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预防中药所致对比剂肾病(CIN):综述。

Preventing contrast-induced nephropathy (CIN) with herbal medicines: A review.

机构信息

Department of Pharmacognosy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Phytother Res. 2021 Mar;35(3):1130-1146. doi: 10.1002/ptr.6880. Epub 2020 Oct 4.

Abstract

OBJECTIVES

Currently, the use of iodinated contrast media in diagnostic imaging has been increased in clinical medicine. Contrast-induced nephropathy (CIN) is an important adverse effect of contrast media injection. According to the significant role of oxidative stress in the pathophysiology of CIN, different herbal antioxidants have been used for the prevention of nephropathy in different studies. In this review, we discussed the preventive effects of herbal medicine and natural products against CIN.

METHODS

We searched the electronic databases or search engines including PubMed, Scopus, ISI, Google Scholar with search terms such as "Contrast-induced nephropathy" and "Herbal medicine," "Contrast acute kidney injury" AND "natural products" and similar headings such as plant and extract.

RESULTS

Known medicinal plants and active ingredients such as green tea, ginger, garlic, silymarin, curcumin, resveratrol, and thymoquinone have been examined for prophylactic effects or treatment of contrast media nephropathy.

CONCLUSION

Herbal medicines have promising effects in the laboratory-based studies for the prevention and/or treatment of CIN. However, more practical and completed clinical trials are needed to investigate the clinical benefits of natural products against CIN.

摘要

目的

目前,在临床医学中,诊断成像中使用碘造影剂的情况有所增加。造影剂肾病(CIN)是造影剂注射的一个重要不良反应。根据氧化应激在 CIN 病理生理学中的重要作用,不同的草药抗氧化剂已在不同的研究中用于预防肾病。在这篇综述中,我们讨论了草药和天然产物预防 CIN 的作用。

方法

我们使用“造影剂诱导的肾病”和“草药”、“造影急性肾损伤”和“天然产物”等搜索词,在电子数据库或搜索引擎(如 PubMed、Scopus、ISI、Google Scholar)中进行了搜索,并使用了类似的标题,如植物和提取物。

结果

绿茶、生姜、大蒜、水飞蓟素、姜黄素、白藜芦醇和百里醌等已知药用植物和活性成分已被用于预防或治疗造影剂肾病的研究中。

结论

草药在实验室研究中对预防和/或治疗 CIN 具有良好的效果。然而,需要更多的实际和完整的临床试验来研究天然产物对 CIN 的临床益处。

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