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一项双盲、安慰剂对照研究,考察两种剂量的缬草制剂对睡眠受扰的老年人的睡眠、认知及精神运动功能的影响。

A double-blind, placebo-controlled investigation of the effects of two doses of a valerian preparation on the sleep, cognitive and psychomotor function of sleep-disturbed older adults.

作者信息

Diaper A, Hindmarch I

机构信息

HPRU Medical Research Centre, University of Surrey, Guildford, Surrey, UK.

出版信息

Phytother Res. 2004 Oct;18(10):831-6. doi: 10.1002/ptr.1574.

Abstract

One of the most popular herbal remedies for the alleviation of sleep problems is valerian. However, research into valerian is sparse, and studies differ greatly with respect to design, measures, and preparations used. This clinical study used standardized sleep EEG and psychometric tests to evaluate the clinical efficacy of a valerian preparation (Li 156). A placebo-controlled three way crossover clinical trial was completed using 16 (5 male and 11 female) sleep-disturbed participants (aged 50 to 64 years, mean age 55.9, SD 4.68). Participants slept overnight in a sleep laboratory, following a 21:00 hours dose of valerian 300 mg, valerian 600 mg, or placebo (double-blind). EEG sleep was recorded for each participant at 23:00 hours until 07:00 hours, when a psychometric evaluation was performed the morning after dose. Test periods were separated by six days washout period. Results showed no significant effect between valerian 300 mg, valerian 600 mg or placebo on any EEG parameter or psychometric measure. This suggests valerian at these doses is ineffective as an acute dose for sleep problems. However, valerian is widely used, and is traditionally sedative. Therefore, more research is required into therapeutic dose, types of valerian preparation, and the optimum period of use for therapeutic effect.

摘要

缬草是最常用于缓解睡眠问题的草药之一。然而,对缬草的研究较少,且各项研究在设计、测量方法和使用的制剂方面差异很大。这项临床研究使用标准化睡眠脑电图和心理测量测试来评估一种缬草制剂(Li 156)的临床疗效。采用安慰剂对照的三向交叉临床试验,共有16名(5名男性和11名女性)睡眠障碍参与者(年龄在50至64岁之间,平均年龄55.9岁,标准差4.68)完成试验。参与者于21:00服用300毫克缬草、600毫克缬草或安慰剂(双盲)后,在睡眠实验室过夜。在23:00至次日07:00对每位参与者进行脑电图睡眠记录,服药后次日早晨进行心理测量评估。试验期之间有六天的洗脱期。结果显示,300毫克缬草、600毫克缬草或安慰剂对任何脑电图参数或心理测量指标均无显著影响。这表明这些剂量的缬草作为治疗睡眠问题的急性剂量是无效的。然而,缬草被广泛使用,且传统上具有镇静作用。因此,需要对治疗剂量、缬草制剂类型以及产生治疗效果的最佳使用期进行更多研究。

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