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姜黄素治疗口腔黏膜下纤维化的疗效:一项Meta分析

[Efficacy of curcumin in the treatment of oral submucous fibrosis: a Meta-analysis].

作者信息

Guo Jin-Cai, Xie Hui, Wu Hao, Tong Tie-Jun

机构信息

Changsha Stomatological Hospital, Changsha 410006, China.

Dept. of Mathematics, Hong Kong Baptist University, Hongkong 999077, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Apr 1;39(2):195-202. doi: 10.7518/hxkq.2021.02.011.

Abstract

OBJECTIVES

This study was performed to review the efficacy of curcumin in the treatment of oral submucous fibrosis systematically.

METHODS

We searched seven databases, including Web of Science, PubMed, EBSCO, The Cochrane Library, CNKI, WanFang Data, and VIP, to obtain randomized controlled trials related to the treatment of oral submucous fibrosis by curcumin. Each database was searched from inception to 30 June 2019. RevMan 5.3 software was used for the meta-analysis.

RESULTS

Six randomized controlled trials involving 350 patients were included in this study. Meta-analysis showed that curcumin can increase the maximal mouth opening and improve burning sensation compared with placebo treatment. Curcumin was not as effective as the controls in achieving maximal mouth opening after 1 month of treatment. However, no statistically significant difference was observed between the treatments from 2 months to 6 months. Curcumin significantly improved burning sensation compared with the controls after 3 months of treatment. No statistically significant diffe-rence in burning sensation was observed between the curcumin and control groups after 1, 2, and 6 months of treatment.

CONCLUSIONS

The current evidence shows that curcumin is an effective treatment for improving maximal mouth opening and burning sensation in patients with oral submucous fibrosis. Given the limited number and low quality of the included studies, however, more high-quality studies are needed to verify these findings.

摘要

目的

本研究旨在系统评价姜黄素治疗口腔黏膜下纤维化的疗效。

方法

我们检索了7个数据库,包括科学网、PubMed、EBSCO、考克兰图书馆、中国知网、万方数据和维普资讯,以获取与姜黄素治疗口腔黏膜下纤维化相关的随机对照试验。每个数据库从建库至2019年6月30日进行检索。使用RevMan 5.3软件进行荟萃分析。

结果

本研究纳入了6项涉及350例患者的随机对照试验。荟萃分析表明,与安慰剂治疗相比,姜黄素可增加最大开口度并改善烧灼感。治疗1个月后,姜黄素在实现最大开口度方面不如对照组有效。然而,在治疗2个月至6个月期间,各治疗组之间未观察到统计学上的显著差异。治疗3个月后,与对照组相比,姜黄素显著改善了烧灼感。在治疗1、2和6个月后,姜黄素组和对照组在烧灼感方面未观察到统计学上的显著差异。

结论

目前的证据表明,姜黄素是改善口腔黏膜下纤维化患者最大开口度和烧灼感的有效治疗方法。然而,鉴于纳入研究的数量有限且质量较低,需要更多高质量的研究来验证这些发现。

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