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姜黄素摄入对糖尿病足溃疡患者伤口愈合和代谢状态的影响:一项随机、双盲、安慰剂对照试验。

The effects of curcumin intake on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial.

机构信息

Department of Infectious Diseases, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.

Social Determinants of Health Research Center, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

Phytother Res. 2021 Apr;35(4):2099-2107. doi: 10.1002/ptr.6957. Epub 2020 Nov 16.

Abstract

This study was conducted to determine the effects of curcumin intake on wound healing and metabolic status in patients with diabetic foot ulcer (DFU). The current randomized, double-blind, placebo-controlled trial was conducted among 60 patients with grade 3 DFU. Participants were randomly allocated into two groups (30 participants each group), received either 80 mg nanocurcumin daily for 12 weeks or placebo. Primary endpoints in this study were serum insulin levels and insulin resistance. Curcumin intake significantly decreased fasting plasma glucose (p = .02), insulin (p = .01), insulin resistance (p = .02), and significantly increased insulin sensitivity (p = .008) compared with the placebo. Moreover, curcumin intake led to a significant reduction in total- (p < .001), LDL-cholesterol (p < .001), and a significant increase in total antioxidant capacity (TAC) (p < .001) and total glutathione (GSH) (p = .01) compared with the placebo. However, there was no significant improvement in wound healing parameters. Overall, our study demonstrated that nanocurcumin intake in patients with DFU resulted in a significant improvement of glycemic control, total- and LDL-cholesterol, TAC, and GSH but did not affect the indicators of ulcer size.

摘要

本研究旨在确定姜黄素摄入对糖尿病足溃疡(DFU)患者伤口愈合和代谢状态的影响。本研究为随机、双盲、安慰剂对照试验,共纳入 60 例 3 级 DFU 患者。参与者随机分为两组(每组 30 例),分别给予 80mg 纳米姜黄素或安慰剂,每天一次,共 12 周。本研究的主要终点是血清胰岛素水平和胰岛素抵抗。与安慰剂相比,姜黄素摄入显著降低空腹血糖(p=0.02)、胰岛素(p=0.01)、胰岛素抵抗(p=0.02),并显著提高胰岛素敏感性(p=0.008)。此外,与安慰剂相比,姜黄素摄入可显著降低总胆固醇(p<0.001)、LDL-胆固醇(p<0.001),显著增加总抗氧化能力(TAC)(p<0.001)和总谷胱甘肽(GSH)(p=0.01)。然而,溃疡大小的指标没有显著改善。总的来说,我们的研究表明,DFU 患者摄入纳米姜黄素可显著改善血糖控制、总胆固醇和 LDL-胆固醇、TAC 和 GSH,但对溃疡大小的指标没有影响。

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