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慢性疲劳综合征患者补充多种维生素矿物质

Multivitamin mineral supplementation in patients with chronic fatigue syndrome.

作者信息

Maric Daniela, Brkic Snezana, Tomic Slavica, Novakov Mikic Aleksandra, Cebovic Tatjana, Turkulov Vesna

机构信息

Clinic for Infectious Diseases, Clinical Center Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.

Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.

出版信息

Med Sci Monit. 2014 Jan 14;20:47-53. doi: 10.12659/MSM.889333.

Abstract

BACKGROUND

Chronic fatigue syndrome (CFS) is characterized by medically unexplained persistent or reoccurring fatigue lasting at least 6 months. CFS has a multifactorial pathogenesis in which oxidative stress (OS) plays a prominent role. Treatment is with a vitamin and mineral supplement, but this therapeutic option so far has not been properly researched.

MATERIAL AND METHODS

This prospective study included 38 women of reproductive age consecutively diagnosed by CDC definition of CFS and treated with a multivitamin mineral supplement. Before and after the 2-month supplementation, SOD activity was determined and patients self-assessed their improvement in 2 questionnaires: the Fibro Fatigue Scale (FFS) and the Quality of Life Scale (SF36). Results There was a significant improvement in SOD activity levels; and significant decreases in fatigue (p=0.0009), sleep disorders (p=0.008), autonomic nervous system symptoms (p=0.018), frequency and intensity of headaches (p=0.0001), and subjective feeling of infection (p=0.0002). No positive effect on quality of life was found.

CONCLUSIONS

Treatment with a vitamin and mineral supplement could be a safe and easy way to improve symptoms and quality of life in patients with CFS.

摘要

背景

慢性疲劳综合征(CFS)的特征是医学上无法解释的持续或反复出现的疲劳,持续至少6个月。CFS具有多因素发病机制,其中氧化应激(OS)起主要作用。治疗方法是补充维生素和矿物质,但迄今为止,这种治疗选择尚未得到充分研究。

材料与方法

这项前瞻性研究纳入了38名育龄女性,她们均根据美国疾病控制与预防中心(CDC)对CFS的定义被连续诊断出来,并接受了多种维生素矿物质补充剂治疗。在补充2个月前后,测定超氧化物歧化酶(SOD)活性,患者通过两份问卷进行自我评估,分别是纤维肌痛疲劳量表(FFS)和生活质量量表(SF36)。结果SOD活性水平有显著改善;疲劳(p = 0.0009)、睡眠障碍(p = 0.008)、自主神经系统症状(p = 0.018)、头痛频率和强度(p = 0.0001)以及感染主观感受(p = 0.0002)均显著降低。未发现对生活质量有积极影响。

结论

补充维生素和矿物质可能是改善CFS患者症状和生活质量的一种安全、简便的方法。

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