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纳米姜黄素补充剂可改善重度 COPD 患者的肺功能:一项随机、双盲、安慰剂对照临床试验。

Nanocurcumin supplementation improves pulmonary function in severe COPD patients: A randomized, double blind, and placebo-controlled clinical trial.

机构信息

Department of Nutrition, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.

Department of Internal Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Phytother Res. 2024 Mar;38(3):1224-1234. doi: 10.1002/ptr.8114. Epub 2024 Jan 4.

DOI:10.1002/ptr.8114
PMID:38178561
Abstract

Considering the anti-inflammatory properties of curcumin, the present study was designed to investigate the effect of nano-curcumin on respiratory indices and interleukin-6 (IL-6) levels in severe chronic obstructive pulmonary disease (COPD) patients as a common pulmonary disease causing restricted airflow and breathing problems. In the current double-blind placebo-controlled randomized clinical trial study, 60 patients with stages 3 and 4 COPD were randomly assigned into 80 mg nano-curcumin (n = 30) and placebo groups (n = 30) for 3 months. The effect of nano-curcumin on pulmonary function was evaluated by the first second of forced expiration (FEV1) to the full, forced vital capacity (FVC) ratio. IL-6 serum level, blood pressure, and anthropometric indices were also measured. Nano-curcumin supplementation led to a significant decrease in IL-6 level (p < 0.001) and an increase in FEV1 (p < 0.001), FVC (p = 0.003), and FEV1/FVC (p < 0.001) compared to placebo at the endpoint. Nano-curcumin had a significantly increasing effect on weight and body mass index compared to the placebo group (P  = 0.042). There was a meaningful improvement in systolic blood pressure in the nano-curcumin group compared to the placebo group (P  = 0.026). There was no significant difference between the two groups in terms of waist circumference, waist-to-hip ratio, and diastolic blood pressure (P >0.05). Nano-curcumin supplement seems to have favorable effects on inflammation status and respiratory indices of patients with severe COPD.

摘要

考虑到姜黄素的抗炎特性,本研究旨在探讨纳米姜黄素对慢性阻塞性肺疾病(COPD)患者呼吸指数和白细胞介素-6(IL-6)水平的影响。COPD 是一种常见的肺部疾病,会导致气流受限和呼吸问题。在这项双盲安慰剂对照随机临床试验中,将 60 名 3 期和 4 期 COPD 患者随机分为纳米姜黄素 80mg 组(n=30)和安慰剂组(n=30),疗程为 3 个月。通过第一秒用力呼气量(FEV1)与用力肺活量(FVC)的比值评估纳米姜黄素对肺功能的影响。还测量了 IL-6 血清水平、血压和人体测量指数。与安慰剂组相比,纳米姜黄素补充剂可显著降低 IL-6 水平(p<0.001),并增加 FEV1(p<0.001)、FVC(p=0.003)和 FEV1/FVC(p<0.001)。与安慰剂组相比,纳米姜黄素组体重和体重指数显著增加(P=0.042)。与安慰剂组相比,纳米姜黄素组收缩压有明显改善(P=0.026)。两组在腰围、腰臀比和舒张压方面无显著差异(P>0.05)。纳米姜黄素补充剂似乎对严重 COPD 患者的炎症状态和呼吸指数有良好的影响。

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