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姜黄素提取物(Curcugen)对膝关节骨关节炎疼痛的影响研究:一项随机、双盲、安慰剂对照研究。

An Investigation into the Effects of a Curcumin Extract (Curcugen) on Osteoarthritis Pain of the Knee: A Randomised, Double-Blind, Placebo-Controlled Study.

机构信息

Clinical Research Australia, Perth, WA 6023, Australia.

College of Science, Health, Engineering and Education, Murdoch University, Perth, WA 6150, Australia.

出版信息

Nutrients. 2021 Dec 23;14(1):41. doi: 10.3390/nu14010041.

DOI:10.3390/nu14010041
PMID:35010916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8746505/
Abstract

Curcumin, a phytochemical from the spice turmeric, has anti-inflammatory properties and has been shown to have pain-relieving effects. In this 8-week, randomised, double-blind, placebo-controlled study, 101 adults with knee osteoarthritis received either 500 mg twice daily of a standardised curcumin extract (Curcugen) or placebo. Outcome measures included the Knee Injury and Osteoarthritis Outcome Score (KOOS), knee pain ratings, Japanese Orthopaedic Association Score for Osteoarthritic Knees (JOA), PROMIS-29, and performance-based testing comprising the 40-m fast-paced walk test, 6-min walk test, timed up-and-go test, and 30-s chair stand test. Compared to the placebo, curcumin significantly reduced the KOOS knee pain score ( = 0.009) and numeric knee pain ratings ( = 0.001). Curcumin was also associated with greater improvements ( ≤ 0.05) than the placebo on the timed up-and-go test, 6-min walk test, and the JOA total score; but not the 30-s chair stand test or 40-m fast-paced walk test. Pain-relieving medication was reduced in 37% of participants on curcumin compared to 13% on placebo. The findings support the potential efficacy of curcumin for the treatment of osteoarthritis of the knee but studies of longer duration, varying treatment doses, differing curcumin extracts, and the use of other objective outcome measures will be helpful to expand on these findings.

摘要

姜黄素是来自香料姜黄的一种植物化学物质,具有抗炎特性,并已被证明具有缓解疼痛的效果。在这项为期 8 周、随机、双盲、安慰剂对照的研究中,101 名膝骨关节炎患者每天接受两次 500 毫克标准化姜黄素提取物(Curcugen)或安慰剂治疗。结果测量包括膝关节损伤和骨关节炎结果评分(KOOS)、膝关节疼痛评分、日本矫形协会膝关节骨关节炎评分(JOA)、PROMIS-29 以及基于表现的测试,包括 40 米快速步行测试、6 分钟步行测试、计时起立行走测试和 30 秒椅站测试。与安慰剂相比,姜黄素显著降低了 KOOS 膝关节疼痛评分( = 0.009)和数字膝关节疼痛评分( = 0.001)。与安慰剂相比,姜黄素还与计时起立行走测试、6 分钟步行测试和 JOA 总分的更大改善相关( ≤ 0.05);但与 30 秒椅站测试或 40 米快速步行测试无关。与安慰剂相比,服用姜黄素的参与者中有 37%减少了止痛药物的使用,而安慰剂组为 13%。这些发现支持姜黄素治疗膝骨关节炎的潜在疗效,但需要进行更长时间的研究、不同的治疗剂量、不同的姜黄素提取物以及使用其他客观的结果测量方法,以进一步证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0d/8746505/11bebe10a734/nutrients-14-00041-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0d/8746505/0849af96b161/nutrients-14-00041-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0d/8746505/11bebe10a734/nutrients-14-00041-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0d/8746505/0849af96b161/nutrients-14-00041-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0d/8746505/11bebe10a734/nutrients-14-00041-g002.jpg

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