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薄荷油在胃肠病学中的应用

The Use of Peppermint Oil in Gastroenterology.

作者信息

Scarpellini Emidio, Broeders Bert, Schol Jolien, Santori Pierangelo, Addarii Mariachiara, Boccuto Luigi, Carbone Florencia, Abenavoli Ludovico, Tack Jan

机构信息

Hepatology and Internal Medicine Unit, "Madonna del Soccorso" General Hospital, San Benedetto del Tronto, Italy.

Translational Research in Gastrointestinal Disorders, Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.

出版信息

Curr Pharm Des. 2023;29(8):576-583. doi: 10.2174/1381612829666230328163449.

DOI:10.2174/1381612829666230328163449
PMID:36994979
Abstract

BACKGROUND

For decades, mint has been used worldwide for its relieving effects against gastrointestinal disturbances. Peppermint is a perennial herb common in Europe and North America. The active ingredient of peppermint oil is menthol and has various gastroenterological and non-gastroenterological uses, especially in the context of functional gastrointestinal disorders (FGIDs).

METHODS

We conducted a literature search on the main medical databases for original articles, reviews, meta-analyses, randomized clinical trials, and case series using the following keywords and acronyms and their associations: peppermint oil, gastro-intestinal motility, irritable bowel syndrome, functional dyspepsia, gastrointestinal sensitivity and gastrointestinal endoscopy.

RESULTS

Peppermint oil and its constituents exert smooth muscle relaxant and anti-spasmodic effects on the lower esophageal sphincter, stomach, duodenum, and large bowel. Moreover, peppermint oil can modulate visceral and central nervous system sensitivity. Taken together, these effects suggest using peppermint oil both for improved endoscopic performance and for treating functional dyspepsia and irritable bowel syndrome. Importantly, peppermint oil has an attractive safety profile compared to classical pharmacological treatments, especially in FGIDs.

CONCLUSION

Peppermint oil is a safe herbal medicine therapy for application in gastroenterology, with promising scientific perspectives and rapidly expanding use in clinical practice.

摘要

背景

几十年来,薄荷在全球范围内一直被用于缓解胃肠道不适。薄荷是一种在欧洲和北美常见的多年生草本植物。薄荷油的活性成分是薄荷醇,具有多种胃肠病学和非胃肠病学用途,尤其是在功能性胃肠疾病(FGIDs)方面。

方法

我们在主要医学数据库中进行文献检索,查找使用以下关键词、首字母缩略词及其组合的原创文章、综述、荟萃分析、随机临床试验和病例系列:薄荷油、胃肠动力、肠易激综合征、功能性消化不良、胃肠道敏感性和胃肠内镜检查。

结果

薄荷油及其成分对食管下括约肌、胃、十二指肠和大肠具有平滑肌松弛和抗痉挛作用。此外,薄荷油可以调节内脏和中枢神经系统的敏感性。综合来看,这些作用表明薄荷油可用于改善内镜检查效果以及治疗功能性消化不良和肠易激综合征。重要的是,与传统药物治疗相比,薄荷油具有良好的安全性,尤其是在功能性胃肠疾病方面。

结论

薄荷油是一种安全的草药疗法,可应用于胃肠病学领域,具有广阔的科学前景,且在临床实践中的应用正在迅速扩大。

相似文献

1
The Use of Peppermint Oil in Gastroenterology.薄荷油在胃肠病学中的应用
Curr Pharm Des. 2023;29(8):576-583. doi: 10.2174/1381612829666230328163449.
2
Review article: the physiological effects and safety of peppermint oil and its efficacy in irritable bowel syndrome and other functional disorders.综述文章:薄荷油的生理作用和安全性及其在肠易激综合征和其他功能性疾病中的疗效。
Aliment Pharmacol Ther. 2018 Mar;47(6):738-752. doi: 10.1111/apt.14519. Epub 2018 Jan 26.
3
Peppermint oil.薄荷油。
Am Fam Physician. 2007 Apr 1;75(7):1027-30.
4
Peppermint oil (Mintoil) in the treatment of irritable bowel syndrome: a prospective double blind placebo-controlled randomized trial.薄荷油(薄荷油)治疗肠易激综合征:一项前瞻性双盲安慰剂对照随机试验。
Dig Liver Dis. 2007 Jun;39(6):530-6. doi: 10.1016/j.dld.2007.02.006. Epub 2007 Apr 8.
5
A trial-based economic evaluation of peppermint oil for the treatment of irritable bowel syndrome.一项基于试验的关于薄荷油治疗肠易激综合征的经济学评价。
United European Gastroenterol J. 2021 Nov;9(9):997-1006. doi: 10.1002/ueg2.12134. Epub 2021 Sep 1.
6
Medicinal Foods for Functional GI Disorders.用于功能性胃肠疾病的药用食品。
Curr Gastroenterol Rep. 2017 Nov 13;19(12):62. doi: 10.1007/s11894-017-0601-x.
7
Peppermint Oil Treatment for Irritable Bowel Syndrome: A Randomized Placebo-Controlled Trial.薄荷油治疗肠易激综合征:一项随机安慰剂对照试验。
Am J Gastroenterol. 2021 Nov 1;116(11):2279-2285. doi: 10.14309/ajg.0000000000001395.
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Efficacy of Peppermint oil in diarrhea predominant IBS - a double blind randomized placebo - controlled study.薄荷油治疗腹泻型肠易激综合征的疗效——一项双盲随机安慰剂对照研究
Mymensingh Med J. 2013 Jan;22(1):27-30.
9
Peppermint oil for the treatment of irritable bowel syndrome: a systematic review and meta-analysis.薄荷油治疗肠易激综合征:一项系统评价与荟萃分析。
J Clin Gastroenterol. 2014 Jul;48(6):505-12. doi: 10.1097/MCG.0b013e3182a88357.
10
Efficacy and Safety of Peppermint Oil in a Randomized, Double-Blind Trial of Patients With Irritable Bowel Syndrome.薄荷油治疗肠易激综合征的随机双盲试验的疗效和安全性。
Gastroenterology. 2020 Jan;158(1):123-136. doi: 10.1053/j.gastro.2019.08.026. Epub 2019 Aug 27.

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