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用法国滨海松树皮提取物碧萝芷治疗注意力缺陷多动障碍。

Treatment of ADHD with French maritime pine bark extract, Pycnogenol.

作者信息

Trebatická Jana, Kopasová Sona, Hradecná Zuzana, Cinovský Kamil, Skodácek Igor, Suba Ján, Muchová Jana, Zitnanová Ingrid, Waczulíková Iweta, Rohdewald Peter, Duracková Zdenka

机构信息

Dept. of Child Psychiatry, Child University Hospital, Faculty of Medicine, Comenius University, Limbová 1, 833 40 Bratislava, Slovakia.

出版信息

Eur Child Adolesc Psychiatry. 2006 Sep;15(6):329-35. doi: 10.1007/s00787-006-0538-3. Epub 2006 May 13.

DOI:10.1007/s00787-006-0538-3
PMID:16699814
Abstract

Attention Deficit/Hyperactivity Disorder (ADHD) is the most common psychiatric disorder in children. Pycnogenol, an extract from the bark of the French maritime pine, consisting of phenolic acids, catechin, taxifolin and procyanidins, has shown improvement of ADHD in case reports and in an open study. Aim of the present study was to evaluate the effect of Pycnogenol on ADHD symptoms. Sixty-one children were supplemented with 1 mg/kg/day Pycnogenol or placebo over a period of 4 weeks in a randomised, placebo-controlled, doubleblind study. Patients were examined at start of trial, 1 month after treatment and 1 month after end of treatment period by standard questionnaires: CAP (Child Attention Problems) teacher rating scale, Conner's Teacher Rating Scale (CTRS), the Conner's Parent Rating Scale (CPRS) and a modified Wechsler Intelligence Scale for children. Results show that 1-month Pycnogenol administration caused a significant reduction of hyperactivity, improves attention and visual-motoric coordination and concentration of children with ADHD. In the placebo group no positive effects were found. One month after termination of Pycnogenol administration a relapse of symptoms was noted. Our results point to an option to use Pycnogenol as a natural supplement to relieve ADHD symptoms of children.

摘要

注意缺陷多动障碍(ADHD)是儿童中最常见的精神疾病。碧萝芷是一种从法国滨海松树皮中提取的物质,由酚酸、儿茶素、紫杉叶素和原花青素组成,在病例报告和一项开放性研究中显示对ADHD有改善作用。本研究的目的是评估碧萝芷对ADHD症状的影响。在一项随机、安慰剂对照、双盲研究中,61名儿童在4周时间内每天补充1mg/kg的碧萝芷或安慰剂。在试验开始时、治疗1个月后以及治疗期结束后1个月,通过标准问卷对患者进行检查:儿童注意力问题(CAP)教师评定量表、康纳教师评定量表(CTRS)、康纳家长评定量表(CPRS)以及儿童韦氏智力量表的修订版。结果显示,服用碧萝芷1个月可显著减少多动症状,改善ADHD儿童的注意力、视觉运动协调能力和注意力集中程度。在安慰剂组未发现积极效果。停止服用碧萝芷1个月后,症状出现复发。我们的结果表明,碧萝芷可作为一种天然补充剂用于缓解儿童的ADHD症状。

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本文引用的文献

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Attention-deficit/hyperactivity disorder: a selective overview.注意力缺陷多动障碍:选择性概述。
Biol Psychiatry. 2005 Jun 1;57(11):1215-20. doi: 10.1016/j.biopsych.2004.10.020. Epub 2004 Dec 18.
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A prospective, multicenter, open-label assessment of atomoxetine in non-North American children and adolescents with ADHD.一项针对非北美地区患有注意力缺陷多动障碍(ADHD)的儿童和青少年的托莫西汀前瞻性、多中心、开放标签评估。
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Co-existing disorders in ADHD -- implications for diagnosis and intervention.
增强小儿注意力缺陷多动障碍治疗效果:探究法国滨海松树皮提取物和哌甲酯干预对肠道微生物群的影响
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Risperidone Pellets, Pycnogenol, and Glucomannan Gummy Formulation for Managing Weight Gain and ADHD in Autistic Children.用于管理自闭症儿童体重增加和注意力缺陷多动障碍的利培酮微丸、碧萝芷和葡甘露聚糖软糖配方
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Pycnogenol French maritime pine bark extract in randomized, double-blind, placebo-controlled human clinical studies.碧萝芷(法国滨海松树皮提取物)用于随机、双盲、安慰剂对照的人体临床研究。
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Safety and efficacy of antioxidant therapy in children and adolescents with attention deficit hyperactivity disorder: A systematic review and network meta-analysis.抗氧化治疗对儿童和青少年注意缺陷多动障碍的安全性和疗效:系统评价和网络荟萃分析。
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Attention Deficit Hyperactivity Disorder (ADHD) and Polyphenols: A Systematic Review.注意缺陷多动障碍(ADHD)与多酚:系统评价。
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Herbal medicines in the treatment of children and adolescents with attention-deficit/hyperactivity disorder (ADHD): An updated systematic review of clinical trials.草药治疗儿童和青少年注意力缺陷多动障碍(ADHD):临床试验的最新系统评价
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J Atten Disord. 2002 Sep;6(2):49-60. doi: 10.1177/108705470200600201.
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Urinary metabolites of French maritime pine bark extract in humans.法国滨海松树皮提取物在人体中的尿液代谢产物。
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Atomoxetine in the treatment of children and adolescents with attention-deficit/hyperactivity disorder: a randomized, placebo-controlled, dose-response study.托莫西汀治疗儿童和青少年注意力缺陷/多动障碍:一项随机、安慰剂对照、剂量反应研究。
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Antioxidant activity and biologic properties of a procyanidin-rich extract from pine (Pinus maritima) bark, pycnogenol.富含原花青素的松树(滨海松)树皮提取物碧萝芷的抗氧化活性及生物学特性
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The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity.修订版康纳斯父母评定量表(CPRS-R):因子结构、信度和效标效度。
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