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韩国红参提取物对特应性皮炎患者的有益作用:一项为期8周的开放性、非对照临床研究。

The Beneficial Effect of Korean Red Ginseng Extract on Atopic Dermatitis Patients: An 8 Weeks Open, Noncomparative Clinical Study.

作者信息

Kim Hyeree, Park Chun Wook, Cho Sang Hyun

机构信息

Department of Dermatology, The Catholic University of Korea, Incheon St. Mary's Hospital, Incheon, Korea.

Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.

出版信息

Ann Dermatol. 2018 Jun;30(3):304-308. doi: 10.5021/ad.2018.30.3.304. Epub 2018 Apr 23.

Abstract

BACKGROUND

Atopic dermatitis (AD) is a chronic or chronically relapsing, eczematous, severely pruritic inflammatory skin disorder. Korean red ginseng (KRG) has been shown previously to exhibit diverse biological effects including anti-inflammatory and antipruritic effects in a murine model.

OBJECTIVE

We aimed to investigate the beneficial effects of KRG on AD patients, to determine whether there was improvement in disease severity, skin barrier function, pruritus and sleep disturbance relief.

METHODS

An open, noncomparative clinical study that utilized KRG tablets (500 mg/tablet) was conducted. This study included 41 patients with mild to moderate AD diagnosed by the Korean atopic dermatitis guidelines. Three visits to the hospital at days 1, 28±7, and 56±7 for evaluation were made. The effects of KRG were assessed by measuring eczema area and severity index (EASI) score, transepidermal water loss (TEWL), the visual analogue scale (VAS), total amount of topical agents used in recent 8 weeks and investigator global assessment (IGA).

RESULTS

Patients taking KRG tablets showed significant decreases in EASI score and TEWL, and the VAS of pruritus and sleep disturbance were significantly reduced. The amount of topical agents used was reduced but not by a statistically significant amount. IGA at the third visit showed improvement of AD compared to the second visit, but the difference was not statistically significant.

CONCLUSION

KRG can be safely used as a health food to achieve clinical improvement of AD as well as improving overall quality of life, and has potential for further development.

摘要

背景

特应性皮炎(AD)是一种慢性或慢性复发性、湿疹样、严重瘙痒的炎症性皮肤病。此前已表明,韩国红参(KRG)在小鼠模型中具有多种生物学效应,包括抗炎和止痒作用。

目的

我们旨在研究KRG对AD患者的有益作用,确定其是否能改善疾病严重程度、皮肤屏障功能、缓解瘙痒和睡眠障碍。

方法

进行了一项使用KRG片剂(500毫克/片)的开放性、非对照临床研究。本研究纳入了41例根据韩国特应性皮炎指南诊断为轻度至中度AD的患者。分别在第1天、第28±7天和第56±7天到医院进行三次评估。通过测量湿疹面积和严重程度指数(EASI)评分、经表皮水分流失(TEWL)、视觉模拟量表(VAS)、最近8周使用的外用药物总量以及研究者整体评估(IGA)来评估KRG的效果。

结果

服用KRG片剂的患者EASI评分和TEWL显著降低,瘙痒和睡眠障碍的VAS显著降低。外用药物使用量减少,但差异无统计学意义。第三次就诊时的IGA显示与第二次就诊相比AD有所改善,但差异无统计学意义。

结论

KRG可安全用作保健食品,以实现AD的临床改善以及提高整体生活质量,并且具有进一步开发的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f565/5929947/5d10cc0a7b36/ad-30-304-g001.jpg

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