Pharmacotherapy Department, Faculty of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Gastroenterology and Hepatology Department, Baqiyatallah Research Center for Gastroenterology and Liver Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Adv Exp Med Biol. 2021;1308:119-126. doi: 10.1007/978-3-030-64872-5_10.
BackgroundFunctional dyspepsia is the main cause of upper abdominal discomfort affecting 5-10% of the world population. Despite various therapeutic approaches, up to 50% of patients with functional dyspepsia seek alternative treatments. In the present study we evaluated the effect of curcumin supplementation along with famotidine therapy on severity of functional dyspepsia. A total of 75 patients with functional dyspepsia according to Rome III criteria were allocated into intervention (N = 39) or control (N = 36) groups. The intervention group was treated with a combination of 500 mg curcumin and 40 mg famotidine daily for 1 month. The control group received placebo and 40 mg famotidine. Severity of dyspepsia symptoms was determined using the Hong Kong questionnaire at baseline, after the 1 month treatment and after a 1 month follow-up. The presence of H. pylori antigens in the stool samples was also investigated in all subjects. No significant difference was observed between intervention and control groups in biochemical indices, severity of dyspepsia and rate of H. pylori infection. A significant decrease was observed in severity of dyspepsia (p < 0.001) and rate of H. pylori infection (p = 0.004) immediately after the treatment and follow-up in the curcumin intervention group. This study indicated that curcumin therapy could be a favorable supplementation in the symptom management of functional dyspepsia. Moreover, curcumin could help efficient eradication of H. pylori in these patients.
功能性消化不良是影响全球 5-10%人口上腹部不适的主要原因。尽管有各种治疗方法,但多达 50%的功能性消化不良患者寻求替代治疗。在本研究中,我们评估了姜黄素补充剂联合法莫替丁治疗对功能性消化不良严重程度的影响。根据罗马 III 标准,共有 75 例功能性消化不良患者被分配到干预组(N=39)或对照组(N=36)。干预组每天服用 500 毫克姜黄素和 40 毫克法莫替丁联合治疗 1 个月。对照组给予安慰剂和 40 毫克法莫替丁。在基线、治疗 1 个月后和 1 个月随访时,使用香港问卷评估消化不良症状的严重程度。还对所有受试者的粪便样本中的 H. pylori 抗原进行了检测。干预组和对照组在生化指标、消化不良严重程度和 H. pylori 感染率方面无显著差异。在治疗和随访后,姜黄素干预组消化不良严重程度(p<0.001)和 H. pylori 感染率(p=0.004)显著下降。本研究表明,姜黄素治疗可能是功能性消化不良症状管理的一种有益补充。此外,姜黄素可能有助于这些患者中 H. pylori 的有效根除。