A kind of nutrient with noise immunity hearing loss
Technical field
The present invention relates to a kind of composite nutrient, more particularly to one kind are used for vitimin supplement, mineral, there is preventing and treating
Noise induced hearing loss acts on, and the nutrient playing a role in health care belongs to compositionss preparing technical field.
Background technology
With the development of modern industry and weaponry, the harm of noise is increasingly serious, and is embodied in many aspects, makes an uproar
Sound can cause dysfunction or even the pathology damage of the audition external system such as acoustic trauma and nerve, cardiovascular, digestion or organ.
Noise is the hazard factor of army's working environment generally existing, the above relevant mark of noise intensity of my army's major part weaponry
The limit value of quasi- regulation.The incidence rate of exposed personnel acoustic trauma is high, has a strong impact on work efficiency, health and fighting capacity, especially in information
Change in war, gently then affect work, heavy then bungle the chance of winning a battle.
The main target organ of noise induced damage is organon audituss, and noise induced hearing loss is mainly shown as under auditory sensitivity
Fall, the threshold of audibility raises, and language accepts and signal distinguishing ability reduces, and this process is the process that physiology travels to pathology, causes pathology
Damage and have to reach certain noise intensity and (or) time of contact.Noise to the intensity of the harm of auditory system and noise,
The factors such as frequency, open-assembly time and individual sensitivity are relevant, there is dosage within the specific limits between noise exposure and hearing loss
Effect relation.It is all to damage internal ear Sensory hair cell by mechanicalness or metaolic that noise causes the mechanism of acoustic trauma.
Noise can cause to cochlea most cells to damage, and wherein stand in the breach most is outer hair cell.It is now thought that exitotoxicity draws
The oxidativestress damage sent out is that Acoustic exposure leads to the main trigger mechanism of Hair Cell Death in cellular level.In addition, noise also may be used
Hinder human body to the absorption of various vitamin and utilization, and accelerate the excretion to water soluble vitamins for the human body, this is likely to into one
Step reduces body normal physiological function, increased and damages the risk occurring.
The medicine for the treatment of sound-induced auditory damage mainly has vasodilation class, neurotrophy class, blood dilatation class, Chinese medicine to live at present
Blood silt class etc., but effect is all undesirable.Noise induced hearing loss focuses on prevention, and oxidative damage and exitotoxicity are in hair cell generation
Thanking property plays very important effect in damaging, and improves cochlea endogenous anti-oxidative level or external supply antioxidant is permissible
Mitigate damage of hair cell and hearing loss.Propyloxy phenyl base glycosides (PIA) can improve perilymph GSH-PX activity and SOD level,
Enhance cochlea oxidation resistance, effectively reduce noise induced hearing loss and wool Se content;Allopurinol, polyethylene second two
Alcohol, Mannitol, N-acetylcystein, acetyl-L-carnitine, salicylate etc. by oxygen radical removing or suppress its product
Raw, also can effectively prevent and treat noise induced hearing loss, lipid peroxidation inhibitor and ulinastatin, alpha-lipoic acid, Semen Ginkgo polysaccharide
Also it is proved effectively Deng antioxidant.In addition, regulation of calcium agent MK801, nimodipine etc. can be by improving exitotoxicity
The calcium ion disbalance causing, and then play the effect of preventing and treating noise induced hearing loss.
Because most of noise exposure crowd is Occupational Exposure, it is exposed to the noise ring exceeding relevant criterion for a long time
Border, such as adopts chemoprophylaxiss for such crowd, then needs Long-term taking medicine, may produce toxic and side effects to body.It is desirable to
While extra-nutrition material, it is obtained in that the multi-effects such as prevention noise induced hearing loss, opposing oxidative damage.Therefore,
On the basis of ordinary nutritional agent, strengthening has the active component of anti-exitotoxicity, anti-oxidation function, for occupational noise exposure
The nutrient that the Long term prophylatic of crowd is taken is it is contemplated that the effect of good preventing and treating noise induced hearing loss will be received.
Content of the invention
The defect existing for prior art, the present invention provides a kind of nutrient with noise immunity hearing loss, warp
Cross lot of experiments, choose compound vitamin, mineral and glutathione precursor material and combined with special ratios, obtain
Good antioxidation, anti-exitotoxicity, improve internal ear aerobic metabolism and energy generation and other effects.Before its reason is Glutathione
Body material ACETYLCYSTEINE (NAC) and vitamin A, B race, C, E can work in coordination with performance anti oxidative damage, and
Magnesium then can block the cell Ca2+ influx of exitotoxicity initiation, reduces the damage of hair cell leading to because of calcium overload.Nutrition of the present invention
Agent is lived be applied to for a long time, the supplement of the daily nutrition of the crowd working in the noise circumstance with potential hazard element, in case
Control noise induced hearing loss.
In order to solve above-mentioned technical problem, the nutrient with noise immunity hearing loss proposed by the present invention, by weight
Number is made up of following raw materials:N-acetyl-L-cysteine 600-1000 part, vitamin A 1-4 part, -5 parts of VB11, dimension
Raw element B21-5 part, vitamin B6 1-10 part, vitamin B12 0.01-0.05 part, vitamin C 60-1000 part, Vitamin E and with
Alpha-tocopherol meter 15-300 part, magnesium 50-400 part and food acceptable adjuvant 79-3175 part.
Preferably:900 parts of described N-acetyl-L-cysteine, 3 parts of vitamin A, vitamin B12 .5 part, vitamin
B22.5 part, 2 parts of vitamin B6,0.01 part of vitamin B12,500 parts of vitamin C, Vitamin E in terms of alpha-tocopherol 270 parts,
300 parts of magnesium and the acceptable adjuvant of food.
ACETYLCYSTEINE (NAC) is the acetyl derivatives of essential amino acid L-Cysteine, can lead to
Cross a free sulfhydryl group (- SH of nucleophilic) directly having an effect with electrophilic oxide group and play direct antioxygen and be turned into
With.NAC can protect α -1 antitrypsin (elastase inhibitor) to inactivate from hypochlorous effect.The molecule knot of NAC
Structure renders it susceptible to pass through cell membrane, in the cell NAC deacetylate, forms L-Cysteine, and this is a kind of synthesis gluathione
The essential amino acids of peptide (GSH).GSH is a kind of highly active tripeptides being widely present in various animal tissues.Glutathione is
Intracellular most important protective agent, plays a significant role to the integrity keeping cell function and cellular morphology, still prevents thin
The oxygen-derived free radicals from inside and outside for the born of the same parents and the infringement of various cytotoxic substance.NAC plays at the suitable horizontal aspect of GSH of holding
Important function, thus contribute to the cytotoxin infringement protecting cell not lead to because internal GSH level is too low.Research shows,
NAC can effectively prevent and treat noise induced hearing loss (the .J Am Acad Audiol such as Kramer S., 2006,17:265–278).Can
By commercially available acquisition ACETYLCYSTEINE.
Vitamin A is a kind of fatsoluble vitamin playing important physiological function in body.It is except maintaining machine
Outside the functions such as the Growth and Differentiation of body normal vision and epithelium, free radical can also be caught, be quenched single line oxygen (1O2), improve body and resist
Oxidation protection capability.Vitamin A deficiency incidence rate is higher, but if a large amount of absorption has overt toxicity to body again, therefore, dimension life
The absorption of plain A should control in zone of reasonableness.Vitamin A in the present invention can be by adding Vitamin A Acetate and/or dimension life
Plain A cetylate obtains, preferred vitamin A cetylate.
Vitamin B1 participates in the oxidative deamination reaction of 2-ketoacid and the transketolase reaction of phosphopentose pathway in vivo,
Energy metabolism aspect plays a significant role.People continuous work 4 hours in the noise of 85-100 decibel intensity, internal vitamin
B1 will reduce about 30%.
Vitamin B2 is catalyzed extensive oxidation-reduction reaction in vivo, also has antioxidant activity, is to promote energy in body
Amount generates the important substance with anti-lipid peroxidation.Noise exposure can significantly reduce the level of body vitamin B2.
Vitamin B6 participates in nearly hundred kinds of mainly relevant with amino acid metabolism in vivo enzyme reactions, also can affect vestibular function
Stability.Noise exposure can significantly reduce the level of vitamin B6.
Vitamin B12 and protein synthesis and cell form closely related, also have with odd numbers of carbon atoms fat metabolic process
Close.Noise exposure can significantly reduce the level of vitamin B12.
Vitamin C is a kind of electron donor, can carry out reversible oxidation in vivo, can remove multiple freedom as antioxidant
Base, participates in multiple important biosynthetic processes as coenzyme.Appropriate vitimin supplement C is conducive to body to maintain higher antioxygen
Change level.
Vitamin E is important high-efficiency antioxidant agent in non-enzymatic antioxidant system, protects cells from free radical in vivo
Infringement, improves immunologic function, delaying cell aging degenerative process.People's continuous work 4 in the noise of 85-100 decibel intensity is little
When, internal vitamin C will reduce about 40%.Vitamin E in the present invention can by add Vitamin E acetate and/or
Vitamin e succinate obtains, preferred vitamin E acetate.
Magnesium is the dominant cation in human body cell, is concentrated in mitochondrion, is only second to potassium and phosphorus, only secondary in extracellular fluid
Occupy the 3rd in sodium and calcium, be the required material of the basic biochemical reaction of internal various kinds of cell.Magnesium can affect potassium ion and calcium from
The transhipment of son, the transmission of adjustment signal, participate in the synthesis of energy metabolism, protein and nucleic acid;The activation of catalyzing enzyme and suppression and
The regulation and control of cell cycle, cell proliferation and cell differentiation;Magnesium also participates in anti-body oxidative stress process.Noise exposure can cause
Internal ear glutamic acid and its NMDA type glutamate receptor abnormal activation, a large amount of flow of calcium ions cause intracellular calcium overload, cause cell
Damage, i.e. exitotoxicity.Magnesium ion can block calcium channel, mitigates the exitotoxicity damage that intracellular calcium overload causes.This
In bright, content of magnesium can be obtained by adding organic magnesium salts, and described organic magnesium salts can be magnesium gluconate, magnesium lactate, citric acid
The edible magnesium salt such as U.S., preferably magnesium gluconate.
Nutrient of the present invention can adopt one of following dosage forms:Hard capsule, soft capsule, ordinary tablet, coated tablet, thin
Film garment piece, Special-shaped sheet, chewable tablet, effervescent tablet, dispersible tablet, granule, pill, solution, syrup.It is preferably tablet or capsule
Agent.
The edible adjuvant of various routines also can be added, this adjuvant is according to nutrient in the formula of nutrient of the present invention
Determining, the dosage form of nutrient is tablet to dosage form difference, and described edible adjuvant includes 100 parts of Lactose, 80 parts of Microcrystalline Cellulose, carboxylic
40 parts of methyl starch sodium and 5 parts of magnesium stearate;The dosage form of nutrient is effervescent tablet, and described edible adjuvant includes citric acid 1000
Part, 500 parts of malic acid, 1400 parts of sodium bicarbonate, 35 parts of aspartame, 60 parts of orange flavor, 60 parts of sodium chloride and
PEG6000120 part;The dosage form of nutrient is hard capsule:Described edible adjuvant includes 15 parts of Hypromellose, hydroxypropyl first fibre
15 parts of dimension element, 45 parts of carboxymethyl starch sodium and 4 parts of magnesium stearate.
The experiment proved that, the nutrient that the present invention provides has the effect of good noise immunity hearing loss.The present invention
There is advantages below:
1) the different molecular approach being occurred according to noise induced hearing loss, using small molecule amino acid derivativges, vitamin
With the reasonable combination of mineral, respectively from antioxidation, anti-exitotoxicity, improve in terms of internal ear aerobic metabolism and energy generate etc.
Row is intervened so that having synergistic function between each nutrient, and the effect is significant of preventing and treating noise induced hearing loss strengthens.
2) this nutrient comprehensive nutrition, also by its high-efficiency antioxidant efficiency and then can improve resisting stress capability, fit
Supplement for the daily nutrition element of occupational noise exposure person particularly military noise operating personnel.
3) ingredient origin enriches, and toxic and side effects are extremely low, suitable professional population long-term taking, safe ready.
Specific embodiment
With reference to subordinate list and specific embodiment, technical solution of the present invention is described in further detail, described is concrete
Embodiment only explains to the present invention, not in order to limit the present invention.
If nutrient group component of the present invention is daily dose, wherein all number dosage are all in terms of milligram, additionally, daily dose
One or more dosage units can be comprised.
Embodiment 1, there is the nutrition agent prescription of noise immunity hearing loss.
The present embodiment 1 provides each active component in compound vitamin in the present invention, mineral, amino acid derivativges nutrient
Daily dose, this dosage once can take as a dosage unit or multiple dosage unit part vic in a day.
The formula of embodiment 1 nutrient is as shown in table 1:
The raw material of table 1 embodiment 1 composite nutrient and each active component formula
| Nutrient title |
Raw material |
Dosage |
Active component content |
| N-acetylcystein |
N-acetyl-L-cysteine |
900mg |
900mg |
| Vitamin A |
Vitamin A Acetate Powder |
19.88mg |
3000μgRE |
| Vitamin B1 |
Vitamin B1 |
2.5mg |
2.5mg |
| Vitamin B2 |
Vitamin B2 |
2.5mg |
2.5mg |
| Vitamin B6 |
Vitamin B6 |
2mg |
2mg |
| Vitamin B12 |
Vitamin B12 |
10mcg |
10mcg |
| Vitamin C |
Vitamin C |
500mg |
500mg |
| Vitamin E |
Vitamin E acetate |
540mg |
270mg |
| Magnesium |
Magnesium gluconate |
5.2g |
300mg |
In table 1, " RE " refers to retinol equivalent, represents all and has retinol active substance (the established vitamin A of inclusion
And provitamin A) total amount (μ g).
Embodiment 2, have noise immunity hearing loss nutrient piece preparation, raw material and dosage as shown in table 2:
The component of table 2. embodiment 2 nutrient piece and dosage
| Raw material |
Dosage |
| N-acetyl-L-cysteine |
900mg |
| Vitamin A Acetate Powder |
19.88mg |
| Vitamin B1 |
2.5mg |
| Vitamin B2 |
2.5mg |
| Vitamin B6 |
2mg |
| Vitamin B12 |
10mcg |
| Vitamin C |
500mg |
| Vitamin E acetate |
540mg |
| Magnesium gluconate |
5.2g |
| Adjuvant |
Dosage |
| Lactose |
100mg |
| Microcrystalline Cellulose |
80mg |
| Carboxymethyl starch sodium |
40mg |
| Magnesium stearate |
5mg |
Preparation method:Weigh raw material by above-mentioned formula dosage, according to equal increments method mixing, then with Lactose, microcrystalline cellulose
Element, Sodium Hydroxymethyl Stalcses and the acceptable auxiliary materials and mixing of magnesium stearate food, the mix powder direct compression that will prepare, both
?.Described tablet can be obtained Film coated tablets by coating further.
Embodiment 3, have noise immunity hearing loss nutrient hard capsule preparation, raw material and dosage as shown in table 3:
The component of table 3. embodiment 3 nutrient hard capsule and dosage
| Raw material |
Dosage |
| N-acetyl-L-cysteine |
900mg |
| Vitamin A Acetate Powder |
19.88mg |
| Vitamin B1 |
2.5mg |
| Vitamin B2 |
2.5mg |
| Vitamin B6 |
2mg |
| Vitamin B12 |
10mcg |
| Vitamin C |
500mg |
| Vitamin E acetate |
540mg |
| Magnesium gluconate |
5.2g |
| Adjuvant |
Dosage |
| Hypromellose |
15mg |
| Carboxymethyl starch sodium |
45mg |
| Magnesium stearate |
4mg |
Preparation method:Weigh raw material by above-mentioned formula dosage, according to equal increments method mixing, then with carboxymethyl starch sodium and
The acceptable auxiliary materials and mixing of the food such as Hypromellose, mixture carries out non-slurry pelletizing, adds magnesium stearate, loads capsule,
Both obtained hard capsule.
Embodiment 4, have noise immunity hearing loss nutrition effervescent tablet preparation, raw material and dosage as shown in table 4:
The component of table 4. embodiment 4 nutrition effervescent tablet and dosage
| Raw material |
Dosage |
| N-acetyl-L-cysteine |
900mg |
| Vitamin A Acetate Powder |
19.88mg |
| Vitamin B1 |
2.5mg |
| Vitamin B2 |
2.5mg |
| Vitamin B6 |
2mg |
| Vitamin B12 |
10mcg |
| Vitamin C |
500mg |
| Vitamin E acetate |
540mg |
| Magnesium gluconate |
5.2g |
| Adjuvant |
Dosage |
| Citric acid |
1000mg |
| Malic acid |
500mg |
| Sodium bicarbonate |
1400mg |
| Aspartame |
35mg |
| Orange flavor |
60mg |
| Sodium chloride |
60mg |
| PEG6000 |
120mg |
Preparation method:Weigh raw material by above-mentioned formula dosage, according to equal increments method mixing, then with citric acid, malic acid,
The acceptable auxiliary materials and mixing of the food such as sodium bicarbonate, aspartame, orange flavor, sodium chloride and PEG6000, mixture is suitable
Carry out direct powder compression under humidity, both obtain effervescent tablet.
Experimental example, nutrient of the present invention preventing and treating noise induced hearing loss Function detection, following invention process is only sketched at this
Has the experiment content of significance in invention.
Animal packet and process:Healthy adult pattern Cavia porcelluss 29 (female 14, male 15), weight 230~
280g, is provided by Hygiene & Environmental Medical Science Inst., Academy of Military Medical Scien's Experimental Animal Center.
Animal is observed 3 days before experiment, is randomly divided into 4 groups, wherein:
Experimental comparison group, totally 6 healthy adult pattern Cavia porcelluss, female, male each 3;Experimental comparison group gives deionized water.
1 group of nutrient, totally 8 healthy adult pattern Cavia porcelluss, female, male each 4;Give compound vitamin (vitamin
A300 μ gRE/kg/ day+vitaminB10 .25mg/kg/ day+vitamin B2 0.25mg/kg/ day+vitamin B6 0.2mg/kg/ day+
Vitamin B12 1mcg/kg/ day+vitamin C 50mg/kg/ day+vitamin E2 7mg/kg/ day)+N-acetyl-L-cysteine
(400mg/kg/ day).Each component is dissolved in deionized water, is configured to 500mg/100ml suspension, administration by gavage is administered.
2 groups of nutrient, totally 7 healthy adult pattern Cavia porcelluss, female 3, male 4;Give compound vitamin (ibid)+
Magnesium (200mg/kg/ day).Each component is dissolved in deionized water, is configured to 500mg/100ml suspension, administration by gavage is administered.
3 groups of nutrient, totally 8 healthy adult pattern Cavia porcelluss, female, male each 4;Give compound vitamin (ibid)+N-
Acetyl-L-Cysteine (400mg/kg/ day)+magnesium (200mg/kg/ day).Each component is dissolved in deionized water, is configured to
500mg/100ml suspension, administration by gavage is administered.
Expose first three sky until whole at the end of experiment in the 7th day after exposing be administered.
Laboratory animal noise exposure:All tested Cavia porcelluss are placed in wire mesh cage, are put in ground by same radius, upper hovering
Hang speaker.White noise is sent by B&K 3560C signal generating system (B&K company, Denmark), is connected in through power amplifier and raises one's voice
Device.By B&K2209 type precision sound level meter (B&K company, Denmark) Monitoring and Controlling, the noise exposure sound intensity is (110.0 ± 1) dB
(SPL), daily expose 3h, continuous 2 days.
Tb-ABR detects pure tone audiometry:Before noise exposure and 0 day after noise exposure, 1 day, 3 days, 7 days difference Fundamentals of Measurement
Threshold of audibility situation of change after value and noise exposure, measuring method:3 needle electrodes are inserted Cavia porcelluss subcutaneous.Recording electrode inserts in cranium
Top center position, reference electrode is placed in picking up the ears mastoid location, and ground wire electrode inserts in subcutaneous to mastoid process of picking up the ears, and is subsequently placed in electric screen
Cover in ferrum case.Application Smart-EP Manual Version 3.97 test system (Zhi Ting company of the U.S.).Using tone burst thorn
Swash (2,4,8,16,32kHz), 1.6ms, rise/fall time be 2 cycles, plateau be 1 cycle, from Blackman
Window envelope control sidelobe energy.Positive and negative alternately polarity stimulates, electrode resistance<5 Ω, stimulus frequency is 21.2/s, observes time-histories
12.8ms, filtering bandwidth 100~500Hz, are superimposed 512 times, start to stimulate with 80dBSPL, 10dB successively decreases, close to threshold value when with
5dB successively decreases, and is repeated 2 times.When measuring 16,32kHz, with high frequency earphone to sound;Measure 2,4,8kHz when, with ER3 earphone to sound.
C-ABR detects the threshold of audibility:Stimulus signal is short sound 100ms, stimulus frequency 11.1/s, filtering bandwidth 100~3000Hz,
Superposition 512 times, observes time-histories 12.8ms, adopts TDH-49P earphone to sound during mensure.Remaining is tested with Tb-ABR.
Statistical procedures:Data is represented using means standard deviation, using SPSS 11.5 software kit, result is counted
Credit is analysed, with P<0.05 is that difference is statistically significant.
Testing result is as shown in table 5:
The protective effect to noise induced hearing loss for table 5. nutrient of the present invention
Continued 5
In table 5,0 group is experimental comparison group, and 1 group is 1 group of nutrient, and 2 groups is 2 groups of nutrient, and 3 groups is 3 groups of nutrient;With
Compare for 0 group, * P<0.05;Compared with 1 group, #P<0.05;, &P compared with 2 groups<0.05.
Result shows, persistently gives the threshold of audibility that nutrient of the present invention can significantly improve caused by noise exposure and pure tone audiometry
Abnormal rising, has the effect of clear and definite noise immunity hearing loss, wherein, (i.e. the optimization of the present invention is joined with nutrient 3 especially
Side) protected effect optimal, it is to the protective effect of the temporary hearing threshold shift of caused by noise exposure up to 19dB.
Although above in conjunction with subordinate list, invention has been described, the invention is not limited in above-mentioned being embodied as
Mode, above-mentioned specific embodiment is only schematically, rather than restricted, and those of ordinary skill in the art is at this
Under the enlightenment of invention, without deviating from the spirit of the invention, many variations can also be made, these belong to the present invention's
Within protection.