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缬草根对血液透析患者认知障碍和脑电图的影响:一项随机、交叉、双盲临床试验。

Effect of valerian on cognitive disorders and electroencephalography in hemodialysis patients: a randomized, cross over, double-blind clinical trial.

机构信息

Research Center and Department of Physiology, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

Nursing Care Research Center and Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, 3513138111, Iran.

出版信息

BMC Nephrol. 2018 Dec 27;19(1):379. doi: 10.1186/s12882-018-1134-8.

Abstract

BACKGROUND

The prevalence of cognitive disorders in hemodialysis patients is twice as high as the general population, while these disorders often are undiagnosed. Timely prevention and treatment can improve their personal and social functions. Aim of study was determined the effect of Valerian on cognitive disorders and electroencephalography (EGG) in hemodialysis patients.

METHODS

This crossover, double-blind clinical trial was conducted on 39 hemodialysis patients. The patients were randomly divided into two groups. Group A (n = 19) took Valerian capsules and Group B (n = 20) received placebo capsules 60 min before bedtime for one month. The type of treatment was replaced between the two groups after a one-month wash-out. The Mini Mental State Examination (MMSE) questionnaire was completed and EGG was performed before and after intervention in both periods.

RESULTS

The cognitive scores of the Group valerian were increased significantly in the first (p = 0.003) and the second (p = 0.005) periods. In addition, the mean increase in the cognitive scores in the Group valerian was significant in the first (p = 0.028) and the second periods (p = 0.030). However, the changes in EGG showed no significant difference before and after intervention in two groups.

CONCLUSION

The findings of this study indicated that valerian could be effective and significantly improve patients' cognitive status; however, no significant changes were observed in the electroencephalography of the hemodialysis patients.

TRIAL REGISTRATION

IRCT201606076318N7 -2016-06-17.

摘要

背景

血液透析患者认知障碍的患病率是普通人群的两倍,而这些障碍往往未被诊断。及时的预防和治疗可以改善他们的个人和社会功能。本研究旨在确定缬草对血液透析患者认知障碍和脑电图(EEG)的影响。

方法

这是一项交叉、双盲临床试验,共纳入 39 名血液透析患者。患者被随机分为两组。A 组(n=19)服用缬草胶囊,B 组(n=20)服用安慰剂胶囊,在睡前 60 分钟服用,持续一个月。两组之间在一个月的洗脱期后更换治疗类型。在两个时期的干预前后,分别完成简易精神状态检查表(MMSE)问卷和脑电图(EEG)检查。

结果

缬草组的认知评分在第一(p=0.003)和第二(p=0.005)期均显著增加。此外,缬草组的认知评分在第一(p=0.028)和第二(p=0.030)期的平均增加量也显著增加。然而,两组脑电图干预前后的变化无显著差异。

结论

本研究结果表明,缬草可能有效且显著改善患者的认知状态;然而,血液透析患者的脑电图没有观察到显著变化。

试验注册

IRCT201606076318N7-2016-06-17。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e724/6309073/34f4f91d0aa5/12882_2018_1134_Fig1_HTML.jpg

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