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评价西红花(藏红花)水提取物对缺血性脑卒中患者氧化应激的调节作用:一项随机临床试验。

Evaluation of modulatory effects of saffron ( L.) aqueous extract on oxidative stress in ischemic stroke patients: a randomized clinical trial.

机构信息

Faculty of Medicine, Department of Biochemistry, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

Nutr Neurosci. 2022 Jun;25(6):1137-1146. doi: 10.1080/1028415X.2020.1840118. Epub 2020 Nov 5.

Abstract

OBJECTIVES

Saffron () has been widely used in traditional medicine as a treatment of nervous disorders. Saffron as an antioxidant can be considered effective for treatment of oxidative stress in ischemia stroke. Therefore, the aim of the present study was to investigate the role of aqueous extract of saffron in reducing oxidative stress in ischemic strokes patients.

METHODS

Forty patients with acute ischemic stroke were randomly divided into two groups including control group and saffron group. During 4 days of experiment, control group received routine stroke care and saffron group received routine care plus capsule of saffron 400 mg/day (200 mg twice per day). Then, two groups were compared using the National Institute of Health Stoke Scale (NIHSS) and serum oxidative stress biomarkers, at the time of hospital admission and 4 days later as well.

RESULTS

On the fourth day after ischemic stroke onset, antioxidant enzymes activities and glutathione (GSH) and total antioxidant capacity (TAC) levels were higher in the saffron group compared to the control group, while malondialdehyde (MDA) level was lower. In addition, the severity of stroke, based on the NIHSS scores, was significantly reduced after 4 days in the saffron group. The severity of stroke was negatively correlated with the levels of GSH and TAC and positively correlated with MDA level.

CONCLUSIONS

Saffron has modulatory effects on ischemic-induced oxidative stress due to its free radical scavenging and antioxidant properties. Thus, saffron extract can be considered as a potential candidate therapy of the ischemic brain.

摘要

目的

藏红花()在传统医学中被广泛用作治疗神经紊乱的药物。藏红花作为一种抗氧化剂,可被视为治疗缺血性中风氧化应激的有效方法。因此,本研究的目的是探讨藏红花水提物在减轻缺血性中风患者氧化应激中的作用。

方法

将 40 例急性缺血性中风患者随机分为对照组和藏红花组。在实验的 4 天内,对照组接受常规中风护理,藏红花组接受常规护理加藏红花胶囊 400mg/天(每天两次,每次 200mg)。然后,在入院时和 4 天后,使用国立卫生研究院卒中量表(NIHSS)和血清氧化应激生物标志物对两组进行比较。

结果

在缺血性中风发作后的第 4 天,藏红花组的抗氧化酶活性以及谷胱甘肽(GSH)和总抗氧化能力(TAC)水平均高于对照组,而丙二醛(MDA)水平则较低。此外,藏红花组 NIHSS 评分在 4 天后显著降低,表明中风严重程度降低。中风严重程度与 GSH 和 TAC 水平呈负相关,与 MDA 水平呈正相关。

结论

藏红花通过其清除自由基和抗氧化特性对缺血引起的氧化应激具有调节作用。因此,藏红花提取物可被视为缺血性脑损伤的潜在治疗候选药物。

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