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姜黄素-胡椒碱补充剂对入住重症监护病房的 COVID-19 患者的疗效评价:一项双盲、随机对照试验。

Evaluation of Curcumin-Piperine Supplementation in COVID-19 Patients Admitted to the Intensive Care: A Double-Blind, Randomized Controlled Trial.

机构信息

Nutrition and Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.

Anesthesia and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Exp Med Biol. 2023;1412:413-426. doi: 10.1007/978-3-031-28012-2_22.

Abstract

BACKGROUND

Curcumin is a traditional remedy for diseases associated with hyper-inflammatory responses and immune system impairment. Piperine, a bioactive compound in black pepper, has the potential to enhance curcumin bioavailability. 0This study aims to examine the effect of the curcumin-piperine co-supplementation in patients infected with SARS-CoV-2 and admitted to the intensive care unit (ICU).

MATERIAL AND METHODS

In this parallel randomized, double-blind, placebo-controlled trial, 40 patients with COVID-19 admitted to ICU were randomized to receive three capsules of curcumin (500 mg)-piperine (5 mg) or placebo for 7 days.

RESULTS

After 1 week of the intervention, serum aspartate aminotransferase (AST) (p = 0.02) and C-reactive protein (CRP) (p = 0.03) were significantly decreased, and hemoglobin was increased (p = 0.03) in the curcumin-piperine compared to the placebo group. However, compared with the placebo, curcumin-piperine had no significant effects on the other biochemical, hematological, and arterial blood gas and 28-day mortality rate was three patients in each group (p = 0.99).

CONCLUSION

The study results showed that short-term curcumin-piperine supplementation significantly decreased CRP, AST, and increased hemoglobin in COVID-19 patients admitted to the ICU. Based on these promising findings, curcumin appears to be a complementary treatment option for COVID-19 patients, although some parameters were not affected by the intervention.

摘要

背景

姜黄素是一种传统的药物,可用于治疗与过度炎症反应和免疫系统损伤有关的疾病。黑胡椒中的生物活性化合物胡椒碱有可能提高姜黄素的生物利用度。本研究旨在探讨姜黄素-胡椒碱联合补充剂对感染 SARS-CoV-2 并入住重症监护病房(ICU)的患者的影响。

材料和方法

在这项平行随机、双盲、安慰剂对照试验中,将 40 名 COVID-19 患者随机分为两组,分别接受三粒姜黄素(500mg)-胡椒碱(5mg)或安慰剂,疗程为 7 天。

结果

干预 1 周后,与安慰剂组相比,姜黄素-胡椒碱组血清天冬氨酸转氨酶(AST)(p=0.02)和 C 反应蛋白(CRP)(p=0.03)显著降低,血红蛋白升高(p=0.03)。然而,与安慰剂相比,姜黄素-胡椒碱对其他生化、血液学、动脉血气参数和 28 天死亡率没有显著影响,每组各有 3 例患者死亡(p=0.99)。

结论

研究结果表明,短期姜黄素-胡椒碱补充剂可显著降低 COVID-19 患者 ICU 住院患者的 CRP、AST 和血红蛋白。基于这些有前景的发现,姜黄素似乎是 COVID-19 患者的一种补充治疗选择,尽管有些参数不受干预的影响。

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