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首页> 外文期刊>Nutrition Journal >Extracellular micronutrient levels and pro-/antioxidant status in trauma patients with wound healing disorders: results of a cross-sectional study
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Extracellular micronutrient levels and pro-/antioxidant status in trauma patients with wound healing disorders: results of a cross-sectional study

机译:具有伤口愈合障碍的创伤患者的细胞外微量营养素水平和前/抗氧化剂状态:一项横断面研究的结果

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摘要

Background Disorders in wound healing (DWH) are common in trauma patients, the reasons being not completely understood. Inadequate nutritional status may favor DWH, partly by means of oxidative stress. Reliable data, however, are lacking. This study should investigate the status of extracellular micronutrients in patients with DWH within routine setting. Methods Within a cross-sectional study, the plasma/serum status of several micronutrients (retinol, ascorbic acid, 25-hydroxycholecalciferol, α-tocopherol, β-carotene, selenium, and zinc) were determined in 44 trauma patients with DWH in addition to selected proteins (albumin, prealbumin, and C-reactive protein; CRP) and markers of pro-/antioxidant balance (antioxidant capacity, peroxides, and malondialdehyde). Values were compared to reference values to calculate the prevalence for biochemical deficiency. Correlations between CRP, albumin and prealbumin, and selected micronutrients were analyzed by Pearson’s test. Statistical significance was set at P?
机译:背景创伤愈合(DWH)障碍在创伤患者中很常见,其原因尚未完全弄清。营养状况不足可能部分地通过氧化应激促进DWH。但是,缺乏可靠的数据。该研究应在常规情况下调查DWH患者细胞外微量营养素的状况。方法在一项横断面研究中,除44名外伤性DWH患者外,还测定了几种微量营养素(视黄醇,抗坏血酸,25-羟基胆钙化醇,α-生育酚,β-胡萝卜素,硒和锌)的血浆/血清状态。选定的蛋白质(白蛋白,前白蛋白和C反应蛋白; CRP)和前/抗氧化剂平衡的标记(抗氧化剂能力,过氧化物和丙二醛)。将值与参考值进行比较以计算生化缺乏症的患病率。通过皮尔森检验分析了CRP,白蛋白和前白蛋白与所选微量营养素之间的相关性。统计显着性设定为P≤0.05。结果抗坏血酸的平均浓度(23.1±±15.9μmol/ L),25-羟基胆钙化固醇(46.2±30.6 nmol / L),β-胡萝卜素(0.6±±0.4μmol/ L),硒(0.79±0.19μmol/ L) L)和白蛋白前素(24.8±±8.2 mg / dL)相对较低。大多数患者显示抗坏血酸(<28μmol/ L; 64%),25-羟基胆钙化固醇(<50μmol/ L; 59%),硒(≤94μmol/ L; 71%)和β-胡萝卜素(<0.9 μmol/ L;低于参考范围的86%)。白蛋白和前白蛋白处于较低的正常范围,而CRP大多高于参考范围。与正常值相比,血浆抗氧化能力下降,而过氧化物和丙二醛则增加。 CRP与白蛋白之间呈负相关(P 0.05),CRP与前白蛋白之间呈负相关(P 0.01)。视黄醇(P 0.001),抗坏血酸(P 0.01),锌(P 0.001)和硒(P 0.001)与CRP呈负相关。结论DWH创伤患者经常患有蛋白质营养不良,血浆中几种微量营养素的浓度降低,这可能是由于炎症,需求增加和氧化负荷所致。因此,强烈建议创伤患者使用适当的营养措施。

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