항생제 설사 Clostridium Difficile 지난 10년 발병 률 및 사망 률 계속 급증 재발 과 사망의 원인은 비타민… 페이지 정보 전성수 0 짧은주소 × 짧은 글주소 복사 Note! 위 주소를 클릭 후, 복사(Ctrl+C)하여 사용하세요. 이전글다음글 목록 본문 <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"><!--?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /--> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 18pt">항생제 설사<span> Clostridium Difficile </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 18pt"><span></span></span></b> </p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 18pt">지난<span> 10</span>년 발병 률 및 사망 률 계속 급증 </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 18pt"><span><br></span>재발 과 사망의 원인은 비타민<span> D </span>부족 때문<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: red; FONT-SIZE: 18pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">Clostridium difficiile </span></b><b><span style="FONT-SIZE: 14pt">로 인한 항생 제 설사는<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">지난<span> 10</span>년 동안 전 세계적으로 급증 해 왔다 <span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">난치 성 이며 한 번 걸린 자는<span> 20%</span>가 재발하고<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">한 번 재발 하면<span> 60%</span>가<span> 3</span>차<span> 4</span>차 재발 한다<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"><br></span></b><b><span style="FONT-SIZE: 14pt">병원 입원 총 환자의<span> 1%</span>는 항생 제 설사 때문이며<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">노인들은 사망 율이 매우 높다<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">항생 제 설사는 <span>Vancomycin </span>이나<span> Metronidazole </span>로 치료하지만<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">치료가 잘 안 되는 자<span>, </span>재발 하는 자<span>, </span>사망 하는 자는<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">비타민<span> D </span>부족 때문이라는 놀라운 사실이 입증 되었다 <span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">이는 미국 코넬 의대 연구 팀의 연구 결과이며<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">위장 병 치료의 진보라는 전문 지를 통해 발표 된 내용이다<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; COLOR: #0000cc; FONT-SIZE: 20pt; mso-bidi-font-family: AdvOT8b7a9ecc">항균 제 설사 의 증상 특징 </span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc">항균 제를 복용하면 통상<span> 5</span>일 내지<span> 10</span>일 기간 내에 설사를 하게 된다</span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc">묽은 변 정도를 자주 하게 되는 경우는 항균 제를 중단 하면<span> 2-3</span>일 내에 자연 치유가 된다</span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc">그러나 물 설사를 계속 하고 복통 과 열이 나고</span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc">나중에는 장이 뜷리거나 막혀 버리는 중증으로 까지 악화할 수 있다</span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc">이러한 중증 상태를 가막성 대장염이라고도 한다</span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc">장을 절제 하지 않으면 사망하는 경우도 많다</span></b><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"></span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <table style="BORDER-COLLAPSE: collapse; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" border="0" cellspacing="0" cellpadding="0" table=""> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td width="480" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 359.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; " colspan="2"> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">설사 유발 항균제</span></b><span style=" "></span></p></td></tr> <tr> <td width="158" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 118.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">퀴노론계 </span></b><span style=" "></span></p></td> <td width="321" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 241pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; ">Ciprofloxacin Levofloxacin</span></b><span style=" "></span></p></td></tr> <tr> <td width="158" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 118.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">세파 계 </span></b><span style=" "></span></p></td> <td width="321" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 241pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="TEXT-INDENT: -56pt; MARGIN: 0cm 0cm 0pt 56pt; mso-char-indent-count: -4.0; "><b><span style="FONT-SIZE: 14pt; ">Cefixime Cefpodoxime</span></b><span style=" "></span></p></td></tr> <tr> <td width="158" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 118.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">6-APA </span></b><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">계 </span></b><span style=" "></span></p></td> <td width="321" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 241pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; ">Amoxicilline Ampicillin</span></b><span style=" "></span></p></td></tr> <tr> <td width="158" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 118.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">Macro</span></b><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">계 </span></b><span style=" "></span></p></td> <td width="321" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 241pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; ">Clindamycin Erythromycin </span></b><span style=" "></span></p></td></tr> <tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes"> <td width="158" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 118.8pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">Tetracycline</span></b><b><span style="FONT-SIZE: 14pt; mso-bidi-font-family: AdvOT8b7a9ecc; ">계</span></b><span style=" "></span></p></td> <td width="321" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 241pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; ">Doxycycline Minocycline </span></b><span style=" "></span></p></td></tr></tbody></table> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><span style=" "> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"><span> </span></span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 18pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 18pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 18pt">난치<span>, </span>재발 및 사망 율<span> 5.6</span>배<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">본 임상을 통해 밝혀진 바에 의하면 비타민<span> D </span>결핍 자는<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">비타민<span> D </span>혈중 농도가 정상인 자에 비하여 아래 표에서 처럼<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">항생제 설사가 난치성이고 재발 성이고 사망에 이르는 자들이<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">5.6 </span></b><b><span style="FONT-SIZE: 14pt">배 더 많다는 사실이 밝혀졌다<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> <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; " border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td width="319" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 239.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">재발 및 사망에 및 치는 요인들<span></span></span></b></p></td> <td width="189" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 5cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">영향 정도<span></span></span></b></p></td> <td width="107" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 80.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">P </span></b><b><span style="FONT-SIZE: 14pt">확률<span></span></span></b></p></td></tr> <tr> <td width="319" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 239.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">비타민 <span>D </span>정상인 자에 대비한<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">비타민<span> D </span>결핍 자<span></span></span></b></p></td> <td width="189" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 5cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">5.6 </span></b><b><span style="FONT-SIZE: 14pt">배<span></span></span></b></p></td> <td width="107" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 80.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.011</span></b></p></td></tr> <tr> <td width="319" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 239.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">여러가지 건강 병태 <span> </span>지수 <span>(CCI)</span></span></b></p></td> <td width="189" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 5cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1.16</span></b><b><span style="FONT-SIZE: 14pt">배<span></span></span></b></p></td> <td width="107" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 80.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.318</span></b></p></td></tr> <tr> <td width="319" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 239.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">나이 <span></span></span></b></p></td> <td width="189" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 5cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">1.06</span></b><b><span style="FONT-SIZE: 14pt">배<span></span></span></b></p></td> <td width="107" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 80.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.024</span></b></p></td></tr> <tr> <td width="319" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 239.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">남<span>/</span>녀<span> </span></span></b></p></td> <td width="189" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 5cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.6</span></b><b><span style="FONT-SIZE: 14pt">배<span></span></span></b></p></td> <td width="107" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 80.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.468</span></b></p></td></tr> <tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes"> <td width="319" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 239.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">가정 환경 <span></span></span></b></p></td> <td width="189" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 5cm; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.59</span></b><b><span style="FONT-SIZE: 14pt">배<span></span></span></b></p></td> <td width="107" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ece9d8; PADDING-LEFT: 5.4pt; WIDTH: 80.15pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #fde9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">0.444</span></b></p></td></tr></tbody></table><span style="FONT-FAMILY: '맑은 고딕'; FONT-SIZE: 10pt; "></span> <p style="MARGIN: 0cm 0cm 0pt"><span> </span></p> <table style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BACKGROUND: #fde9d9; BORDER-TOP: medium none; BORDER-RIGHT: medium none; mso-yfti-tbllook: 1184; " border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: yes"> <td width="615" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 461.2pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">나이<span>: </span>평균<span> 71</span>세<span> (</span>여자<span> 56.4%)</span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">CCI (</span></b><b><span style="FONT-SIZE: 14pt; ">Charlson Comorbidity Index ): </span></b><b><span style="FONT-SIZE: 14pt; ">건강 병력 종합 지수 <span></span></span></b></p> <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; " border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <td width="200" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 149.85pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p></td> <td width="187" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 140.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">비타민<span> D </span>결핍 자<span></span></span></b></p></td> <td width="208" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 155.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ccffff; BORDER-TOP: black 1pt solid; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; TEXT-INDENT: -14pt; MARGIN: 0cm 0cm 0pt 14pt; "><b><span style="FONT-SIZE: 14pt">바타민<span> D </span>정상인자<span></span></span></b></p></td></tr> <tr> <td width="200" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 149.85pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ddd9c3; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; mso-background-themecolor: background2; mso-background-themeshade: 230"> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">25(OH)D </span></b><b><span style="FONT-SIZE: 14pt">혈중 농도<span> </span></span></b></p></td> <td width="187" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 140.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ddd9c3; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; mso-background-themecolor: background2; mso-background-themeshade: 230"> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">21ng/ml </span></b><b><span style="FONT-SIZE: 14pt">이하</span></b><span style="FONT-SIZE: 14pt"></span></p></td> <td width="208" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 155.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #ddd9c3; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; mso-background-themecolor: background2; mso-background-themeshade: 230"> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">30ng/ml </span></b><b><span style="FONT-SIZE: 14pt">이상</span></b><span style="FONT-SIZE: 14pt"></span></p></td></tr> <tr> <td width="200" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 149.85pt; PADDING-RIGHT: 5.4pt; BACKGROUND: yellow; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; "> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">치료 안된 자<span> </span></span></b></p></td> <td width="187" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 140.5pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">71%</span></b></p></td> <td width="208" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: #ffffff; PADDING-LEFT: 5.4pt; WIDTH: 155.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #99ff66; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; "> <p align="center" style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">46%</span></b></p></td></tr> <tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes"> <td width="595" style="BORDER-BOTTOM: black 1pt solid; BORDER-LEFT: black 1pt solid; PADDING-LEFT: 5.4pt; WIDTH: 446.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #eeece1; BORDER-TOP: #ffffff; BORDER-RIGHT: black 1pt solid; mso-background-themecolor: background2" colspan="3"> <p style="TEXT-INDENT: -56pt; MARGIN: 0cm 0cm 0pt 56pt; mso-char-indent-count: -4.0"><b><span style="FONT-SIZE: 14pt; ">대상자<span> : 62</span>명이 <span>2008-02010</span>년 사이 에<span>Clostridium difficle </span>감염으로 입원 했른며 이중<span> 45.2%</span>가 사망</span></b><b><span style="FONT-SIZE: 14pt"></span></b></p></td></tr></tbody></table> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"></span></p></td></tr></tbody></table> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 18pt">비타민<span>D </span>가 항생제 설사의 <span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="COLOR: #0000cc; FONT-SIZE: 18pt">재발 과 사망 률을 억제하는 이유<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">비타민<span> D </span>는 내인성 면역 기능을 통헤 급성 감염을 예방 치료하며<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">적응성 면역 기능을 통해 재발 및 만성화를 억제한다는 사실은<span> </span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">이미 입증 된 생리 작용이다 <span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt"> </span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">뿐만 아니라 <span> </span><span>290 </span>유전 자를 관장하면서 칼슘 과 인의 세포 레벨에서의 조절 작용을 통해 </span></b></p><p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">모든 종류의 사망 상태에서 수명을 연장 하는 작용을 지니고 있음도 여러 임상을 통해 밝혀져 왔다 <span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">특히 중환자 실 환자들은 병의 종류를 불분하고 비타민<span> D </span>가 부족한 자일 수록 단명한다는 </span></b></p><p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt">사실 도 발표된바 있다<span></span></span></b></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><b><span style="FONT-SIZE: 14pt; ">[</span></b><b><span style="FONT-SIZE: 14pt; ">근거<span></span></span></b></p> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; "><a href="http://www.medscape.com/viewpublication/21580"><span style="COLOR: #004276; TEXT-DECORATION: none; text-underline: none">Therapeutic Advances in Gastroenterology </span></a>2014;7(1):14-19. </span></b></p> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; ">Low Vitamin D Level Is an Independent Predictor of Poor Outcomes in <span>Clostridium difficile</span>–Associated Diarrhea </span></b></p> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><b><span style="FONT-SIZE: 14pt; ">Wallace J. Wang, MD, et al: </span></b><b><span style="FONT-SIZE: 14pt; ">Department of Gastroenterology, New York Hospital Queens/Weill Cornell Medical College, 56-45 Main Street, Flushing, NY 11355, USA </span></b><b><span style="FONT-SIZE: 14pt; "></span></b></p> <p align="left" style="MARGIN: 0cm 0cm 0pt; "><span style="FONT-FAMILY: 굴림; FONT-SIZE: 9pt; "> </span></p> <p style="MARGIN: 0cm 0cm 0pt"><span style="FONT-SIZE: 14pt"> </span></p> 이전글다음글 목록
