Prier Melissa, Carr Anitra C, Baillie Nicola
Feedback Research Ltd., Auckland 1050, New Zealand.
Department of Pathology and Biomedical Science, University of Otago, Christchurch 8011, New Zealand.
Antioxidants (Basel). 2018 May 21;7(5):68. doi: 10.3390/antiox7050068.
A few cases associating high dose intravenous vitamin C (IVC) administration with renal stone formation have been reported in the literature, however, no long-term studies investigating IVC administration and reported renal stones have been carried out. Our aim was to measure the frequency of reported renal stones in patients receiving IVC therapy. We carried out a prospective case series study of 157 adult patients who commenced IVC therapy at Integrated Health Options clinic between 1 September 2011 and 31 August 2012, with follow-up for 12 months. Inquiries into the occurrence of renal stones were conducted at enrolment, 6 and 12 months, and renal function blood tests were conducted at enrolment, 4 weeks and every 12 weeks thereafter in a subgroup of patients. No renal stones were reported by any patients in the study, despite 8% of the patients having a history of renal stones. In addition, the majority of patients investigated had stable renal function during the study period as evidenced by little change in serum creatinine levels and estimated glomerular filtration rate (eGFR) following IVC. In conclusion, IVC therapy was not associated with patient-reported renal stones. Although not the primary focus of this study, it was also observed that there was no significant change in mean serum creatinine or eGFR for those who had follow-up renal function blood tests.
文献中已报道了几例高剂量静脉注射维生素C(IVC)与肾结石形成相关的病例,然而,尚未开展关于IVC给药与报告的肾结石的长期研究。我们的目的是测量接受IVC治疗的患者中报告的肾结石发生率。我们对2011年9月1日至2012年8月31日期间在综合健康选择诊所开始接受IVC治疗的157例成年患者进行了一项前瞻性病例系列研究,并随访12个月。在入组时、6个月和12个月时询问肾结石的发生情况,在入组时、4周以及此后在一组患者中每12周进行一次肾功能血液检查。尽管8%的患者有肾结石病史,但研究中没有患者报告有肾结石。此外,大多数接受调查的患者在研究期间肾功能稳定,IVC后血清肌酐水平和估计肾小球滤过率(eGFR)变化不大即证明了这一点。总之,IVC治疗与患者报告的肾结石无关。虽然这不是本研究的主要重点,但还观察到,接受后续肾功能血液检查的患者的平均血清肌酐或eGFR没有显著变化。