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银杏叶治疗儿童和青少年注意力缺陷多动障碍:一项随机、安慰剂对照试验

Ginkgo biloba in the treatment of attention-deficit/hyperactivity disorder in children and adolescents. A randomized, placebo-controlled, trial.

作者信息

Shakibaei Fereshteh, Radmanesh Mehrsa, Salari Elham, Mahaki Behzad

机构信息

Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Complement Ther Clin Pract. 2015 May;21(2):61-7. doi: 10.1016/j.ctcp.2015.04.001. Epub 2015 Apr 18.

Abstract

OBJECTIVE

To evaluate the efficacy of Ginkgo biloba as a complementary therapy for attention-deficit/hyperactivity disorder (ADHD).

METHODS

Children and adolescents with ADHD received methylphenidate (20-30 mg/day) plus either G. biloba (80-120 mg/day) or placebo for 6 weeks. Parent and teacher forms of the ADHD Rating Scale-IV (ADHD-RS-IV) were completed at baseline, week 2, and week 6. Treatment response was defined as 27% improvement from baseline in the ADHD-RS-IV.

RESULTS

Compared with placebo, more reduction was observed with G. biloba regarding ADHD-RS-IV parent rating inattention score (-7.74 ± 1.94 vs. -5.34 ± 1.85, P < 0.001) and total score (-13.1 ± 3.36 vs. -10.2 ± 3.01, P = 0.001) as well as teacher rating inattention score (-7.29 ± 1.90 vs. -5.96 ± 1.52, P = 0.004). Response rate was higher with G. biloba compared with placebo based on parent rating (93.5% vs. 58.6%, P = 0.002).

CONCLUSIONS

The G. biloba is an effective complementary treatment for ADHD. Further studies with longer treatment duration are warranted in this regard. IRCT2014111519958N1.

摘要

目的

评估银杏叶作为注意力缺陷多动障碍(ADHD)辅助治疗方法的疗效。

方法

患有ADHD的儿童和青少年接受哌甲酯(20 - 30毫克/天)加银杏叶(80 - 120毫克/天)或安慰剂治疗6周。在基线、第2周和第6周完成ADHD评定量表-IV(ADHD-RS-IV)的家长和教师表格。治疗反应定义为ADHD-RS-IV较基线改善27%。

结果

与安慰剂相比,银杏叶在ADHD-RS-IV家长评定注意力不集中得分(-7.74±1.94对-5.34±1.85,P<0.001)、总分(-13.1±3.36对-10.2±3.01,P = 0.001)以及教师评定注意力不集中得分(-7.29±1.90对-5.96±1.52,P = 0.004)方面有更多降低。基于家长评定,银杏叶的反应率高于安慰剂(93.5%对58.6%,P = 0.002)。

结论

银杏叶是ADHD的一种有效辅助治疗方法。在这方面有必要进行更长治疗时长的进一步研究。IRCT2014111519958N1。

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