姜黄治疗消化系统疾病的疗效和安全性的系统评价。

A systematic review of the efficacy and safety of turmeric in the treatment of digestive disorders.

机构信息

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.

School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.

出版信息

Phytother Res. 2024 Jun;38(6):2687-2706. doi: 10.1002/ptr.8189. Epub 2024 Mar 19.

Abstract

Turmeric has been gaining popularity as a treatment option for digestive disorders, although a rigorous synthesis of efficacy has not been conducted. This study aimed to summarize the evidence for the efficacy and safety of turmeric in the treatment of digestive disorders, including inflammatory bowel diseases (IBD), irritable bowel syndrome (IBS), dyspepsia, gastroesophageal reflux disease, and peptic ulcers. Literature searches were conducted in Medline, EMBASE, AMED, the Cochrane Central Register of Control Trials, and Dissertation Abstracts from inception to November 15, 2021. Dual independent screening of citations and full texts was conducted and studies meeting inclusion criteria were retained: randomized controlled trials (RCT) and comparative observational studies evaluating turmeric use in people of any age with one of the digestive disorders of interest. Extraction of relevant data and risk of bias assessments were performed by two reviewers independently. Meta-analysis was not conducted due to high heterogeneity. From 1136 citations screened, 26 eligible studies were retained. Most studies were assessed to have a high risk of bias, and many had methodological limitations. Descriptive summaries suggest that turmeric is safe, with possible efficacy in patients with IBD or IBS, but its effects were inconsistent for other conditions. The efficacy of turmeric in digestive disorders remains unclear due to the high risk of bias and methodological limitations of the included studies. Future studies should be designed to include larger sample sizes, use rigorous statistical methods, employ core outcome sets, and adhere to reporting guidance for RCTs of herbal interventions to facilitate more meaningful comparisons and robust conclusions.

摘要

姜黄作为治疗消化系统疾病的一种选择越来越受欢迎,尽管尚未对其疗效进行严格的综合评估。本研究旨在总结姜黄治疗消化系统疾病(包括炎症性肠病(IBD)、肠易激综合征(IBS)、消化不良、胃食管反流病和消化性溃疡)的疗效和安全性证据。文献检索在 Medline、EMBASE、AMED、Cochrane 对照试验中心注册库和 Dissertation Abstracts 中进行,检索时间为 2021 年 11 月 15 日之前。两位评审员独立进行了引文和全文的双重筛选,并保留了符合纳入标准的研究:随机对照试验(RCT)和比较观察性研究,评估了姜黄在任何年龄段的患有上述消化系统疾病之一的人群中的使用。由两位评审员独立提取相关数据和评估偏倚风险。由于存在高度异质性,因此未进行荟萃分析。从筛选出的 1136 篇引文中共保留了 26 项符合条件的研究。大多数研究被评估为存在高偏倚风险,且许多研究存在方法学局限性。描述性总结表明,姜黄是安全的,在 IBD 或 IBS 患者中可能有效,但对其他疾病的疗效不一致。由于纳入研究的偏倚风险高且方法学局限性较大,因此姜黄治疗消化系统疾病的疗效仍不清楚。未来的研究应设计为纳入更大的样本量,使用严格的统计方法,采用核心结局集,并遵守草药干预 RCT 的报告指南,以促进更有意义的比较和可靠的结论。

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