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藏红花花瓣水醇提取物对心血管病患者的抗血脂作用:一项双盲随机临床试验。

The anti-dyslipidemia property of saffron petal hydroalcoholicextract in cardiovascular patients: A double-blinded randomized clinical trial.

机构信息

Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.

Department of Biology, Faculty of Sciences, University of Birjand, Birjand, Iran.

出版信息

Clin Nutr ESPEN. 2023 Jun;55:314-319. doi: 10.1016/j.clnesp.2023.04.002. Epub 2023 Apr 15.

Abstract

BACKGROUND AND AIMS

Dyslipidemia is one of the most important risk factors of cardiovascular diseases (CVDs). Despite developments in pharmacological treatments for dyslipidemia there are several challenges. Recently some herbs highly considered to control dyslipidemia due to their low toxicity and high potency. In this study we investigated the effects of saffron petals on the lipid profile of dyslipidemia patients as well as several other biochemical blood factors.

METHODS

In this double blind, placebo controlled, clinical trial, we used systematic random sampling to divide 40 patients with at least two abnormalities in the following factors: (high-density lipoproteins (HDL) ≤40, low-density lipoproteins (LDL) ≥130, triglycerides (TG) ≥200, total cholesterol (Cho) ≥200), into 2 groups of 21 ones. At the end of the intervention period, serum lipid factors, alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), urea, creatinin (CR) and fasting blood sugar (FBS) were measured and statistically compared with their values just before the intervention.

RESULTS

We found that the saffron petal pills markedly (P < 0.001) decreased the serum lipid levels of patients (TG, Cho and LDL) in the intervention group (113.81 ± 12.93, 56.52 ± 4.68 and 48.28 ± 3.70) as compared to the placebo group (18.42 ± 15.79, 4.57 ± 4.40 and 7.38 ± 3.54). Also, comparing the mean value of differences in two groups before and after the intervention showed significant reduction in TG (113.81 ± 26), Cho (56.53 ± 0.30) and LDL (48.28 ± 4.30) levels (P < 0.001).

CONCLUSIONS

The saffron petal pills considerably reduced blood serum lipid profile and as well as urea and CR of dyslipidemia patients. So, this plant may be used as a potent phytomedicine for treatment and prevention of dyslipidemia and cardiovascular disorders. However, the results indicated that no statistical change was observed in the level of other biochemical blood factors such as ALT, AST, ALP and FBS.

摘要

背景与目的

血脂异常是心血管疾病(CVDs)最重要的危险因素之一。尽管在治疗血脂异常的药物方面取得了进展,但仍存在一些挑战。最近,一些草药因其低毒性和高效力而被高度认为可以控制血脂异常。在这项研究中,我们研究了藏红花花瓣对血脂异常患者的血脂谱以及其他一些生化血液因素的影响。

方法

在这项双盲、安慰剂对照的临床试验中,我们使用系统随机抽样将 40 名至少有两个以下因素异常的患者分为两组:(高密度脂蛋白(HDL)≤40,低密度脂蛋白(LDL)≥130,甘油三酯(TG)≥200,总胆固醇(Cho)≥200)。在干预期结束时,测量血清脂质因子、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、碱性磷酸酶(ALP)、尿素、肌酐(CR)和空腹血糖(FBS),并与干预前的值进行统计学比较。

结果

我们发现,藏红花花瓣丸显著(P<0.001)降低了干预组患者的血清脂质水平(TG、Cho 和 LDL)(113.81±12.93、56.52±4.68 和 48.28±3.70),而安慰剂组(18.42±15.79、4.57±4.40 和 7.38±3.54)。此外,比较两组干预前后的平均值显示,TG(113.81±26)、Cho(56.53±0.30)和 LDL(48.28±4.30)水平显著降低(P<0.001)。

结论

藏红花花瓣丸可显著降低血脂异常患者的血清血脂谱,以及尿素和 CR。因此,这种植物可作为治疗和预防血脂异常和心血管疾病的有效植物药。然而,结果表明,其他生化血液因素如 ALT、AST、ALP 和 FBS 的水平没有观察到统计学上的变化。

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