중 환자 실(ICU) 입원 환자 중 비타민 D 결핍이면 60일 이내 단명 하는 자가 많다 > 최신 임상 뉴스

중 환자 실(ICU) 입원 환자 중 비타민 D 결핍이면 60일 이내 단명 하는 자가 많다

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중 환자 실(ICU) 입원 환자 중  
 
비타민 D 결핍일수록  단명 한다
 
  <img src="/_dimg/1%20icu2.jpg">
 
중 환자 실(ICU)에 입원하는 환자 중  
 
특히 비타민 D가 결핍 된 자들은 
 
결핍 정도가 심할 수록 단명한다는 사실이 밝혀졌다
 
이는 이스라엘 텔 아비브 의대 연구 팀의 연구 결과이며
 
국제 의학 전문지를 통해 발표된 내용이다
 
 
 
<img width="432" height="277" style="WIDTH: 432px; HEIGHT: 464px" src="/_dimg/4%20imagesCAUABT3H.jpg">
 
생명 유지 가능성 여부 판별 기준
 
비타민-D 혈중 농도는 여러 가지 질환을 진단 해 주는 
 
매우 편리한 수단으로 등장 하고 있다 
 
특히 본 임상 연구를 통해 밝혀진 바에 의하면 
 
비타민 D의 혈중 농도는 중 환자 실(ICU)에 입원하는 환자 중
 
사망 여부를 판별 해 줄 수 있는 손 쉬운 방법이 되고 있다
 
이는 이스라엘 텔아비브 의대 연구 탐의 연구 결과이며
 
국제 의학 전문지(QJM)를 통해 발표된 내용이다
 
 
 
 
<img src="/_dimg/5%20sun%20vitd1.jpg">
 
 
중환자실 입원자의 82%가 비타민 D 결핍 자
 
. 
본 임상은 특히 대학 병원에서 내과 계 환자 중 
 
중 환자 실(ICU)에 입원하는 환자를 대상으로 하였다
 
분석 대상은 2008년 12월 부터 2009년 6월 까지 
 
중 환자 실에 입원한 내과 계 환자 130명이였으며 
 
환자의 비타민 D 혈중 농도를 20ng/mL 를  결핍 기준으로  할 때
 
중 환자 실 입원자의 82%가 비타민 D 결핍 자 였다 
 
 
 
<img width="473" height="193" style="WIDTH: 472px; HEIGHT: 314px" src="/_dimg/8%20image.jpg">
 
 
60일 이내에 사망한 자의 82.5% 가
 
비타민 D  결핍 자
 
‘
중 환자 실에 입원한 환자 중  60일 이내에 사망한 자는  
 
아래 표에서 와 같이 57 명이 였으며 
 
이 중 비타민 D 결핍 자가 82.5% 였다
 
 
<table width="631" style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; WIDTH: 473.2pt; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<td width="631" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 473.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid" colspan="4">
중환자 실 입원 환자</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ddd9c3; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; mso-background-themecolor: background2; mso-background-themeshade: 230">
 </td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ddd9c3; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; mso-background-themecolor: background2; mso-background-themeshade: 230">
 </td>
<td width="302" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 8cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #ddd9c3; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; mso-background-themecolor: background2; mso-background-themeshade: 230" colspan="2">
비타민 D 혈중 농도</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: fuchsia; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
 </td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: fuchsia; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
 </td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: fuchsia; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
20ng/ml 이하</td>
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20ng/ml 이상</td></tr>
<tr>
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환자수 </td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
130</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
107</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
23</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
나이 </td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
70.2</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
70.2</td>
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70.2</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
비타민 D  혈중 농도</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
14</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
11.72ng/ml</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
24.9ng/ml</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
APACHE II score</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
27</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
27</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
26.3</td></tr>
<tr style="HEIGHT: 37.25pt; mso-yfti-irow: 7">
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; HEIGHT: 37.25pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
Albumin  (g/dl)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; HEIGHT: 37.25pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
2.9</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; HEIGHT: 37.25pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
2.9</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; HEIGHT: 37.25pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
3.1</td></tr>
<tr>
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Creatinine (ng/ml)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
1.6</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
1.6</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
1.7</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
Calcium, median (mg/dl)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
8.2</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
8.1</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
8.5</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
Phosphorus (mg/dl)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
3.5</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
3.5</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
3.3</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
WBC count (K/ml)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
13.9</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
13.6</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
15.9</td></tr>
<tr>
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Hb levels (g/dl</td>
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12</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
12</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
11.9</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
당뇨병 자 (명)</td>
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45</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
40</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
5</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
만성 신부전(명)</td>
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47</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
40</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
7</td></tr>
<tr>
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고혈압(명)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
74</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
65</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
9</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
허혈성 심장(명) 병</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
27</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
22</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
5</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
호흡기 감염증</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
63</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
51</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
12</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
복부 감염증 </td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
19</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
15</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
4</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
심근 경색 or 심부전</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
14</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
11</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
3</td></tr>
<tr>
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
순환기 장애</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
8</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
6</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
2</td></tr>
<tr style="mso-yfti-irow: 21">
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
기타 </td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
16</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
14</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
2</td></tr>
<tr style="mso-yfti-irow: 22">
<td width="234" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 175.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
60일이 사망(명)</td>
<td width="95" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 70.9pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
57</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
47(81%)</td>
<td width="151" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 4cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
10(9%)</td></tr>
<tr style="mso-yfti-irow: 23; mso-yfti-lastrow: yes">
<td width="631" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 473.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #eeece1; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; mso-background-themecolor: background2" colspan="4">
2008년12월부터 2009년 6월 까지 중 자실로 입원한 130명을 대상
 </td></tr></tbody></table>
 
 
 
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<img width="570" height="357" src="/_dimg/graph.png">
 
 
60일  넘게 생존 한 자들 
 
중 환자 실에서 60일 넘게 생존 한 자를 비교 해 보면 
 
아래 표에사 처럼
 
비타민 D  결핍 자는 14일 간  잔존 생명을 유지 했으며
 
비타민 D 충분 한 자는 25일 잔존 생명을 유지하였다
 
 
<table style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<td width="177" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 133pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid">
 </td>
<td width="217" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 163pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid">
비타민D  결핍인 환자</td>
<td width="220" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 165.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid">
비타민 D 정상 인 환자</td></tr>
<tr style="HEIGHT: 3.5pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes">
<td width="177" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 133pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; HEIGHT: 3.5pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
6일 이상 생존일</td>
<td width="217" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 163pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #66ff99; HEIGHT: 3.5pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
14 일</td>
<td width="220" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 165.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #66ff99; HEIGHT: 3.5pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
25일</td></tr></tbody></table>
 
 
 
 
[참고]
 
비타민 D 의 생명 유지 작용
 
1)조직 퇴화 인자를 억제
 
<img width="504" height="300" style="WIDTH: 503px; HEIGHT: 488px" src="/_dimg/2%20klothop.jpg">
 * Klotho 는 수명의 실을 자아내는 그리스 여신의 이름이다 
 
 
1)   Klotho라는 유전자는 조직 곳곳에서 발현하여 조직이 유해산소(ROS) 에의해 
 
    퇴화되는 것을 억제하므로 장수 유전자라 한다 
 
2)   비타민 D 는 수명 유전자 Klotho와 상호 feed back 상태를 
 
유지하여 세포의 퇴화를 억제하므로 장수 비타민이라고 불린다
 
*<img src="/mediNews/img/a 이미지 2.png">
 
<table width="621" style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; WIDTH: 466.1pt; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<td width="586" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 439.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid" colspan="2">
2)칼슘 과 인의 농도를 조절하므로서 수명을 연장 </td></tr>
<tr style="HEIGHT: 219.5pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes; mso-row-margin-right: 14.1pt">
<td width="567" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 425.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fbd4b4; HEIGHT: 219.5pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; mso-border-bottom-alt: solid black .5pt">
 
생명 현상은 칼슘고 인이 유지 하고 있음은 주지의 사싱이다 
 
비타타민-D 와 장수 유전자 Klotho 와 부 갑상선 호르몬(PTH) 이 
 
3중 합작으로 소장과 신장 과 뼈를 통해 전신적으로 칼슘 과 인의
 농도를 조절하여 생명 현상을 유지한다
 
 
 
 
<img src="/mediNews/img/b 이미지 1.png">
 
 
<table style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; MARGIN: auto auto auto 36.85pt; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<td width="217" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 163pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid">
사망의 병탱학 정의=</td>
<td width="236" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 177.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #eeece1; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; mso-background-themecolor: background2">
세포 내의 칼슘 농도 증가</td></tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes">
<td width="217" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 163pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: #ffffff; BORDER-RIGHT: windowtext 1pt solid">
생명 현상의 볃태학적 정의 =</td>
<td width="236" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 177.2pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #eeece1; BORDER-TOP: #ffffff; BORDER-RIGHT: windowtext 1pt solid; mso-background-themecolor: background2">
인사화</td></tr></tbody></table>
 </td>
<td width="19" style="BORDER-BOTTOM: #ece9d8; BORDER-LEFT: #ece9d8; BACKGROUND-COLOR: transparent; PADDING-LEFT: 0cm; PADDING-RIGHT: 0cm; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8">
 </td></tr></tbody></table>
 
<table width="621" style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; WIDTH: 466.1pt; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<td width="605" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 16cm; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid" colspan="3">
3)모든 원인에 의한 사망 율을 현저 히 감소  
 </td></tr>
<tr>
<td width="19" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 14.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid">
 </td>
<td width="586" style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 439.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid" colspan="2">
(1) 18개 논문 메타 분석---57,000</tr></tbody></table>