静脉注射维生素:证据在哪里?

Q4 Medicine Drug and Therapeutics Bulletin Pub Date : 2023-10-01 Epub Date: 2023-08-28 DOI:10.1136/dtb.2023.000006
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引用次数: 0

摘要

身体每天需要少量的维生素和矿物质,这些通常是从饮食中获得的。静脉注射维生素用于一些严重的疾病(例如,伴有严重维生素缺乏的吸收不良综合征、韦尼克脑病或危重症)。在流行文化中,含有高剂量各种维生素和矿物质的静脉滴注(如所谓的“迈尔斯鸡尾酒”)已被推广用于“减轻压力”、“增加能量”或“增强免疫力”,并声称静脉滴注比口服更快地将维生素吸收到血液中。缺乏高质量的证据表明,在没有特定维生素缺乏或疾病的情况下,高剂量的维生素输注是必要的,或对健康有益。摄入大量(非生理性)维生素和矿物质可能会带来危害。许可形式的注射维生素是处方药,不应向公众宣传,只能由合格的医疗保健专业人员提供和管理。
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Intravenous vitamin injections: where is the evidence?

The body needs small daily quantities of vitamins and minerals, which are usually obtained from the diet. Intravenous vitamins are used for a few serious medical conditions (eg, malabsorption syndromes with severe vitamin depletion, Wernicke's encephalopathy or critical illness). Intravenous drips containing high doses of various vitamins and minerals (eg, the so-called 'Myers' cocktail') have been promoted in popular culture to 'reduce stress', 'increase energy' or 'boost immunity', with claims that the intravenous route allows faster absorption of vitamins into the bloodstream than if they are taken orally. There is a lack of high-quality evidence to suggest that high-dose vitamin infusions are necessary or offer any health benefit in the absence of a specific vitamin deficiency or medical condition. There may be harms from taking high (non-physiological) quantities of some vitamins and minerals. Licensed forms of injectable vitamins that are prescription-only medicines should not be advertised to the public and should only be supplied and administered by appropriately qualified healthcare professionals.

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来源期刊
Drug and Therapeutics Bulletin
Drug and Therapeutics Bulletin Medicine-Pharmacology (medical)
CiteScore
0.80
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0.00%
发文量
69
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