTRO CABEZAS M, VAN DE GEIJN GJM, et al. Underdiagnosis and overdiagnosis of asthma in the morbidly obese[J]. Resp Med, 2013, 107(9): 1356-1364.
  • 5TINKELMAN DG, PRICE DB, NORDYKE RJ, et al. Misdiagno- sis of COPD and asthma in primary care patients 40 years of age and over[J]. J Asthma, 2006, 43(1): 75-80.
  • 6LOUGHEED MD, LEMI?RE C, DELL MD, et al. Canadian Tho- racic Society Asthma Management Continuum- 2010 Consensus Summary for children six years of age and over, and adults[J]. Can Respir, 2010, 17(1): 15-24.
  • 7HONKOOP PJ, TAYLOR DR, SNOECK-STROBAND JB, et al. Early detection of asthma exacerbations and the use of action points for treatment decisions in self-management plans[J]. Am J Respir Crit Care Med, 2011, 183: A2250.
  • 8SUMINO K, SUGAR E A, IRVIN CG, et al. Methacholine challenge test: diagnostic characteristics in asthmatic patients receiving controller medications[J]. J Allergy Clin Immunol, 2012, 130(1): 69-75.
  • 9AMREIN K, SOURIJ H, WAGNER G, et al. Short-term effects of high-dose oral vitamin D3 in critically ill vitamin D deficient patients:a randomized,double-blind,placebo-controlled pilot study [J]. Crit Care, 2011, 15(2): R104.
  • 10VENKATRAM S, CHILIMURI S, ADRISH M, et al. Vitamin D deficiency is associated with mortality in the medicalintensive care unit[J]. Crit Care, 2011, 15(6): R292.

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