Haghpanah Parya, Moghadamnia Ali Akbar, Zarghami Amin, Motallebnejad Mina
Department of Periodontology, School of Dentistry, Babol University of Medical Sciences, Babol, Iran.
Department of Physiology & Pharmacology, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2015 Winter;6(1):3-8.
Recurrent aphthous stomatitis (RAS) is the most common oral mucosal lesions in the general population. Various treatment modalities have been used; but no specific therapy proved to be definitive. Ginger Officinale (ginger) indicated to have anti-inflammatory properties in herbal medicine. Thus, this study aimed to evaluate the efficacy of ginger containing bioadhesive in the treatment of aphthous ulcers.
In this randomized double-blind placebo-controlled trial, 15 patients were enrolled. The clinical efficacy of the mucoadhessive on pain, inflammatory zone and ulcer's diameter in the test period was compared with that of the base treatment and no treatment periods during 10 days of study.
Significant reduction in pain was observed on day 5 between placebo (using base bioadhesives) and without treatment periods at the first phase of the study (4.53 vs. 3.27; P=0.038. ( Reduction in inflamed halo diameters was significant on day 1 between without treatment and ginger containing bioadhesives )46.73 vs 28.67; P=0.044). Other variables such as the diameter of ulcers did not indicate any significant differences in both periods.
This study indicated that ginger bioadhesive is capable to relieve pain of RAS. However, its efficacy on ulcer diameter, inflamed halo and healing time was not significantly different compared to the results of the placebo received period.
复发性阿弗他口炎(RAS)是普通人群中最常见的口腔黏膜病变。已采用多种治疗方式;但尚无特定疗法被证明是决定性的。在草药医学中,生姜被认为具有抗炎特性。因此,本研究旨在评估含生姜的生物黏附剂治疗阿弗他溃疡的疗效。
在这项随机双盲安慰剂对照试验中,招募了15名患者。在为期10天的研究中,将生物黏附剂在试验期对疼痛、炎症区域和溃疡直径的临床疗效与基础治疗期和未治疗期进行比较。
在研究的第一阶段,第5天时,安慰剂组(使用基础生物黏附剂)与未治疗期相比,疼痛显著减轻(4.53对3.27;P = 0.038)。未治疗期与含生姜生物黏附剂组相比,第1天时炎症晕圈直径显著减小(46.73对28.67;P = 0.044)。其他变量如溃疡直径在两个时期均未显示出任何显著差异。
本研究表明生姜生物黏附剂能够缓解RAS的疼痛。然而,与接受安慰剂期间的结果相比,其对溃疡直径、炎症晕圈和愈合时间的疗效并无显著差异。