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地塞米松和营养疗法可减轻 COVID-19 引起的肌肉痛——可降低白细胞介素-6 表达的活性物质的系统评价

Dexamethasone and Nutraceutical Therapy Can Reduce the Myalgia Due to COVID-19 - a Systemic Review of the Active Substances that Can Reduce the Expression of Interlukin-6.

机构信息

Pain Therapy Center, Division of Anesthesia, Analgesia and Intensive Care, Department of Emergency, Ospedali Riuniti di Ancona, Ancona, Italy.

Division of Orthopedics and Trauma Surgery, University of Perugia, S. Maria della Misericordia Hospital, Perugia, Italy.

出版信息

Med Arch. 2022 Feb;76(1):66-71. doi: 10.5455/medarh.2022.76.66-71.

Abstract

BACKGROUND

Myalgia reflects generalized inflammation and cytokine response and can be the onset symptom of 36% of patients with COVID-19. Interleukin-6 (IL-6) and tumor necrosis factor-α (TNF- α) levels in plasma and upper respiratory secretions directly correlate with the magnitude of viral replication, fever, and respiratory and systemic symptoms, including musculoskeletal clinical manifestations.

OBJECTIVE

The aim of our work is to report literature scientific investigation clinical protocol to reduce the immunomodulation and inflammatory response nutraceutical therapy associated with dexamethasone and how can reduce the expression of Interlukina-6(IL-6) and myalgia due to COVID-19.

METHODS

We searched in Pubmed and Cochrane the nautriceutical drugs to treat the immune modulation of organism to COVID-19. We put these keywords: immune inflammation, desease descriptions, epidemiology COVID-19; immunomodulations; IL-6; Rheumatic Symptoms; Joint; Musculoskeletal Disorders; dexamethasone; Polydatin; Zinc; Melatonin; N- Acetyl Cysteine; Colostrum; L- Glutamine; Vitamin D3.

RESULTS

We found 61 papers. All the authors analyze them. After the Analyze we suggest the use of response nutraceutical therapy associated with dexamethasone can reduce the expression of Interlukina-6(IL-6) and myalgia due to COVID-19.

CONCLUSION

According the scientific literature nutraceutical therapy associated with dexamethasone can reduce the expression of Interlukina-6(IL-6) and myalgia due to COVID-19.

摘要

背景

肌痛反映全身炎症和细胞因子反应,可能是 36%的 COVID-19 患者的首发症状。血浆和上呼吸道分泌物中的白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平与病毒复制、发热以及包括肌肉骨骼临床表现在内的呼吸道和全身症状的严重程度直接相关。

目的

我们的工作旨在报告文献科学调查临床方案,以减少与地塞米松相关的免疫调节和炎症反应的营养疗法,以及如何降低 COVID-19 引起的 IL-6 和肌痛的表达。

方法

我们在 Pubmed 和 Cochrane 中搜索了用于治疗 COVID-19 机体免疫调节的营养药物。我们使用了这些关键词:免疫炎症、疾病描述、COVID-19 流行病学;免疫调节;IL-6;风湿症状;关节;肌肉骨骼疾病;地塞米松;虎杖苷;锌;褪黑素;N-乙酰半胱氨酸;初乳;谷氨酰胺;维生素 D3。

结果

我们找到了 61 篇论文。所有作者都对它们进行了分析。在分析之后,我们建议使用与地塞米松相关的反应性营养疗法可以降低 COVID-19 引起的 IL-6 和肌痛的表达。

结论

根据科学文献,与地塞米松相关的营养疗法可以降低 COVID-19 引起的 IL-6 和肌痛的表达。

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