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银杏叶片治疗合并糖调节受损的冠心病的疗效与安全性:系列单组随机、双盲、安慰剂对照试验的研究方案

Efficacy and Safety of Ginkgo Biloba Pills for Coronary Heart Disease with Impaired Glucose Regulation: Study Protocol for a Series of -of-1 Randomized, Double-Blind, Placebo-Controlled Trials.

作者信息

Sun Mingyue, Chai Lulu, Lu Fang, Zhao Yang, Li Qingna, Cui Boya, Gao Rui, Liu Yue

机构信息

Institute of Clinical Pharmacology of Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China.

Cardiovascular Diseases Center, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China.

出版信息

Evid Based Complement Alternat Med. 2018 Oct 14;2018:7571629. doi: 10.1155/2018/7571629. eCollection 2018.

Abstract

BACKGROUND

Coronary heart disease has become a serious challenge to China with its high prevalence and mortality. The impaired glucose regulation is prevalent in patients with cardiovascular disease. However, there are few drugs that interfere early with impaired glucose regulation. Ginkgo biloba extract not only is a commonly used drug for cardiovascular diseases, but also has a significant effect in reducing blood sugar. Therefore, this study used a single-case randomized controlled trial to explore the efficacy of Ginkgo biloba pills in the treatment of coronary heart disease patients with impaired glucose regulation.

METHODS/DESIGN: This is a randomized, double-blind, placebo-controlled, three-period crossover trial for a single subject. A total of 12 subjects will be recruited in this trial. The trial is divided into three cycles, and one cycle has two treatment periods. Ginkgo biloba pills and placebo will be randomized during the treatment period. The test period will last for 58 weeks and subjects will take 48 weeks. Subjects will be selected by the researcher strictly in accordance with the inclusion and exclusion criteria.

DISCUSSION

Ginkgo biloba preparations are widely used in cardiovascular diseases both at home and abroad due to their definite curative effect, few side effects, various dosage forms, and convenient and safe use. Diabetes mellitus is a high-risk factor for the occurrence of cardiovascular disease. Therefore, it is of great significance to control the impaired glucose regulation and slow down the development of diabetes and reduce the incidence and mortality of cardiovascular diseases. This trial is registered with ClinicalTrials.gov (ID: NCT03483779).

摘要

背景

冠心病因其高患病率和死亡率已成为中国面临的一项严峻挑战。心血管疾病患者中糖调节受损情况普遍存在。然而,能早期干预糖调节受损的药物较少。银杏叶提取物不仅是治疗心血管疾病的常用药物,而且在降低血糖方面也有显著效果。因此,本研究采用单病例随机对照试验来探讨银杏叶片治疗糖调节受损的冠心病患者的疗效。

方法/设计:这是一项针对单病例的随机、双盲、安慰剂对照、三阶段交叉试验。本试验共招募12名受试者。试验分为三个周期,一个周期有两个治疗阶段。治疗阶段将随机给予银杏叶片和安慰剂。试验期将持续58周,受试者服药48周。研究人员将严格按照纳入和排除标准选择受试者。

讨论

银杏叶制剂因其疗效确切、副作用少、剂型多样、使用方便安全,在国内外心血管疾病治疗中被广泛应用。糖尿病是心血管疾病发生的高危因素。因此,控制糖调节受损、减缓糖尿病发展以及降低心血管疾病的发病率和死亡率具有重要意义。本试验已在ClinicalTrials.gov注册(编号:NCT03483779)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a88/6204161/1d19e6942c66/ECAM2018-7571629.001.jpg

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