Ono Hirohisa, Nishijima Yoji, Adachi Naoto, Sakamoto Masaki, Kudo Yohei, Nakazawa Jun, Kaneko Kumi, Nakao Atsunori
Department of Neurosurgery, Nishijima Hospital, Numazu City, Sizuoka, Japan.
Department of Surgery, University of Pittsburgh, Pittsburg, USA.
Med Gas Res. 2012 May 20;2(1):14. doi: 10.1186/2045-9912-2-14.
We have treated 4 patients of acute erythematous skin diseases with fever and/or pain by H2 enriched intravenous fluid. We also added data from two volunteers for assessing the mode of H2 delivery to the skin for evaluation of feasibility of H2 treatment for this type of skin diseases.
All of the four patients received intravenous administration of 500 ml of H2 enriched fluid in 30 min for more than 3 days except in one patient for only once. From two volunteers (one for intravenous H2 administration and the other for H2 inhalation), blood samples were withdrawn serially and air samples were collected from a heavy duty plastic bag covering a leg, before, during and after H2 administration. These samples were checked for H2 concentration immediately by gas chromatography. Multiple physiological parameters and blood chemistry data were collected also.
Erythema of these 4 patients and associated symptoms improved significantly after the H2 treatment and did not recur. Administration of H2 did not change physiological parameters and did not cause deterioration of the blood chemistry. The H2 concentration in the blood from the volunteers rapidly increased with H2 inhalation and slowly decreased with cessation of H2 particularly in the venous blood, while H2 concentration of the air from the surface of the leg showed much slower changes even after H2 inhalation was discontinued, at least during the time of sample collection.
An improvement in acute erythemtous skin diseases followed the administration of H2 enriched fluid without compromising the safety. The H2 delivery study of two volunteers suggested initial direct delivery and additional prolonged delivery possibly from a slowly desaturating reservoir in the skin to the surface.
我们用富氢静脉注射液治疗了4例伴有发热和/或疼痛的急性红斑性皮肤病患者。我们还补充了两名志愿者的数据,以评估氢气输送到皮肤的方式,从而评估氢气治疗这类皮肤病的可行性。
除1例仅接受1次治疗外,其余4例患者均在30分钟内静脉输注500毫升富氢液,持续3天以上。从两名志愿者(一名接受静脉注射氢气,另一名吸入氢气)身上,在氢气给药前、给药期间和给药后连续采集血样,并从覆盖腿部的重型塑料袋中收集空气样本。这些样本立即用气相色谱法检测氢气浓度。还收集了多项生理参数和血液化学数据。
这4例患者的红斑及相关症状在氢气治疗后明显改善,且未复发。给予氢气未改变生理参数,也未导致血液化学指标恶化。志愿者血液中的氢气浓度在吸入氢气后迅速升高,停止吸入氢气后缓慢下降,尤其是静脉血中的浓度;而腿部表面空气的氢气浓度即使在停止吸入氢气后变化也慢得多,至少在采样期间是这样。
给予富氢液后,急性红斑性皮肤病有所改善,且不影响安全性。对两名志愿者的氢气输送研究表明,最初是直接输送,随后可能是从皮肤中缓慢脱饱和的储库向体表的额外长期输送。