Impact of Vitamin C on Inflammatory Response and Myocardial Injury in Sepsis Patients.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-10-01
Na Jiang, Nan Li, Jing Huang, Kejuan Ning, Hui Zhang, Haobing Gou, Ruirui Zhang
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Abstract

Background: Amidst the complexities of sepsis-induced inflammatory responses and myocardial injury, this study investigates the therapeutic potential of vitamin C in mitigating sepsis complications. The findings offer crucial insights into the prospective use of vitamin C, shaping future strategies for enhanced patient care.

Objective: To investigate the impact of vitamin C on the inflammatory response and myocardial damage in individuals with sepsis.

Methods: A total of 83 sepsis patients treated in our hospital from January 2021 to January 2023 were randomly divided into a control group (n=41, receiving basic treatment) and a study group (n=42, receiving vitamin C in addition to basic treatment). To evaluate the impact of treatment, we compared organ dysfunction, inflammatory response index, myocardial injury index, and morbidity/mortality rates before and after the intervention in both groups. It allowed for a comprehensive analysis of the treatment's effects on these key parameters.

Results: After therapy, the study group exhibited lower SOFA ratings compared to the control group (P < .05). Levels of Hypersensitive C-reactive Protein (hs-CRP), Tumor Necrosis Factor (TNF), High Mobility Group Protein B1 (HMGB1), Creatine Kinase Isoenzyme (CK-MB), Troponin I (cTnI), and B-type brain natriuretic peptide (BNP) were significantly lower in the study group than in the control group after treatment (P < .05). The study group also demonstrated a lower morbidity and mortality rate (9.52%) compared to the control group (29.27%) (P < .05).

Conclusions: Vitamin C supplementation holds significant therapeutic value, contributing to reduced inflammatory response, myocardial injury, morbidity, and mortality rates in sepsis patients. This intervention enhances clinical efficacy, fostering disease regression.

维生素 C 对败血症患者炎症反应和心肌损伤的影响
背景:脓毒症引起的炎症反应和心肌损伤错综复杂,本研究探讨了维生素 C 在减轻脓毒症并发症方面的治疗潜力。研究结果为维生素 C 的前瞻性应用提供了重要见解,为加强患者护理制定了未来战略:研究维生素 C 对败血症患者炎症反应和心肌损伤的影响:将 2021 年 1 月至 2023 年 1 月期间在我院接受治疗的 83 名脓毒症患者随机分为对照组(41 人,接受基本治疗)和研究组(42 人,除基本治疗外还接受维生素 C 治疗)。为了评估治疗效果,我们比较了两组干预前后的器官功能障碍、炎症反应指数、心肌损伤指数和发病率/死亡率。这有助于全面分析治疗对这些关键参数的影响:治疗后,研究组的 SOFA 评分低于对照组(P < .05)。治疗后,研究组的超敏 C 反应蛋白 (hs-CRP)、肿瘤坏死因子 (TNF)、高迁移率组蛋白 B1 (HMGB1)、肌酸激酶同工酶 (CK-MB)、肌钙蛋白 I (cTnI) 和 B 型脑钠肽 (BNP) 水平明显低于对照组(P < .05)。研究组的发病率和死亡率(9.52%)也低于对照组(29.27%)(P < .05):补充维生素 C 具有显著的治疗价值,有助于降低败血症患者的炎症反应、心肌损伤、发病率和死亡率。这种干预措施可提高临床疗效,促进疾病消退。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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