Oral Zeolite Therapy for Management of Mild to Moderate Lead Poisoning: A Randomized Clinical Trial.

IF 2 Q1 EMERGENCY MEDICINE
Archives of Academic Emergency Medicine Pub Date : 2025-05-25 eCollection Date: 2025-01-01 DOI:10.22037/aaemj.v13i1.2534
Samaneh Teimouri, Niloofar Deravi, Afshin Khazaei, Mohaddeseh Belbasi, Mahbobe Taheri, Mitra Rahimi, Babak Mostafazadeh, Peyman Erfan Talab Evini, Shahin Shadnia
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Abstract

Introduction: Lead poisoning can present with a spectrum of symptoms, from fatigue to severe multiorgan complication; and Zeolite is known for its ability to remove heavy metals. This study aimed to assess the impact of zeolite on serum lead levels and blood parameters of patients with mild to moderate lead poisoning.

Methods: This double-blind randomized clinical trial evaluated the effects of zeolite on serum lead levels of patients with mild to moderate lead poisoning, conducted between August 2022 and December 2022. The intervention group received oral zeolite tablets in addition to standard treatment, while the control group received only standard treatment. The impact of zeolite administration on serum lead levels and blood parameters was investigated using an appropriate statistical test.

Results: 80 patients with a mean age of 39.84 ± 11.94 (range: 23-75) years were randomized (78.75% male). The two groups were similar regarding age (p = 0.329), sex (p = 0.785), baseline serum lead levels (p = 0.596), and liver enzymes (p = 0.648).The Zeolit group had lower serum lead levels (25.22 ± 13.26 vs. 37.68 ± 15.34; p < 0.001, ES: 0.869) and hematocrit (36.21 ± 7.83 vs. 39.53 ± 5.60; ES: 0.488; p = 0.032) after 2 weeks of treatment.

Conclusion: Zeolite tablets show considerable promise as an adjunct therapy for mild to moderate lead poisoning. They effectively lower serum lead levels without adverse effects. This intervention could reduce the metal burden in the bloodstream and mitigate lead-induced multiorgan damage, offering a more effective and less invasive treatment option.

口服沸石治疗轻中度铅中毒:一项随机临床试验。
导言:铅中毒可表现为一系列症状,从疲劳到严重的多器官并发症;沸石以其去除重金属的能力而闻名。本研究旨在评估沸石对轻中度铅中毒患者血清铅水平和血液参数的影响。方法:该双盲随机临床试验于2022年8月至2022年12月进行,评估沸石对轻中度铅中毒患者血清铅水平的影响。干预组在标准治疗的基础上给予口服沸石片,对照组仅给予标准治疗。使用适当的统计检验研究沸石给药对血清铅水平和血液参数的影响。结果:随机入组患者80例,平均年龄39.84±11.94(范围:23 ~ 75)岁,其中78.75%为男性。两组在年龄(p = 0.329)、性别(p = 0.785)、基线血铅水平(p = 0.596)和肝酶(p = 0.648)方面相似。Zeolit组血清铅含量较低(25.22±13.26∶37.68±15.34;p < 0.001, ES: 0.869)和红细胞压积(36.21±7.83∶39.53±5.60;ES: 0.488;P = 0.032)。结论:沸石片作为轻中度铅中毒的辅助治疗有相当大的前景。它们能有效降低血清铅含量,无不良反应。这种干预可以减少血液中的金属负荷,减轻铅引起的多器官损伤,提供一种更有效、侵入性更小的治疗选择。
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
Archives of Academic Emergency Medicine
Archives of Academic Emergency Medicine Medicine-Emergency Medicine
CiteScore
8.90
自引率
7.40%
发文量
0
审稿时长
6 weeks
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