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补充纳米姜黄素可降低 2 型糖尿病患者糖尿病感觉运动多发性神经病的严重程度:一项随机、双盲、安慰剂对照的临床试验。

Nano curcumin supplementation reduced the severity of diabetic sensorimotor polyneuropathy in patients with type 2 diabetes mellitus: A randomized double-blind placebo- controlled clinical trial.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Department of Community Medicine, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Complement Ther Med. 2019 Apr;43:253-260. doi: 10.1016/j.ctim.2019.02.014. Epub 2019 Feb 28.

Abstract

BACKGROUND

Diabetic Sensorimotor Polyneuropathy (DSPN) is a common complication of diabetes mellitus. Curcumin is the most important ingredient found in turmeric which has a very high potential for eliminating free radicals and inhibiting oxidative stress as an antioxidant agent. The aim of this study was to determine the effect of Nano-curcumin supplementation on the severity of sensorimotor polyneuropathy in patients with Type 2 diabetes mellitus (T2DM).

METHOD

This parallel, double-blind randomized, placebo-controlled clinical trial was conducted on 80 diabetic patients. Participants were allocated randomly to the intervention (n = 40) and the control group (n = 40). They received 80 mg of nano-curcumin or placebo capsules for 8 weeks. Anthropometric measurements, dietary intake, physical activity, glycemic indices and the severity of DSPN were measured before and after the intervention.

RESULT

Supplementation of nano curcumin was accounted for a significant reduction in Glycated hemoglobin(HbA1c) (p < 0.001) and Fast Blood Sugar(FBS) (p = 0.004), total score of neuropathy (p < 0.001), total reflex score (p = 0.04) and temperature (p = 0.01) compared to placebo group.

CONCLUSION

Our findings indicated that curcumin supplementation for 2 months improved and reduced the severity of DSPN in patients with T2DM.

摘要

背景

糖尿病周围神经病变(DSPN)是糖尿病的常见并发症。姜黄素是姜黄中最重要的成分,具有很强的消除自由基和抑制氧化应激的能力,是一种抗氧化剂。本研究旨在探讨补充纳米姜黄素对 2 型糖尿病(T2DM)患者周围神经病变严重程度的影响。

方法

这是一项平行、双盲、随机、安慰剂对照的临床试验,共纳入 80 例糖尿病患者。参与者被随机分为干预组(n=40)和对照组(n=40)。他们分别接受 80mg 纳米姜黄素或安慰剂胶囊治疗 8 周。在干预前后测量了人体测量学指标、饮食摄入、体力活动、血糖指数和 DSPN 的严重程度。

结果

与安慰剂组相比,纳米姜黄素补充剂可显著降低糖化血红蛋白(HbA1c)(p<0.001)和快速血糖(FBS)(p=0.004)、神经病变总评分(p<0.001)、总反射评分(p=0.04)和温度(p=0.01)。

结论

我们的研究结果表明,补充姜黄素 2 个月可改善和减轻 T2DM 患者的 DSPN 严重程度。

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