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评估蛇咬伤患者的氧化应激/抗氧化状态。

An assessment of oxidant/antioxidant status in patients with snake envenomation.

机构信息

Department of Emergency Medicine, Gaziantep University School of Medicine, , Gaziantep, Turkey.

出版信息

Emerg Med J. 2014 Jan;31(1):48-52. doi: 10.1136/emermed-2012-202013. Epub 2012 Dec 22.

Abstract

OBJECTIVE

The aim of this study is to investigate the antioxidant status (TAS), oxidant status (TOS) and oxidative stress index (OSI) in patients with snake envenomation and to learn more about the pathophysiology of snake envenomation.

METHOD

Between May 2009 and October 2010, 47 patients were admitted to our emergency department with snake bites, and as a control group 20 healthy volunteers were enrolled in this study. Serum, plasma, and erythrocyte components were prepared for all patients on admission and at the control after 1 month. Serum TOS/TAS levels were measured.

RESULTS

No correlation was observed among age, gender and the levels of TAS, TOS and OSI. TAS, TOS and OSI levels were higher in snake envenomation patients upon arrival at the emergency department than in the healthy control group. Upon admission, all levels of patients with snake envenomation were higher than the control levels taken after 1 month.

CONCLUSIONS

Serum TAS, TOS and OSI levels increase in snake envenomation patients. The results obtained in this study indicate that the snake bite was associated with a shift to an oxidative state, and oxidative stress plays an important role in the pathophysiology of snake envenomation.

摘要

目的

本研究旨在探讨蛇咬伤患者的抗氧化状态(TAS)、氧化状态(TOS)和氧化应激指数(OSI),并进一步了解蛇咬伤的病理生理学机制。

方法

2009 年 5 月至 2010 年 10 月期间,共有 47 名蛇咬伤患者被收入我院急诊科,同时选择 20 名健康志愿者作为对照组。所有患者于入院时和对照组于入院 1 个月后采集血清、血浆和红细胞成分,并检测血清 TOS/TAS 水平。

结果

年龄、性别与 TAS、TOS 和 OSI 水平之间无相关性。与健康对照组相比,蛇咬伤患者入院时 TAS、TOS 和 OSI 水平更高。与对照组相比,蛇咬伤患者入院时的所有水平均高于入院 1 个月后的水平。

结论

蛇咬伤患者的血清 TAS、TOS 和 OSI 水平升高。本研究结果表明,蛇咬伤与氧化状态的改变有关,氧化应激在蛇咬伤的病理生理学机制中发挥着重要作用。

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