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一种联合菌株和富含原花青素的植物提取物的补充剂对复发性单纯性尿路感染的影响:一项前瞻性对照研究。

Effects of a supplement associating strains and proanthocyanidin-rich plant extracts against recurrent uncomplicated, urinary tract infections: A prospective, controlled study.

作者信息

Ait Abdellah Samira, Leblanc Anne, Dauchet Quentin, Blondeau Claude, Bohbot Jean Marc

机构信息

PiLeJe Laboratoire, Paris, France.

Institut Alfred Fournier, Paris, France.

出版信息

Investig Clin Urol. 2025 Jan;66(1):36-46. doi: 10.4111/icu.20240092.

Abstract

PURPOSE

Recurrent cystitis, particularly common in women, substantially diminishes patient quality of life and represents a major clinical practice and public health burden. Increasing development of resistance to antibiotics has encouraged the search for alternative treatments. The benefits of a food supplement associating two strains with proanthocyanidin A-rich cranberry and cinnamon extracts were evaluated in 80 women with a history of cystitis recurrence.

MATERIALS AND METHODS

Post-inclusion recurrence frequency was compared between women taking the investigated supplement daily for 6 months and non-supplemented women, based on patient-completed Acute Cystitis Symptom Score (ACSS) questionnaires.

RESULTS

Two-thirds (64.9%) of supplemented women experienced no further episodes of cystitis during the first 6 months of the study compared to only one-third (31.6%) of non-supplemented women (p=0.004), the difference between the two groups being significant from 3 months onward. ACSS scores revealed significantly fewer and less severe urinary symptoms in supplemented women, as well as a significantly reduced impact of these symptoms on quality of life (p<0.0001).

CONCLUSIONS

The results shown by extensive data on women suffering from recurrent cystitis, collected over 8 months, indicate that taking the tested supplement daily for 6 months can provide significant benefits in terms of recurrence frequency, symptoms, and quality of life. The study is registered on the ClinicalTrials.gov site under the identifier NCT04987164.

摘要

目的

复发性膀胱炎在女性中尤为常见,它会显著降低患者的生活质量,是临床实践和公共卫生的一大负担。抗生素耐药性的不断增加促使人们寻找替代治疗方法。对80名有膀胱炎复发史的女性进行评估,以确定一种含有两种菌株以及富含原花青素A的蔓越莓和肉桂提取物的食品补充剂的益处。

材料与方法

根据患者填写的急性膀胱炎症状评分(ACSS)问卷,比较了每天服用该研究中的补充剂6个月的女性与未服用补充剂的女性在纳入研究后的复发频率。

结果

在研究的前6个月,三分之二(64.9%)服用补充剂的女性没有再次出现膀胱炎发作,而未服用补充剂的女性只有三分之一(31.6%)没有发作(p = 0.004),两组之间的差异从3个月起就很显著。ACSS评分显示,服用补充剂的女性尿路症状明显更少、更轻,这些症状对生活质量的影响也显著降低(p < 0.0001)。

结论

在8个月内收集的大量复发性膀胱炎女性的数据显示,结果表明,每天服用该测试补充剂6个月,在复发频率、症状和生活质量方面可以带来显著益处。该研究已在ClinicalTrials.gov网站上注册,标识符为NCT04987164。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0109/11729230/e61a0de1ed9a/icu-66-36-g001.jpg

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