克罗恩氏病中维生素A与贫血结合的临床相关性分析
Kai Qian1, Pengfei Li, Rong Chen
1Department of Laboratory, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, Jiangsu Province, China.
克罗恩病患者的血清维生素A水平显著降低. 较低的维生素A与降低的血红蛋白相关,这表明它可能预测克罗恩病中贫血的发展.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 生物化学 生物化学
背景情况:
- 克罗恩氏病 (CD) 与各种营养缺乏症有关.
- 贫血是CD患者常见的并发症.
- 维生素A在CD相关性贫血中的作用需要进一步研究.
研究的目的:
- 在CD患者中测量血清维生素A水平.
- 评估维生素A水平与CD相关性贫血之间的临床相关性.
- 评估维生素A对CD相关性贫血的诊断疗效.
主要方法:
- 血清维生素A水平使用HPLC-MS/MS在72名CD患者的量化.
- 患者被分为贫血和非贫血组.
- 用回归和ROC曲线分析分析了与临床指标和诊断疗效的相关性.
主要成果:
- 贫血的CD患者与非贫血患者相比,血清维生素A水平显著降低 (P < .001).
- 维生素A水平与血红蛋白正相关,体质血红蛋白平均度,费里丁和BMI (P < .05).
- 维生素A被确定为CD贫血的独立风险因素,并显示出良好的诊断疗效 (AUC = 0.836).
结论:
- 血清维生素A水平在患有贫血的CD患者中显著降低.
- 维生素A水平与血红蛋白和其他血液学参数正相关.
- 维生素A可以作为一种有价值的生物标志物,用于预测克罗恩病中贫血的发展.
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