某些维生素在严重急性呼吸系统综合征冠状病毒 2 感染过程中的作用

Murat Ari, Naim Uzun, Serkan Sugeçti
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摘要

严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)感染是一种在 2019 年底进入我们生活并引起大流行的疾病。尽管随着疫苗在全球范围内的推广,该疾病已得到控制,但观察到的病毒新变种仍令人担忧。一些维生素在评估这种疾病的病理生理机制和疾病严重程度方面的作用一直是许多研究的主题。但目前尚未达成共识。这项研究的重点是维生素 C、D 和 E 与 SARS-CoV-2 感染过程之间的关系。有强有力的证据表明,维生素 D 水平低与感染后预后不良之间存在相当一致的关系。虽然有证据表明,补充维生素 D 可在预防感染方面发挥积极作用,但在降低感染并发症风险方面,维生素 D 的补充并没有得到确凿的支持。据报道,在一些临床观察中,补充维生素 C 可改善感染过程。然而,对照研究得出的结论是,这种改善没有统计学差异。关于补充维生素 E 对感染过程的影响,目前的资料还很有限。另一方面,我们鼓励这些患者服用足量的抗氧化剂补充剂,如维生素 E。维生素具有抗氧化特性,对免疫系统有调节作用,并在许多酶系统中发挥作用,可能对保护患者免受感染非常重要。它可能对 SARS-CoV-2 感染的过程有辅助作用。
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The Role of Some Vitamins in The Course of Severe Acute Respiratory Syndrome Coronavirus 2 Infection
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is a disease that entered our lives at the end of 2019 and caused a pandemic. Although it has been brought under control with the introduction of vaccines worldwide, new variants observed in the virus still remain a cause for concern. The role of some vitamins in evaluating the pathophysiological mechanisms and disease severity of this disease has been the subject of many studies. But there is no consensus. This study focused on the relationship between vitamins C, D and E and the course of SARS-CoV-2 infection. There is strong evidence showing a fairly consistent association between low vitamin D levels and poor prognosis of infection. Although there is evidence that vitamin D supplementation may play a positive role in preventing infection, there is no solid support for vitamin D supplementation in reducing the risk of complications from infection. In some clinical observations, vitamin C supplementation has been reported to improve the course of the infection. However, controlled studies have concluded that there is no statistical difference in this improvement. There is limited information on the effect of vitamin E supplementation on the course of infection. On the other hand, these patients are encouraged to take adequate amounts of antioxidant supplements such as vitamin E. Vitamins that have antioxidant properties, have an immune system regulating effect and play a role in many enzyme systems may be important in protecting against infection. It may have adjuvant effects on the course of SARS-CoV-2 infection.
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