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姜黄素类化合物和提取物的联合使用可减轻腱病症状:一项开放标签的观察后研究结果。

Curcuminoids and extracts combination decreases tendinopathy symptoms: findings from an open-label post-observational study.

机构信息

Musculoskeletal Innovative Research Lab (mSKIL), Arthropôle Liège, Center for Interdisciplinary Research on Medicines (CIRM), University of Liège, Liège, Belgium.

Physical Therapy and Rehabilitation Department, Princess Paola Hospital, Marche-en-Famenne, Belgium.

出版信息

Curr Med Res Opin. 2021 Mar;37(3):423-430. doi: 10.1080/03007995.2020.1860923. Epub 2020 Dec 21.

Abstract

To investigate the effects of 1-month treatment in addition to standard care with a food supplement containing both and extracts on tendinopathy symptoms. This open-label, non-controlled, post-observational study included 670 patients suffering from tendinopathy recruited at different sites by Belgian general practitioners. Patients received a medical prescription for 1-month treatment with two tablets twice a day of a pharmaceutical grade food supplement containing both and extracts. Pain and functional limitation were evaluated using a visual analog scale at the inclusion and 1-month treatment later. Patient satisfaction, concomitant drugs intake and side effects were also recorded. After 1-month treatment, pain and functional limitation were significantly improved whatever the cause of tendinopathy, its localization, and the duration of symptoms. The pain score decreased from 6.16 ± 1.53 to 2.98 ± 1.64 ( < .0001), yielding a drop of 51.6% and the functional limitation score fell after 1-month treatment from 5.96 ± 1.73 to 2.88 ± 1.67 ( < .0001) corresponding to a drop of 51.6%. The percentage of patients taking at least one concomitant treatment at the end of the treatment period had decreased from 81.3% to 61.8% ( < .0001). Only 43 (6.5%) patients reported side effects. No severe adverse effects related to the product were reported. The combination of and extracts improves symptoms in patients suffering of tendinopathy and shows a good safety. Although its effect will have to be confirmed in randomized controlled trials, it can be considered as a helpful support of standard symptomatic treatments for tendinopathies. HighlightsTendinopathy is a common disease representing 30% of all consultations with a general practitioner for musculoskeletal disorders.The combination of Curcuminoids and extracts are efficient on tendinopathy symptoms in support of standard symptomatic treatments.The combination of Curcuminoids and extract is safe and can be administrated for at least 1 month in addition of analgesic and non-steroidal anti-inflammatory drugs.

摘要

目的

研究在标准治疗基础上额外添加含有姜黄素和 提取物的膳食补充剂治疗 1 个月对肌腱病症状的影响。

方法

这是一项开放性、非对照、观察后研究,纳入了 670 名由比利时全科医生在不同地点招募的患有肌腱病的患者。患者接受了为期 1 个月的治疗方案,每天服用两次含有姜黄素和 提取物的药物级膳食补充剂,每次 2 片。在纳入和 1 个月治疗后,使用视觉模拟量表评估疼痛和功能受限情况。还记录了患者满意度、同时使用的药物和不良反应。

结果

无论肌腱病的病因、部位和症状持续时间如何,治疗 1 个月后疼痛和功能受限均明显改善。疼痛评分从 6.16±1.53 降至 2.98±1.64( < .0001),下降 51.6%;治疗 1 个月后,功能受限评分从 5.96±1.73 降至 2.88±1.67( < .0001),下降 51.6%。治疗期末至少使用 1 种同时治疗药物的患者比例从 81.3%降至 61.8%( < .0001)。仅有 43(6.5%)名患者报告不良反应。未报告与产品相关的严重不良事件。

结论

姜黄素和 提取物的联合应用可改善肌腱病患者的症状,且安全性良好。虽然其疗效尚需在随机对照试验中证实,但可作为肌腱病标准对症治疗的有益支持。

关键词

肌腱病;姜黄素; 提取物;膳食补充剂;疗效;安全性

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