Department of Food Service Management and Nutrition, Sangmyung University, Hongji-dong, Jongro-gu, Seoul 110-743, Korea.
Nutr Res Pract. 2009 Winter;3(4):323-7. doi: 10.4162/nrp.2009.3.4.323. Epub 2009 Dec 31.
This study was to investigate the role of complementary and alternative medicine in the prevention and treatment of benign prostatic hyperplasia. For this purpose, a randomized, double-blind, placebo-controlled trial was performed over 12 months on 47 benign prostatic hyperplasia patients with average age of 53.3 years and international prostate symptom score over 8. Subjects received either sweet potato starch (group A, placebo, 320 mg/day), pumpkin seed oil (group B, 320 mg/day), saw palmetto oil (group C, 320 mg/day) or pumpkin seed oil plus saw palmetto oil (group D, each 320 mg/day). International prostate symptom score, quality of life, serum prostate specific antigen, prostate volume and maximal urinary flow rate were measured. In groups B, C and D, the international prostate symptom score were reduced by 3 months. Quality of life score was improved after 6 months in group D, while those of groups B and C were improved after 3 months, compared to the baseline value. Serum prostate specific antigen was reduced only in group D after 3 months, but no difference was observed in prostate volume in all treatment groups. Maximal urinary flow rate were gradually improved in groups B and C, with statistical significance after 6 months in group B and after 12 months in group C. None of the parameters were significantly improved by combined treatment with pumpkin seed oil and saw palmetto oil. From these results, it is suggested that administrations of pumpkin seed oil and saw palmetto oil are clinically safe and may be effective as complementary and alternative medicine treatments for benign prostatic hyperplasia.
本研究旨在探讨补充和替代医学在良性前列腺增生预防和治疗中的作用。为此,我们进行了一项为期 12 个月、随机、双盲、安慰剂对照试验,共纳入 47 例平均年龄为 53.3 岁、国际前列腺症状评分(IPSS)>8 的良性前列腺增生患者。患者接受以下治疗:红薯淀粉(A 组,安慰剂,320mg/天)、南瓜籽油(B 组,320mg/天)、锯棕榈油(C 组,320mg/天)或南瓜籽油+锯棕榈油(D 组,各 320mg/天)。测定 IPSS、生活质量评分、血清前列腺特异抗原(PSA)、前列腺体积和最大尿流率。B、C 和 D 组患者的 IPSS 在治疗 3 个月后降低。D 组患者的生活质量评分在治疗 6 个月后改善,而 B 组和 C 组在治疗 3 个月后改善,与基线值相比。只有 D 组患者的血清 PSA 在治疗 3 个月后降低,但所有治疗组的前列腺体积均无差异。B 组和 C 组的最大尿流率逐渐改善,B 组在治疗 6 个月后和 C 组在治疗 12 个月后有统计学意义。南瓜籽油和锯棕榈油联合治疗对各参数均无明显改善。这些结果表明,南瓜籽油和锯棕榈油的给药是安全的,可能作为良性前列腺增生的补充和替代医学治疗方法有效。