卡尔西醇补充剂对阳性全身炎症反应患者的传染性生物标志物的影响:随机对照试验
Mohammad Sistanizad1,2, Sara Salarian3, Mehran Kouchek3
1Department of Clinical Pharmacy, School of Pharmacy.
Annals of medicine and surgery (2012)
|February 9, 2024
概括
在败血症患者中,静脉酸补充剂显著降低了前素水平. 然而,它没有显著影响普西水平,也没有改善死亡率或ICU停留等结果.
科学领域:
- 关键护理医学 关键护理医学
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
背景情况:
- 败血症是重症监护室入院的主要原因.
- 维生素D,特别是其活性代谢物酸,已涉及到在败血症期间调节免疫反应.
研究的目的:
- 调查静脉酸补充剂对败血症患者关键传染性生物标志物的影响.
- 具体来说,要评估在利托尼和普雷塞普辛水平在利托利剂后的变化.
主要方法:
- 一个随机对照试验,涉及52名SIRS阳性败血症患者.
- 干预组每天静脉注射酸盐3天;对照组没有.
- 在第0,3和第5天测量了前素和前素血清水平.
主要成果:
- 卡尔西醇的使用在第五天导致了前素水平的显著降低 (P=0.02).
- 预素水平在酸醇组显示下降趋势,但与对照组相比没有显著差异.
- 在SOFA得分,维生素D水平,ICU停留时间或28天死亡率方面没有观察到显著的差异.
结论:
- 静脉注射的酸有效地降低了败血症患者的酸水平.
- 在这项研究中,酸补充剂没有显示出对普雷塞普辛水平或临床结果的显著影响.
更多相关视频
相关概念视频
Synthesis and Functions of Calcitonin
1.8K
Calcitonin, a vital polypeptide hormone, regulates calcium levels within body fluids. It is released by the parafollicular cells, also known as C cells, situated in the follicular epithelium of the thyroid gland. Calcitonin responds to fluctuations in blood calcium levels and the influence of gastrointestinal hormones like gastrin and cholecystokinin.
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
1.8K
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
137
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
137
Inflammatory Response
2.0K
An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
2.0K
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
334
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
334
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
164
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
164


