营养强化超级食物:对感染新冠病毒奥密克戎变异株的重症监护病房患者而言是一种有前景的辅助治疗手段
NBS superfood: a promising adjunctive therapy in critically ill ICU patients with omicron variant of COVID-19.
作者信息
Mosadegh Mehrdad, Khalkhali Aref, Erfani Yousef, Nezamdoost Manije, Hashemi Seyyed Hamid, Azizi Jalilian Farid, Ansari Nastaran, Mahmoudvand Shahab, Mamani Mojgan, Abdoli Elham, Amini Razieh, Kalvandi Gholamreza
机构信息
Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Science, Faculty of Biology, Islamic Azad University, Mashhad, Iran.
出版信息
AMB Express. 2024 Mar 24;14(1):33. doi: 10.1186/s13568-024-01690-8.
This clinical trial aimed to assess the impact of Nutrition Bio-shield superfood (NBS) on clinical status among critically ill ICU patients suffering from acute respiratory distress syndrome (ARDS) due to the Omicron variant of COVID-19. A total of 400 patients with confirmed Omicron-related ARDS were randomly assigned to either the intervention group (n = 200) or the control group (n = 200). Patients in the intervention group received 1.5 g of NBS powder daily for 2 weeks in addition to standard antiviral treatment, while the control group received a placebo alongside standard antiviral therapy. Serum samples were collected from all patients in both groups, and various clinical and laboratory parameters, including ESR, CRP, D-Dimer, CPK, WBC count, lymphocyte count, and lymphocyte percentage, were measured using established methodologies. Following a 14-day intervention period, the intervention group exhibited a significant reduction in mean serum levels of CRP (15.39 vs. 48.49; P < 0.001), ESR (14.28 vs. 34.03; P < 0.001), D-Dimer (485.18 vs. 1009.13; P = 0.001), and CPK (68.93 vs. 131.48; P < 0.001) compared to the control group. Conversely, a significant increase was observed in the mean serum levels of lymphocytes (1537.06 vs. 1152.60; P < 0.001) in the intervention group after 14 days of treatment compared to the control group. The remarkable reduction in inflammatory markers and mortality rates observed with NBS supplementation alongside standard antiviral treatment underscores its crucial role in mitigating inflammation and achieving an important milestone in the fight against COVID-19.
这项临床试验旨在评估营养生物护盾超级食物(NBS)对因新冠病毒奥密克戎变种而患有急性呼吸窘迫综合征(ARDS)的重症监护病房(ICU)患者临床状况的影响。共有400例确诊的奥密克戎相关ARDS患者被随机分为干预组(n = 200)或对照组(n = 200)。干预组患者除接受标准抗病毒治疗外,每天还服用1.5克NBS粉末,持续2周,而对照组在接受标准抗病毒治疗的同时服用安慰剂。从两组所有患者中采集血清样本,并使用既定方法测量各种临床和实验室参数,包括红细胞沉降率(ESR)、C反应蛋白(CRP)、D-二聚体、肌酸磷酸激酶(CPK)、白细胞计数、淋巴细胞计数和淋巴细胞百分比。经过14天的干预期后,与对照组相比,干预组的CRP平均血清水平(15.39对48.49;P < 0.001)、ESR(14.28对34.03;P < 0.001)、D-二聚体(485.18对1009.13;P = 0.001)和CPK(68.93对131.48;P < 0.001)显著降低。相反,治疗14天后,与对照组相比,干预组的淋巴细胞平均血清水平显著升高(1537.06对1152.60;P < 0.001)。在标准抗病毒治疗的基础上补充NBS后,炎症标志物和死亡率显著降低,这突出了其在减轻炎症和实现抗击新冠病毒的一个重要里程碑方面的关键作用。
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