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藏红花改善重度抑郁症患者的抑郁症状并降低同型半胱氨酸水平:一项随机双盲研究。

Saffron improved depression and reduced homocysteine level in patients with major depression: A Randomized, double-blind study.

作者信息

Jelodar Gholamali, Javid Zahra, Sahraian Ali, Jelodar Sina

机构信息

Department of Physiology, Shiraz University, Shiraz,Iran.

Research Center for psychiatry and Behavior Science, Department of Psychiatry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Avicenna J Phytomed. 2018 Jan-Feb;8(1):43-50.

Abstract

OBJECTIVES

A correlation between hyperhomocysteinemia, and depression has been reported. Saffron () is recommended for treatment of depression; hence, in this study the effect of co-administration of saffron and fluoxetine on plasma homocysteine and depression was evaluated.

MATERIAL AND METHODS

This was a 4-week randomized and double-blind clinical trial which was conducted from March 2013 to February 2014. In this trial, 40 male and females (20-55 years old) diagnosed with severe depression were selected and following filing the Beck form, were randomly divided into two groups. Experimental group was treated with fluoxetine 20 mg/day and saffron 30 mg /day and the control group received placebo and fluoxetine 20 mg/day for four weeks. Before treatment and at the end of the study, fasting blood samples were collected. For females, blood samples were collected on the third day of their menstrual cycle.

RESULTS

A significant reduction of homocysteine levels was observed in both sex in the experimental group compared to before treatment (p<0.04), while no such significant change was observed in the control group. A Beck questionnaire value showed lower level in both groups on the last day of treatment as compared to before treatment. There was no significant difference between the two groups in Beck value neither before nor after treatment.

CONCLUSION

Saffron has beneficial effects on depression and homocysteine level in patients with major depression.

摘要

目的

已有报道称高同型半胱氨酸血症与抑郁症之间存在关联。藏红花被推荐用于治疗抑郁症;因此,在本研究中,评估了藏红花与氟西汀联合使用对血浆同型半胱氨酸和抑郁症的影响。

材料与方法

这是一项为期4周的随机双盲临床试验,于2013年3月至2014年2月进行。在该试验中,选择了40名年龄在20 - 55岁之间、被诊断为重度抑郁症的男性和女性,填写贝克量表后,随机分为两组。实验组接受20毫克/天的氟西汀和30毫克/天的藏红花治疗,对照组接受安慰剂和20毫克/天的氟西汀治疗,为期四周。治疗前及研究结束时采集空腹血样。对于女性,在其月经周期的第三天采集血样。

结果

与治疗前相比,实验组男女的同型半胱氨酸水平均显著降低(p<0.04),而对照组未观察到如此显著的变化。贝克问卷评分显示,两组在治疗最后一天的评分均低于治疗前。治疗前后两组在贝克评分上均无显著差异。

结论

藏红花对重度抑郁症患者的抑郁症状和同型半胱氨酸水平有有益影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e06/5787996/623aca51978a/AJP-8-043-g001.jpg

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