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局部用姜黄素治疗哺乳期妇女乳腺炎的有效性:一项随机、双盲、安慰剂对照临床试验。

Effectiveness of topical curcumin for treatment of mastitis in breastfeeding women: a randomized, double-blind, placebo-controlled clinical trial.

作者信息

Afshariani Raha, Farhadi Pooya, Ghaffarpasand Fariborz, Roozbeh Jamshid

机构信息

Assistant Professor of Neonatology, Department of Public Health, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Oman Med J. 2014 Sep;29(5):330-4. doi: 10.5001/omj.2014.89.

Abstract

OBJECTIVE

To determine the efficacy of topical curcumin in reducing breast inflammation in women suffering from lactational mastitis.

METHODS

A randomized double-blind, placebo-controlled study including 63 breastfeeding women with lactational mastitis were randomly assigned to receive curcumin topical cream, one pump every 8 hours for 3 days (n=32) or topical moisturizer as placebo (n=31). Using an index for severity of breast inflammation, all of the patients had moderate breast inflammation before entering the study. The outcome of treatment was evaluated using the same index at 24, 48 and 72 hours of starting the treatment.

RESULTS

There was no significant difference between two study groups regarding the baseline characteristics such as age (p=0.361) and duration of lactation (p=0.551). After 72-hour of therapy, patients in curcumin groups had significantly lower rate of moderate (p=0.019) and mild (p=0.002) mastitis. Patients in curcumin group had significantly lower scores for tension (p<0.001), erythema (p<0.001) and pain (p<0.001), after 72-hour of treatment.

CONCLUSION

The results of the current study indicate that topical preparation of curcumin successfully decrease the markers of lactational mastitis such as pain, breast tension and erythema within 72 hours of administration without side effects. Thus, topical preparation of curcumin could be safely administered for those suffering from lactational mastitis after excluding infectious etiologies.

摘要

目的

确定局部应用姜黄素对患有哺乳期乳腺炎的女性减轻乳房炎症的疗效。

方法

一项随机双盲、安慰剂对照研究,纳入63名患有哺乳期乳腺炎的哺乳期女性,她们被随机分配接受姜黄素外用乳膏,每8小时1泵,共3天(n = 32)或外用保湿剂作为安慰剂(n = 31)。使用乳房炎症严重程度指数,所有患者在进入研究前均患有中度乳房炎症。在开始治疗后的24、48和72小时,使用相同的指数评估治疗结果。

结果

两个研究组在年龄(p = 0.361)和哺乳期(p = 0.551)等基线特征方面没有显著差异。治疗72小时后,姜黄素组患者中度(p = 0.019)和轻度(p = 0.002)乳腺炎的发生率显著降低。治疗72小时后,姜黄素组患者的张力(p < 0.001)、红斑(p < 0.001)和疼痛(p < 0.001)评分显著降低。

结论

本研究结果表明,局部应用姜黄素制剂在给药72小时内成功降低了哺乳期乳腺炎的指标,如疼痛、乳房张力和红斑,且无副作用。因此,在排除感染性病因后,姜黄素局部制剂可安全用于患有哺乳期乳腺炎的患者。

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