Folia Medica Indonesiana
ISSN 0303-7932
Vol. 50 / No. 3 / Published : 2014-07
Order : 3, and page :143 - 147
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Original Article :
Intravenous vitamin c administration decreases nitric oxide serum level in severe burn injury
Author :
- Iswinarno Doso Saputro*1
- Lobredia Zarasade*2
- Bobby Swadharma Putra*3
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Nitric oxide (NO) may cause systemic hypotension and apoptosis, contributing to tissue damage and multiple organ failure in severeburn, which increases Nitric Oxide Syntase (NOS) enzyme activity and NO release. Proinflammatory cytokines involves in NOSinduction and activation and NO release. Vitamin C suppresses proinflamatory cytokines production, so NO production is inhibited.This study aimed to review intravenous vitamin C 3000 mg effect on NO serum level in severe burn injury. This study usedrandomized pre-test and post-test controlled group design in 12 severe burns patient at Burn Unit, Dr. Soetomo Hospital, Surabaya.NO was examined in 12 patients who were divided into 2 groups. Control group (K1) received vitamin C 2 x 400 mg/24 hour for 72hours and treatment group (K2) received intravenous vitamin C 3000 mg for 72 hours. NO was taken from blood serum andobserved by Grease method. Results were analyzed by Paired T-Test and statistical assays with p < 0.05. NO serum level in K1showed no significant increase compared to day 1 of the day 4 (p = 0.21) and NO serum level had no significant decrease on day 1than that on day 4 (K2) (p = 0.06). NO level decreased significantly in K2 compared to that in K1 (p = 0.02). K1 showed nosignificant result in Blood Gas Analisis, Blood Urea Nitrogen, and Serum Creatinine, while K2 showed significant result in WhiteBlood Cell (p = 0.01). In conclusion, intravenous vitamin C administration decreases nitric oxide serum level in severe burn injury.(FMI 2014;50:143-147)
Keyword :
vitamin C, severe burn, nitric oxide,
References :
Çakir B and Yeğen BC,(2004) Systemic responses to burn injury 34, 215-226 : Turk J Med Sci
Chen LW, Hsu CM, Cha MC, Chen JS, Chen SC,(1999) Changes in gut mucosal nitric oxide synthase (NOS) activity after thermal injury and its relation with barrier failure 11, 104-110 : Shock
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