补充去铁胺和维生素 C 对 COVID-19 患者铁蛋白和 CRP 水平的影响

F. Behnaz, Seyed Ebrahim Sadeghzadeh Sadat, Gholamreza Mohseni, M. Ghasemi
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摘要

背景:COVID19 大流行是当今世界卫生系统面临的最重要挑战之一,目前尚无特效疗法。它包括各种呼吸道和非呼吸道症状和体征,导致住院治疗和重症监护。研究方法本研究共纳入 78 名患者,分为两组,每组 39 人。病例组包括 39 名 COVID19 患者,他们在 CT 扫描中出现特定体征,并有病毒感染、血清铁蛋白高、血液中炎症因子增加等因素。分为两组干预组(接受去氧胺和维生素 C)和对照组(仅接受国家官方规定的药物)。所有患者都住进了 Shohada-e-Tajrish 医院的重症监护室,并接受了全面的心肺监测。研究前记录了 Spo2、血液动力学、血清铁蛋白和 CRP 的所有变化。结果:该研究表明,病情好转的患者的铁蛋白水平低于仍在患病的患者。此外,处方去铁胺作为维生素 C 的辅助药物可防止细胞因子风暴,这对改善 COVID19 患者的病情非常有效。结论综上所述。根据去铁胺和维生素 C 在显著降低铁蛋白和 CRP 等炎症因子方面的作用,它们可用作 COVID19 患者的辅助疗法。
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The Effect of Deferoxamine and Vitamin C Supplementation on Ferritin and CRP Levels in COVID-19 Patients
Background: Today, the COVID19 pandemic is one of the most important health system challenges in the world, which doesn’t have specific treatment yet. It includes a wide range of respiratory and non-respiratory signs and symptoms, that lead to hospitalization and intensive care units. Methods: In this study, 78 patients in two groups of 39 patients were included. The case group included 39 COVID19 patients who had specified sign in CT scans and factors of viral infection, high serum ferritin, increased inflammatory factor in the blood. There were two intervention groups (receiving deferoxamine and vitamin C) and the control group (receiving only official protocol drugs of the country). All patients were admitted to the ICU of Shohada-e-Tajrish Hospital and underwent complete cardiorespiratory monitoring. All changes in Spo2, hemodynamics, serum ferritin and CRP were recorded before the study. Results: This study presented that improved patient had lower ferritin levels than those who were still ill. In addition, prescribing deferoxamine as an adjunct to vitamin C can prevent cytokine storms that was effective for improving the patients with COVID19. Conclusion: In conclusion. According to the role of deferoxamine and vitamin C in significantly reducing inflammatory factors of ferritin and CRP, they can be used as an adjunctive therapy in patients with COVID19.
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