Phytother Res. 2014 Jul;28(7):949-55. doi: 10.1002/ptr.5084.
Benign prostate hyperplasia (BPH) is a common condition affecting older men, with an incidence that is age-dependent. Histological BPH, which typically develops after the age of 40 years, ranges in prevalence from >50% at 60 years to as high as 90% by 85 years of age. Typical symptoms include increased frequency of urination, nocturia, urgency, hesitancy, and weak urine stream. Conventional medicines used for the treatment of BPH include alpha blockers and 5-alpha reductase inhibitors. This articles review the mode of action, the efficacy, and the safety, including herb-drug interactions of the most common botanicals (Serenoa repens, Pygeum africanum, Urtica dioica, and Cucurbita pepo) and nutraceuticals (isoflavones, lycopene, selenium, and β-Sitosterol) in controlling the lower urinary tract symptoms associated to BPH.
良性前列腺增生(BPH)是一种常见于老年男性的疾病,其发病率与年龄有关。组织学上的 BPH 通常在 40 岁后发展,其患病率从 60 岁时的>50%到 85 岁时高达 90%。典型症状包括尿频、夜尿、尿急、犹豫和尿流微弱。用于治疗 BPH 的常规药物包括α受体阻滞剂和 5-α还原酶抑制剂。本文综述了最常见的植物药(锯棕榈、非洲臀果木、荨麻和南瓜)和营养保健品(异黄酮、番茄红素、硒和β-谷甾醇)控制与 BPH 相关的下尿路症状的作用模式、疗效和安全性,包括草药-药物相互作用。