Marx Wolfgang, Kiss Nicole, Isenring Liz
aFaculty of Health Sciences and Medicine, Bond University, Queensland bNutrition and Speech Pathology Department, Peter MacCallum Cancer Centre, Victoria, Australia.
Curr Opin Support Palliat Care. 2015 Jun;9(2):189-95. doi: 10.1097/SPC.0000000000000135.
Nausea and vomiting can pose a significant burden to patients in a variety of clinical settings. Previous evidence suggests that ginger may be an effective treatment for these symptoms; however, current evidence has been mixed. This article discusses recent clinical trials that have investigated ginger as a treatment for multiple types of nausea and vomiting. In addition, the potential mechanisms of action of ginger will be discussed.
This article identified nine studies and seven reviews that investigated ginger for morning sickness, postoperative nausea and vomiting, chemotherapy-induced, and antiretroviral-induced nausea and vomiting. All studies reported that ginger provided a significant reduction in nausea and vomiting; however, the clinical relevance of some studies is less certain. Common limitations within the literature include the lack of standardized extracts, poorly controlled or blinded studies, and limited sample size. In addition, recent evidence has provided further support for 5-HT3 receptor antagonism as a mechanism by which ginger may exert its potentially beneficial effect on nausea and vomiting.
The results of studies in this article suggest that ginger is a promising treatment for nausea and vomiting in a variety of clinical settings and possesses a clinically relevant mechanism. However, further studies are required to address the limitations in the current clinical literature before firm recommendations for its use can be made.
恶心和呕吐会给处于各种临床环境中的患者带来重大负担。先前的证据表明,生姜可能是治疗这些症状的有效方法;然而,目前的证据并不一致。本文讨论了最近将生姜作为多种类型恶心和呕吐治疗方法进行研究的临床试验。此外,还将讨论生姜的潜在作用机制。
本文确定了九项研究和七篇综述,这些研究探讨了生姜用于治疗孕吐、术后恶心和呕吐、化疗引起的以及抗逆转录病毒药物引起的恶心和呕吐。所有研究均报告生姜能显著减轻恶心和呕吐;然而,一些研究的临床相关性尚不确定。文献中的常见局限性包括缺乏标准化提取物、研究控制不佳或未设盲以及样本量有限。此外,最近的证据进一步支持了5-HT3受体拮抗作用是生姜可能对恶心和呕吐发挥潜在有益作用的一种机制。
本文的研究结果表明,生姜在各种临床环境中是一种有前景的恶心和呕吐治疗方法,并且具有临床相关机制。然而,在能够做出关于其使用的明确建议之前,需要进一步研究来解决当前临床文献中的局限性。