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姜黄素在胃肠道疾病治疗中的临床应用的系统评价

A Systematic Review of the Clinical Use of Curcumin for the Management of Gastrointestinal Diseases.

机构信息

Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Exp Med Biol. 2021;1291:295-326. doi: 10.1007/978-3-030-56153-6_18.


DOI:10.1007/978-3-030-56153-6_18
PMID:34331698
Abstract

Gastrointestinal (GI) diseases are highly prevalent worldwide, with considerable morbidity and mortality. Curcumin has been used for many years as a plant-derived product for the management of various conditions such as abdominal pain and poor digestion. This systematic review was undertaken with the aim of investigating the effect of curcumin or turmeric supplementation on GI diseases. A comprehensive systematic search was conducted in PubMed, Scopus, Web of Science and Google Scholar up to March 2020 to identify clinical trials assessing the effect of curcumin/turmeric alone or in combination with other herbs or nutrients on GI diseases. Twenty-one studies comprising 1478 GI patients were included in the study. Four out of seven studies showed a beneficial effect of curcumin/turmeric supplementation on irritable bowel syndrome (IBS) and six out of seven showed positive effects of these herbs on ulcerative colitis. Two out of four studies highlighted the potential role of curcumin/turmeric in eradication of H. pylori infection. Both studies conducted on peptic ulcer disease and two out of four studies performed on Crohn's disease demonstrated positive effects of curcumin/turmeric supplementation. One study showed curcumin supplementation had no effect on familial adenomatous polyposis. However, in another study, curcumin had favorable effects on proctosigmoiditis. Nine studies reported some minor adverse effects. The results of this systematic review suggest a beneficial effect of curcumin/turmeric supplementation on the management of GI diseases. More randomized clinical controlled trials are needed to confirm these results.

摘要

胃肠道(GI)疾病在全球范围内非常普遍,发病率和死亡率都相当高。姜黄素作为一种植物衍生产品,多年来一直被用于治疗各种疾病,如腹痛和消化不良。本系统评价旨在研究姜黄素或 turmeric 补充剂对胃肠道疾病的影响。我们对 PubMed、Scopus、Web of Science 和 Google Scholar 进行了全面的系统检索,截至 2020 年 3 月,以确定评估姜黄素/ turmeric 单独或与其他草药或营养素联合用于胃肠道疾病的临床试验。共有 21 项研究纳入了 1478 名胃肠道疾病患者。在 7 项研究中有 4 项显示姜黄素/ turmeric 补充剂对肠易激综合征(IBS)有有益的影响,而 7 项研究中有 6 项显示这些草药对溃疡性结肠炎有积极的影响。有 2 项研究强调了姜黄素/ turmeric 在根除幽门螺杆菌感染方面的潜在作用。在两项关于消化性溃疡病的研究和四项关于克罗恩病的研究中,有两项研究显示姜黄素/ turmeric 补充剂有积极的影响。一项研究表明姜黄素补充剂对家族性腺瘤性息肉病没有影响。然而,在另一项研究中,姜黄素对直肠乙状结肠炎有良好的疗效。有 9 项研究报告了一些轻微的不良反应。本系统评价的结果表明,姜黄素/ turmeric 补充剂对胃肠道疾病的治疗有有益的影响。需要更多的随机对照临床试验来证实这些结果。

相似文献

[1]
A Systematic Review of the Clinical Use of Curcumin for the Management of Gastrointestinal Diseases.

Adv Exp Med Biol. 2021

[2]
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[3]
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[4]
The Use of Curcumin as a Complementary Therapy in Ulcerative Colitis: A Systematic Review of Randomized Controlled Clinical Trials.

Nutrients. 2020-7-31

[5]
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[6]
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[7]
Effects of curcumin/turmeric supplementation on liver function in adults: A GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials.

Complement Ther Med. 2023-6

[8]
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Phytother Res. 2021-12

[9]
Does turmeric/curcumin supplementation improve serum alanine aminotransferase and aspartate aminotransferase levels in patients with nonalcoholic fatty liver disease? A systematic review and meta-analysis of randomized controlled trials.

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[10]
The effect of Curcumin/Turmeric on blood pressure modulation: A systematic review and meta-analysis.

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引用本文的文献

[1]
Old but Fancy: Curcumin in Ulcerative Colitis-Current Overview.

Nutrients. 2022-12-9

[2]
The comparison of curcuminoid formulations or its combination with conventional therapies versus conventional therapies alone for knee osteoarthritis.

Clin Rheumatol. 2022-7

本文引用的文献

[1]
Curcumin use in ulcerative colitis: is it ready for prime time? A systematic review and meta-analysis of clinical trials.

Ann Gastroenterol. 2020

[2]
The effect of curcumin supplementation on clinical outcomes and inflammatory markers in patients with ulcerative colitis.

Phytother Res. 2019-12-4

[3]
Biological properties of metal complexes of curcumin.

Biofactors. 2019-4-24

[4]
Efficacy of bio-optimized extracts of turmeric and essential fennel oil on the quality of life in patients with irritable bowel syndrome.

Ann Gastroenterol. 2018

[5]
A Meta-Analysis of the Clinical Use of Curcumin for Irritable Bowel Syndrome (IBS).

J Clin Med. 2018-9-22

[6]
Systematic review with meta-analysis: The association between post-traumatic stress disorder and irritable bowel syndrome.

J Gastroenterol Hepatol. 2018-9-10

[7]
The efficacy of curcuminoids in improvement of ulcerative colitis symptoms and patients' self-reported well-being: A randomized double-blind controlled trial.

J Cell Biochem. 2018-8-21

[8]
Gastrointestinal disease burden and mortality: A public hospital-based study from 2005 to 2014.

J Gastroenterol Hepatol. 2018-7-30

[9]
Efficacy and Safety of Curcumin in Treatment of Intestinal Adenomas in Patients With Familial Adenomatous Polyposis.

Gastroenterology. 2018-5-23

[10]
Medicinal plants and bioactive natural compounds in the treatment of non-alcoholic fatty liver disease: A clinical review.

Pharmacol Res. 2017-12-26

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