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评价 L. 对烧伤患者肝酶的影响:一项随机、双盲临床试验。

Evaluation of the Effect of L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial.

机构信息

Shiraz Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

Int J Clin Pract. 2024 Jan 11;2024:1016247. doi: 10.1155/2024/1016247. eCollection 2024.

Abstract

Burn injuries are considered an important public health problem in the world. Burns are considered the fourth most common kind of trauma in the world, after traffic accidents, falls, and interpersonal violence. Various biochemical agents are involved in the burn healing process such as cytokines (such as IL-6 and TNF-), antioxidants, and liver and kidney damage biomarkers. L. and milk thistle extracts showed a wide range of pharmacological activities such as significant antimicrobial effect and antioxidant activity, as well as anti-inflammatory, antidiabetic, antiproliferative, antiprotozoal, and hepatoprotective effect. Also, these two herbs possess blood-cleansing, detoxifying, laxative, and invigorating activities. Some research confirmed that the preparations of the extract are very suitable for the treatment of nonalcoholic fatty liver disease. This is a double-blind randomized controlled clinical trial. Patients with 2nd and 3rd degree burns have been selected to participate in the study according to the inclusion criteria. A total of 60 patients were selected and divided into intervention and control groups (30 patients in each group). Patients in the intervention group received chicory seed syrup 10 cc three times a day and 1 placebo capsule, and those in the control group received placebo syrup (10 cc three times a day) and one Livergol (140 mg of silymarin in each capsule) capsule. Lab data such as liver function tests, albumin, creatinine, BUN, and hemoglobin were checked every 3 days and 1 week after discharge. The treatment lasted for 4 weeks. According to the results of the study, although the average of liver enzymes at the end of the study does not show a significant difference between the two groups, the level of liver enzymes in each group decreased on the 15th day of the study compared to the first day. This trial is registered with IRCT20180609040016N1.

摘要

烧伤被认为是全球一个重要的公共卫生问题。烧伤被认为是世界上第四种最常见的创伤,仅次于交通事故、跌倒和人际暴力。在烧伤愈合过程中涉及到各种生化因子,如细胞因子(如 IL-6 和 TNF-)、抗氧化剂和肝肾功能损伤生物标志物。乳蓟和蒲公英提取物表现出广泛的药理活性,如显著的抗菌作用和抗氧化活性,以及抗炎、抗糖尿病、抗增殖、抗原生动物和保肝作用。此外,这两种草药具有清洁血液、解毒、通便和滋补作用。一些研究证实,该提取物的制剂非常适合治疗非酒精性脂肪性肝病。这是一项双盲随机对照临床试验。根据纳入标准,选择 2 度和 3 度烧伤患者参加研究。共选择 60 例患者,分为干预组和对照组(每组 30 例)。干预组患者每天服用 10 毫升蒲公英糖浆 3 次和 1 个安慰剂胶囊,对照组患者每天服用 10 毫升安慰剂糖浆(3 次)和 1 粒 Livergol(每粒含 140 毫克水飞蓟素)胶囊。出院后每 3 天和 1 周检查肝功能试验、白蛋白、肌酐、BUN 和血红蛋白等实验室数据。治疗持续 4 周。根据研究结果,尽管研究结束时两组的平均肝酶值没有显著差异,但与研究第一天相比,每组的肝酶水平在第 15 天有所下降。该试验在 IRCT20180609040016N1 注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ba9/10796187/1259cecd28c3/IJCLP2024-1016247.001.jpg

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