Salford Royal NHS Foundation Trust, Salford, UK.
Emerg Med J. 2018 Apr;35(4):272-274. doi: 10.1136/emermed-2018-207608.3.
A shortcut review was carried out to establish whether the use of intravenous vitamin C can reduce mortality or morbidity in patients diagnosed in the early phases of severe sepsis. Three directly relevant papers were found using the reported search strategy. The author, date and country of publication; patient group studied; study type; relevant outcomes; results and study weaknesses of the best papers are tabulated. It is concluded that there is insufficient high-quality research to justify the routine use of vitamin C in severe sepsis. Further multicentre, double-blinded randomised controlled trials are required in order to establish the role of vitamin C in sepsis.
进行了快速复习,以确定在严重脓毒症早期诊断的患者中使用静脉注射维生素 C 是否可以降低死亡率或发病率。使用报告的搜索策略找到了三篇直接相关的论文。作者、日期和出版物来源;研究的患者群体;研究类型;相关结局;最佳论文的结果和研究弱点都列在表格中。得出的结论是,没有高质量的研究足以证明常规使用维生素 C 治疗严重脓毒症是合理的。需要进一步开展多中心、双盲随机对照试验,以确定维生素 C 在脓毒症中的作用。