大剂量维生素C在COVID-19住院患者管理中的作用:综述

Deven Juneja, Anish Gupta, Sahil Kataria, Omender Singh
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引用次数: 2

摘要

严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)已经成为人类所见过的最可怕的病毒之一。它造成了世界性的浩劫,破坏了人类的生活。在我们寻找对抗这种威胁的治疗方案的过程中,已经尝试了几种药物,取得了不同程度的成功。某些药物如皮质类固醇、一些抗病毒药物和免疫抑制药物已被发现对改善临床结果有用。维生素C是一种具有良好安全性的水溶性维生素,已被尝试用于减少2019冠状病毒病(COVID-19)患者的进展并改善预后。由于其抗氧化和免疫调节的特性,维生素C的作用已经远远超出了坏血病的治疗,它越来越多地被用于治疗败血症、感染性休克、急性胰腺炎甚至癌症等危重病人。然而,尽管有许多病例系列、观察性研究甚至随机对照试验,维生素C的作用仍然不明确。在这篇综述中,我们将讨论使用大剂量维生素C治疗COVID-19患者的科学依据和目前的临床证据。
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Role of high dose vitamin C in management of hospitalised COVID-19 patients: A minireview.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has emerged as one of the most dreadful viruses the mankind has witnessed. It has caused world-wide havoc and wrecked human life. In our quest to find therapeutic options to counter this threat, several drugs have been tried, with varying success. Certain agents like corticosteroids, some anti-virals and immunosuppressive drugs have been found useful in improving clinical outcomes. Vitamin C, a water-soluble vitamin with good safety profile, has been tried to reduce progression and im-prove outcomes of patients with coronavirus disease 2019 (COVID-19). Because of its anti-oxidant and immunomodulatory properties, the role of vitamin C has expanded well beyond the management of scurvy and it is increasingly been employed in the treatment of critically ill patients with sepsis, septic shock, acute pancreatitis and even cancer. However, in spite of many case series, observational studies and even randomised control trials, the role of vitamin C remains ambiguous. In this review, we will be discussing the scientific rationale and the current clinical evidence for using high dose vitamin C in the management of COVID-19 patients.

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