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乳清产品Ma'aljobon在原发性高血压中的治疗潜力:一项双盲随机对照试验。

The therapeutic potential of Ma'aljobon, a whey product, in primary hypertension: A double-blind randomized controlled trial.

出版信息

Avicenna J Phytomed. 2025 Jan-Feb;15(1):848-859. doi: 10.22038/AJP.2024.24921.

Abstract

OBJECTIVE

Ma'aljobon is used in Persian medicine (PM) as a natural antihypertensive product. This study aimed to evaluate the hypotensive effect of Ma'aljobon in patients with uncontrolled grade 1 primary hypertension (HTN).

MATERIALS AND METHODS

This double-blind, placebo-controlled clinical trial included 114 patients (20-80 years) with uncontrolled grade 1 primary HTN. After obtaining informed consent, the participants were randomly divided into two groups and administered with 25g of Ma'aljobon or maltodextrin twice daily for six weeks. Systolic and diastolic blood pressures (SBP and DBP, respectively) were analyzed.

RESULTS

A total of 97 patients (52.3±10.7 years, %53.6 female) completed the study. In the Ma'aljobon group, SBP decreased from 150.3±12.3 to 130.6±12.1 mm Hg, and DBP decreased from 93.3±8.2 to 80.1±6.6 mm Hg (p<0.001). In the control group, SBP decreased from 147.6±11.2 to 138.7±14.4 mm Hg, and DBP decreased from 86.6±7.7 to 82.2±8.2 mm Hg (p<0.001). There was a significant difference in the changes of SBP and DBP between the two groups over time (p<0.001). No adverse events were observed.

CONCLUSION

Ma'aljobon has a stronger hypotensive effect than placebo in patients with HTN and can be recommended as an add-on therapy for uncontrolled HTN.

摘要

目的

Ma'aljobon在波斯医学中作为一种天然抗高血压产品使用。本研究旨在评估Ma'aljobon对1级原发性高血压(HTN)控制不佳患者的降压效果。

材料与方法

这项双盲、安慰剂对照临床试验纳入了114例年龄在20至80岁之间、1级原发性HTN控制不佳的患者。获得知情同意后,将参与者随机分为两组,每天两次给予25克Ma'aljobon或麦芽糊精,持续六周。分析收缩压和舒张压(分别为SBP和DBP)。

结果

共有97例患者(52.3±10.7岁,53.6%为女性)完成了研究。在Ma'aljobon组中,SBP从150.3±12.3降至130.6±12.1毫米汞柱,DBP从93.3±8.2降至80.1±6.6毫米汞柱(p<0.001)。在对照组中,SBP从147.6±11.2降至138.7±14.4毫米汞柱,DBP从86.6±7.7降至82.2±8.2毫米汞柱(p<0.001)。两组间SBP和DBP随时间的变化存在显著差异(p<0.001)。未观察到不良事件。

结论

在HTN患者中,Ma'aljobon的降压效果比安慰剂更强,可推荐作为控制不佳的HTN的附加治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b0d/12013974/8025af8474d5/AJP-15-848-g001.jpg

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