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基于伊朗传统医学的饮食对新冠肺炎患者炎症标志物和临床结局的影响:一项双盲、随机、对照试验。

Effect of a diet based on Iranian traditional medicine on inflammatory markers and clinical outcomes in COVID-19 patients: A double-blind, randomized, controlled trial.

作者信息

Hajibeygi Ramtin, Mirghazanfari Sayid Mahdi, Pahlavani Naseh, Jalil Abduladheem Turki, Alshahrani Shadia Hamoud, Rizaev Jasur Alimdjanovich, Hadi Saeid, Hadi Vahid, Yekta Nafiseh Hosseini

机构信息

Department of Health, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.

Department of Physiology and Iranian Medicine, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Eur J Integr Med. 2022 Oct;55:102179. doi: 10.1016/j.eujim.2022.102179. Epub 2022 Aug 20.

Abstract

INTRODUCTION

SARS-CoV-2 causes severe acute respiratory syndrome prompting worldwide demand for new antiviral treatments and supportive care for organ failure caused by this life-threatening virus. This study aimed to help develop a new Traditional Persian Medicine (TPM) -based drug and assess its efficacy and safety in COVID-19 patients with major symptoms.

METHODS

In February 2022, a randomized clinical trial was conducted among 160 patients with a confirmed diagnosis of COVID-19 admitted to Emam Reza (AJA) Hospital in Tehran, Iran. During their hospitalization, the intervention group received a treatment protocol approved by Iran's Ministry of Health and Medical Education (MOHME), consisting of an Iranian regimen, Ficus carica; Vitis vinifera, Safflower, Cicer arietinum, Descurainiasophia seeds, Ziziphus jujuba, chicken soup, barley soup, rose water, saffron, and cinnamon spices. All patients were compared in terms of demographics, clinical, and laboratory variables.

RESULTS

One hundred and sixty COVID-19 patients were divided into two groups: intervention and control. In baseline characteristics, there was no significant difference between the intervention and control groups (>0.05). Using SPSS software version 22, statistical analysis revealed a significant difference in four symptoms: myalgia, weakness, headache, and cough (<0.05). During the 5-day treatment period, the control group had significantly lower C-reactive protein (<0.05).

CONCLUSION

While more research with a larger sample size is needed, the proposed combination appears to be effective in the treatment of symptoms as well as inflammatory biomarkers such as C-reactive protein in COVID-19 patients.Iranian registry of clinical trials (IRCT) IRCT20220227054140N1.

摘要

引言

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发严重急性呼吸综合征,促使全球对这种危及生命的病毒引起的器官衰竭寻求新的抗病毒治疗和支持性护理。本研究旨在助力研发一种基于传统波斯医学(TPM)的新药,并评估其对有主要症状的新冠肺炎患者的疗效和安全性。

方法

2022年2月,在伊朗德黑兰的伊玛目礼萨(阿贾)医院对160例确诊为新冠肺炎的患者进行了一项随机临床试验。在住院期间,干预组接受了伊朗卫生和医学教育部(MOHME)批准的治疗方案,包括一种伊朗疗法,即无花果、葡萄、红花、鹰嘴豆、播娘蒿籽、枣、鸡汤、大麦汤、玫瑰水、藏红花和肉桂香料。对所有患者的人口统计学、临床和实验室变量进行了比较。

结果

160例新冠肺炎患者分为两组:干预组和对照组。在基线特征方面,干预组和对照组之间无显著差异(>0.05)。使用SPSS 22版软件进行统计分析,结果显示在四个症状方面存在显著差异:肌痛、虚弱、头痛和咳嗽(<0.05)。在为期5天的治疗期间,对照组的C反应蛋白显著更低(<0.05)。

结论

虽然需要更大样本量进行更多研究,但所提议的组合似乎对治疗新冠肺炎患者的症状以及炎症生物标志物如C反应蛋白有效。伊朗临床试验注册中心(IRCT)IRCT20220227054140N1。

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