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AYURAKSHA,一种预防性阿育吠陀免疫增强工具包,可降低印度德里一线警务人员 IgG COVID-19 的阳性率:一项非随机对照干预试验。

AYURAKSHA, a prophylactic Ayurvedic immunity boosting kit reducing positivity percentage of IgG COVID-19 among frontline Indian Delhi police personnel: A non-randomized controlled intervention trial.

机构信息

All India Institute of Ayurveda (AIIA), New Delhi, India.

Department of Prasuti and Stri Roga (Obstetrics and Gynaecology), All India Institute of Ayurveda (AIIA), New Delhi, India.

出版信息

Front Public Health. 2022 Aug 16;10:920126. doi: 10.3389/fpubh.2022.920126. eCollection 2022.

Abstract

OBJECTIVE

The world continues to face the COVID-19 crisis, and efforts are underway to integrate traditional medicine interventions for its effective management. The study aimed to determine the efficacy of the "AYURAKSHA" kit in terms of post-interventional percentage of COVID-19 IgG positivity, immunity levels, and quality of life (QoL) against COVID-19.

METHOD

This was a non-randomized controlled, prospective intervention trial, done after the distribution of 80,000 AYURAKSHA kits (constituent of Sanshamani Vati, AYUSH Kadha, and Anu Taila) among Delhi police participants in India. Among 47,827 participants, the trial group ( = 101) was evaluated with the positivity percentage of IgG COVID-19 and Immune Status Questionnaire (ISQ) scores as a primary outcome and the WHO Quality of Life Brief Version (QOL BREF) scores along with hematological parameters as a secondary outcome in comparison to the control group ( = 71).

RESULTS

The data showed that the percentage of COVID-19 IgG positivity was significantly lower in the trial group (17.5 %) as compared to the control group (39.4 %, = 0.003), indicating the lower risk (55.6%) of COVID-19 infection in the trial group. The decreased incidence (5.05%) and reduced mortality percentage (0.44%) of COVID-19 among Delhi police officers during peak times of the pandemic also corroborate our findings. The ISQ score and WHO-QOL BREF tool analysis showed the improved scores in the trial group when compared with the controls. Furthermore, no dysregulated blood profile and no increase in inflammation markers like C-reactive protein, erythrocyte sedimentation rate, Interleukin-6 (IL-6) were observed in the trial group. However, significantly enhanced ( = 0.027) IL-6 levels and random blood sugar levels were found in the control group ( = 0.032), compared to a trial group ( = 0.165) post-intervention. Importantly, the control group showed more significant ( = 0.0001) decline in lymphocyte subsets CD3 (% change = 21.04), CD4 (% change = 20.34) and CD8 (% change = 21.54) levels than in trial group, confirming more severity of COVID-19 infection in the control group.

CONCLUSION

The AYURAKSHA kit is associated with reduced COVID-19 positivity and with a better quality of life among the trial group. Hence, the study encourages in-depth research and future integration of traditional medicines for the prevention of the COVID-19 pandemic.

CLINICAL TRIAL REGISTRATION

http://ctri.nic.in/, identifier: CTRI/2020/05/025171.

摘要

目的

世界仍在应对新冠疫情危机,目前正在努力将传统医学干预措施纳入其中,以实现其有效管理。本研究旨在确定“AYURAKSHA”试剂盒在干预后新冠病毒 IgG 阳性率、免疫水平和新冠病毒相关生活质量(QoL)方面的疗效。

方法

这是一项非随机对照、前瞻性干预试验,在印度德里警方参与者中分发了 8 万套“AYURAKSHA”试剂盒(由 Sanshamani Vati、AYUSH Kadha 和 Anu Taila 组成)后进行。在 47827 名参与者中,试验组(n=101)评估了 IgG 新冠病毒阳性率和免疫状态问卷(ISQ)评分作为主要结局,以及世界卫生组织生活质量简表(QOL BREF)评分和血液学参数作为次要结局,与对照组(n=71)进行比较。

结果

数据显示,试验组的新冠病毒 IgG 阳性率(17.5%)明显低于对照组(39.4%, = 0.003),表明试验组新冠病毒感染的风险较低(55.6%)。在疫情高峰期,德里警方人员的新冠病毒感染发病率(5.05%)和死亡率(0.44%)降低也证实了我们的发现。ISQ 评分和 WHO-QOL BREF 工具分析显示,与对照组相比,试验组的评分有所提高。此外,试验组未观察到血液特征失调和炎症标志物 C 反应蛋白、红细胞沉降率、白细胞介素-6(IL-6)升高。然而,与试验组相比,对照组干预后 IL-6 水平( = 0.027)和随机血糖水平( = 0.032)显著升高。重要的是,与试验组相比,对照组的淋巴细胞亚群 CD3(%变化=21.04)、CD4(%变化=20.34)和 CD8(%变化=21.54)水平下降更为显著( = 0.0001),这表明对照组的新冠病毒感染更为严重。

结论

AYURAKSHA 试剂盒可降低试验组的新冠病毒阳性率并提高其生活质量。因此,本研究鼓励深入研究并在未来将传统医学纳入新冠疫情大流行的预防措施中。

临床试验注册

http://ctri.nic.in/,标识符:CTRI/2020/05/025171。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bb9/9424736/c84693606c87/fpubh-10-920126-g0001.jpg

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