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氢/氧疗法对奥密克戎SARS-CoV-2变种感染的恢复具有促进作用:一项多中心、随机、对照试验的结果

The efficacy of hydrogen/oxygen therapy favored the recovery of omicron SARS-CoV-2 variant infection: results of a multicenter, randomized, controlled trial.

作者信息

Shi Meng-Meng, Chen Yun-Tian, Wang Xiao-Dan, Zhang Yun-Feng, Cheng Ting, Chen Hui, Sun Feng, Bao Hong, Chen Rong, Xiong Wei-Ning, Song Yuan-Lin, Li Qing-Yun, Qu Jie-Ming

机构信息

Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Er Road, Shanghai, 200025, China.

Institute of Respiratory Diseases, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Er Road, Shanghai, 200025, China.

出版信息

J Clin Biochem Nutr. 2023 Nov;73(3):228-233. doi: 10.3164/jcbn.23-32. Epub 2023 Aug 18.

DOI:10.3164/jcbn.23-32
PMID:37970554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10636573/
Abstract

Clinical studies had found that hydrogen/oxygen mixed inhalation was beneficial to ameliorate the respiratory symptoms in the adjuvant treatment of patients with COVID-19. We aimed to explore the efficacy of hydrogen/oxygen therapy in favoring the recovery of Omicron SARS-CoV-2 variant infection. There were 64 patients who randomly assigned to receive hydrogen/oxygen inhalation (32 patients) and oxygen inhalation (32 patients). The average shedding duration of Omicron in hydrogen/oxygen group was shorter than oxygen group. The trend of cumulative negative conversion rate of Omicron increased gradually after the third day. The IL-6 levels in hydrogen/oxygen group decreased by 22.8% compared with the baseline. After hydrogen/oxygen mixed gas inhalation, the lymphocyte count increased to 61.1% of the baseline on the 3rd day in the hydrogen/oxygen group. More patients in the hydrogen/oxygen group had resolution of pulmonary lesions. Our study showed the beneficial trends of molecular hydrogen in treating patients with COVID-19, which may offer a prospective solution to adjuvant therapy for COVID-19 Patients.

摘要

临床研究发现,氢氧混合吸入有助于改善新型冠状病毒肺炎患者辅助治疗中的呼吸道症状。我们旨在探讨氢氧疗法对奥密克戎 SARS-CoV-2 变异株感染恢复的疗效。64 例患者被随机分为氢氧吸入组(32 例)和氧气吸入组(32 例)。氢氧组奥密克戎的平均脱落持续时间短于氧气组。第三天后,奥密克戎的累积转阴率呈逐渐上升趋势。氢氧组白细胞介素 -6 水平较基线下降了 22.8%。氢氧混合气体吸入后,氢氧组第 3 天淋巴细胞计数增加至基线的 61.1%。氢氧组有更多患者肺部病变得到缓解。我们的研究显示了分子氢治疗新型冠状病毒肺炎患者的有益趋势,这可能为新型冠状病毒肺炎患者的辅助治疗提供一种前瞻性解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/94c680da87eb/jcbn23-32f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/e823969dc026/jcbn23-32f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/c884df10efee/jcbn23-32f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/bfbf5039901f/jcbn23-32f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/94c680da87eb/jcbn23-32f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/e823969dc026/jcbn23-32f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/c884df10efee/jcbn23-32f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/bfbf5039901f/jcbn23-32f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/911d/10636573/94c680da87eb/jcbn23-32f04.jpg

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本文引用的文献

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Hydrogen gas alleviates lipopolysaccharide-induced acute lung injury and inflammatory response in mice.氢气可减轻脂多糖诱导的小鼠急性肺损伤和炎症反应。
J Inflamm (Lond). 2022 Oct 17;19(1):16. doi: 10.1186/s12950-022-00314-x.
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BA.2.12.1, BA.4 and BA.5 escape antibodies elicited by Omicron infection.BA.2.12.1、BA.4 和 BA.5 逃避奥密克戎感染诱导的抗体。
Nature. 2022 Aug;608(7923):593-602. doi: 10.1038/s41586-022-04980-y. Epub 2022 Jun 17.
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Why is the SARS-CoV-2 Omicron variant milder?为什么新冠病毒奥密克戎变种的症状较轻?
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Population Immunity and Covid-19 Severity with Omicron Variant in South Africa.南非奥密克戎变异株下的人群免疫力与新冠病毒疾病严重程度。
N Engl J Med. 2022 Apr 7;386(14):1314-1326. doi: 10.1056/NEJMoa2119658. Epub 2022 Feb 23.
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Omicron's feeble attack on the lungs could make it less dangerous.奥密克戎对肺部的攻击较弱,这可能使其危险性降低。
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