Faculdade de Medicina Do Mucuri, Universidade Federal Dos Vales Do Jequitinhonha E Mucuri, Teófilo Otoni, MG, Brasil.
Departamento de Fisioterapia, Universidade Federal Dos Vales Do Jequitinhonha E Mucuri, Diamantina, MG, Brasil.
Inflammopharmacology. 2021 Apr;29(2):377-391. doi: 10.1007/s10787-020-00781-9. Epub 2021 Jan 16.
This study aims to evaluate the analgesic and modulating effect of Curcuma longa and Miconia albicans herbal medicines in knee's osteoarthritis (OA) treatment. This longitudinal study evaluated 24 patients with OA. The patients were divided into three groups: ibuprofen (1200 mg/day), C. longa (1000 mg/day) and M. albicans (1000 mg/day). The medications were applied orally for 30 days. The synovial fluid of the knee joint was collect at the first (day 0) and the last medical (day 30) consultation. The groups treated with herbal medicines presented the same results when compared to Ibuprofen. The comparison of the means of Total WOMAC for M. albicans before and after treatment presented a statistically significant difference (mean day 0 = 57.19; mean day 30 = 31.02) as well as variation of Total WOMAC for C. longa (mean day 0 = 54.79; mean day 30 = 37.08). The WOMAC Total and the VASP were compared, it was found that there was a significant decrease in the means in the C. longa and M. albicans groups, as well as in the Ibuprofen group after treatment. The study demonstrated that the treatment of knee OA with C. longa or M. albicans positively interferes with patients pain and functionality, decreased WOMAC and VASP scores, leading to functional improvement of these patients. This is the first clinical study demonstrating the analgesic and anti-inflammatory effect on knee osteoarthritis from M. albicans comparable to Ibuprofen drug.
本研究旨在评估姜黄和白珠树草药在膝关节骨关节炎(OA)治疗中的镇痛和调节作用。这项纵向研究评估了 24 名 OA 患者。患者分为三组:布洛芬(1200mg/天)、姜黄(1000mg/天)和白珠树(1000mg/天)。药物口服 30 天。在第一次(第 0 天)和最后一次医疗(第 30 天)咨询时采集膝关节滑液。与布洛芬相比,草药治疗组的结果相同。白珠树治疗前后总 WOMAC 的平均值比较呈现出统计学上的显著差异(第 0 天的平均值为 57.19;第 30 天的平均值为 31.02),姜黄的总 WOMAC 变化也具有统计学意义(第 0 天的平均值为 54.79;第 30 天的平均值为 37.08)。对 WOMAC 总评分和 VASP 进行比较,发现姜黄和白珠树组以及布洛芬组在治疗后平均值均显著下降。该研究表明,用姜黄或白珠树治疗膝关节 OA 可积极干预患者的疼痛和功能,降低 WOMAC 和 VASP 评分,从而改善这些患者的功能。这是第一项证明白珠树对膝骨关节炎具有镇痛和抗炎作用且可与布洛芬药物相媲美的临床研究。