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姜黄素补充剂对肝硬化患者疾病严重程度的影响:一项随机对照试验。

Effect of curcumin supplementation on disease severity in patients with liver cirrhosis: A randomized controlled trial.

机构信息

Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Phytother Res. 2020 Jun;34(6):1446-1454. doi: 10.1002/ptr.6620. Epub 2020 Feb 3.

Abstract

Recent reports indicated that curcumin had beneficial effects in animal models of liver injury and cirrhosis. Current study aimed to investigate the effects of curcumin supplementation in patients with liver cirrhosis. In this randomized double-blind placebo-controlled trial, 70 patients with liver cirrhosis aged 20-70 years were randomly divided into two groups to receive 1,000 mg/day curcumin (n = 35) or placebo (n = 35) for 3 months. Model for end-stage liver disease (MELD) (i), MELD, MELD-Na, and Child-Pugh scores were used to assess the severity of cirrhosis. Sixty patients (29 in the curcumin group and 31 in the placebo group) completed the study. MELD(i) (15.55 ± 3.78 to 12.41 ± 3.07), MELD (15.31 ± 3.07 to 12.03 ± 2.79), MELD-Na (15.97 ± 4.02 to 13.55 ± 3.51), and Child-Pugh (7.17 ± 1.54 to 6.72 ± 1.31) scores decreased significantly in the curcumin group after 3-month intervention (p < .001, p < .001, p = .001, and p = .051, respectively), whereas they increased significantly in the placebo group (p < .001, p < .001, p < .001, p = .001, respectively). Significant differences were only observed between the two groups in MELD(i), MELD, MELD-Na, and Child-Pugh scores after 3-month intervention (p < .001 for all of them). In this pilot study, beneficial effects of curcumin supplementation were observed in decreasing disease activity scores and severity of cirrhosis in patients with cirrhosis.

摘要

最近的报告表明,姜黄素对肝损伤和肝硬化的动物模型具有有益的影响。本研究旨在探讨姜黄素补充剂对肝硬化患者的影响。在这项随机双盲安慰剂对照试验中,将 70 名年龄在 20-70 岁的肝硬化患者随机分为两组,分别接受 1000mg/天的姜黄素(n=35)或安慰剂(n=35)治疗 3 个月。终末期肝病模型(MELD)(i)、MELD、MELD-Na 和 Child-Pugh 评分用于评估肝硬化的严重程度。60 名患者(姜黄素组 29 名,安慰剂组 31 名)完成了这项研究。MELD(i)(15.55±3.78 至 12.41±3.07)、MELD(15.31±3.07 至 12.03±2.79)、MELD-Na(15.97±4.02 至 13.55±3.51)和 Child-Pugh(7.17±1.54 至 6.72±1.31)评分在姜黄素组治疗 3 个月后显著下降(p<.001,p<.001,p=.001 和 p=.051),而在安慰剂组则显著升高(p<.001,p<.001,p<.001,p=.001)。在 3 个月干预后,仅在 MELD(i)、MELD、MELD-Na 和 Child-Pugh 评分上观察到两组间的差异有统计学意义(p<.001)。在这项初步研究中,观察到姜黄素补充剂在降低肝硬化患者的疾病活动评分和肝硬化严重程度方面具有有益的效果。

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