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服用越橘果实水醇提取物的高脂血症患者的血脂状况得到改善:一项随机、双盲、安慰剂对照的临床试验。

Improved lipid profile in hyperlipidemic patients taking Vaccinium arctostaphylos fruit hydroalcoholic extract: a randomized double-blind placebo-controlled clinical trial.

机构信息

Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran; Department of Pharmacology and Applied Medicine, Research Institute of Medicinal Plants, ACECR, Karaj, Iran.

出版信息

Phytother Res. 2014 Mar;28(3):432-6. doi: 10.1002/ptr.5011. Epub 2013 May 20.

Abstract

Dyslipidemia is a common contributory cause of cardiovascular disease. Vaccinium arctostaphylos L. (Caucasian whortleberry) fruit is rich of anthocyanins. Anthocyanins may exert cardioprotective effects by various mechanisms such as favorably modulating dyslipidemia. Therefore, in this randomized double-blind placebo-controlled clinical trial with hyperlipidemic (hypercholesterolemic and/or hypertriglyceridemic) patients aged 20-60 years, the effects of taking a standardized whortleberry fruit hydroalcoholic extract (one 350 mg capsule every 8 h for 2 months) on fasting blood levels of lipids, creatinine and liver enzymes including SGOT and SGPT were evaluated in 40 patients and compared with the placebo group (n = 40). The extract lowered the blood levels of total cholesterol (P < 0.001), triglyceride (P = 0.002) and low-density lipoprotein cholesterol (LDL-C) (P = 0.002), but increased the blood high-density lipoprotein cholesterol (HDL-C) levels (P < 0.001) without any significant effects on the blood levels of SGOT, SGPT and creatinine (P > 0.05) compared with the placebo group at the endpoint. Whortleberry reduced total cholesterol, triglyceride and LDL-C 27.6%, 19.2% and 26.3%, respectively, but increased HDL-C 37.5% compared with baseline. No adverse effects were reported. Short-term treatment with whortleberry fruit appears safe and improves lipid profile in hyperlipidemic patients.

摘要

血脂异常是心血管疾病的常见致病因素。越桔(越橘)果实富含花青素。花青素通过各种机制发挥心脏保护作用,例如有利地调节血脂异常。因此,在这项针对年龄在 20-60 岁之间的高脂血症(高胆固醇血症和/或高三酰甘油血症)患者的随机双盲安慰剂对照临床试验中,评估了每天服用标准化越橘果水醇提取物(每 8 小时服用 350mg 胶囊一次,持续 2 个月)对 40 名患者空腹血脂、肌酐和肝酶(包括 SGOT 和 SGPT)水平的影响,并与安慰剂组(n=40)进行了比较。提取物降低了总胆固醇(P<0.001)、甘油三酯(P=0.002)和低密度脂蛋白胆固醇(LDL-C)(P=0.002)的血液水平,但增加了高密度脂蛋白胆固醇(HDL-C)的血液水平(P<0.001),与安慰剂组相比,在终点时对 SGOT、SGPT 和肌酐的血液水平没有任何显著影响(P>0.05)。与基线相比,越橘分别降低总胆固醇、甘油三酯和 LDL-C 27.6%、19.2%和 26.3%,但增加 HDL-C 37.5%。没有报告不良反应。短期服用越橘果安全且可改善高脂血症患者的血脂谱。

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