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大车前草及其主要成分对呼吸系统疾病的治疗作用:一项叙述性综述。

The therapeutic effects of Plantago major and its main constituents on respiratory diseases: a narrative review.

作者信息

Boskabadi Seyyed Javad, Farzameh Fatemeh, Mohammadnejad Kousar, Boskabady Mohammad Hossein

机构信息

Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Jul 15. doi: 10.1007/s00210-025-04276-8.

DOI:10.1007/s00210-025-04276-8
PMID:40663154
Abstract

Herbal medicines have been proposed as adjuvant treatment for respiratory diseases. One such agent is Plantago major (P. major). Therefore, this review aims to gather the most recent experimental and clinical evidence on P. major's therapeutic effects on respiratory diseases. This review search was performed through Web of Science, PubMed, Google Scholar, and Scopus from the 1990s to March 2024. In experimental studies, the effects of P. major on inflammation, infection, asthma, and COPD models were established. In clinical studies, a significant reduction in cough and wheezing, increases in FEV1 and FVC in asthmatic patients, a rapid effect on signs and symptoms of bronchitis, and antiviral effects were observed. Despite in vitro and animal studies, there are limited clinical studies on the respiratory effects of P. major on humans. Therefore, designing more clinical studies to identify the respiratory effects of the plant and its derivatives should be considered.

摘要

草药已被提议作为呼吸系统疾病的辅助治疗方法。大车前草(Plantago major,P. major)就是这样一种药物。因此,本综述旨在收集关于大车前草对呼吸系统疾病治疗效果的最新实验和临床证据。本综述检索是通过科学网、PubMed、谷歌学术和Scopus从20世纪90年代到2024年3月进行的。在实验研究中,确定了大车前草对炎症、感染、哮喘和慢性阻塞性肺疾病(COPD)模型的影响。在临床研究中,观察到咳嗽和喘息显著减轻、哮喘患者第一秒用力呼气容积(FEV1)和用力肺活量(FVC)增加、对支气管炎的体征和症状有快速疗效以及抗病毒作用。尽管有体外和动物研究,但关于大车前草对人类呼吸系统影响的临床研究有限。因此,应考虑设计更多临床研究来确定该植物及其衍生物的呼吸系统影响。

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本文引用的文献

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The Role of Butirprost as an Adjuvant in Enhancing the Effect of Antibiotics in Patients Affected by Chronic Bacterial Prostatitis: A Randomized Prospective Trial.布地前列素作为辅助药物增强慢性细菌性前列腺炎患者抗生素疗效的作用:一项随机前瞻性试验。
Medicina (Kaunas). 2025 Jan 17;61(1):148. doi: 10.3390/medicina61010148.
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Effect of on cough severity in acute bronchitis: A double-blind randomized clinical trial.[具体药物或治疗手段]对急性支气管炎咳嗽严重程度的影响:一项双盲随机临床试验。
Caspian J Intern Med. 2024 Sep 7;15(4):651-658. doi: 10.22088/cjim.15.4.651. eCollection 2024 Fall.
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Plantamajoside alleviates acute sepsis-induced organ dysfunction through inhibiting the TRAF6/NF-κB axis.
植物甾醇苷通过抑制 TRAF6/NF-κB 轴缓解急性脓毒症诱导的器官功能障碍。
Pharm Biol. 2023 Dec;61(1):897-906. doi: 10.1080/13880209.2023.2215849.
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The Cytoprotective Effects of Baicalein on HO-Induced ROS by Maintaining Mitochondrial Homeostasis and Cellular Tight Junction in HaCaT Keratinocytes.黄芩苷通过维持HaCaT角质形成细胞的线粒体稳态和细胞紧密连接对血红素加氧酶诱导的活性氧的细胞保护作用。
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Two flavonoids, baicalein and naringin, are effective as anti-inflammatory and anti-oxidant agents in a rat model of polymicrobial sepsis.两种黄酮类化合物,黄芩素和柚皮苷,在多微生物脓毒症大鼠模型中具有抗炎和抗氧化作用。
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The effects of vitamin C on respiratory, allergic and immunological diseases: an experimental and clinical-based review.维生素 C 对呼吸、过敏和免疫性疾病的影响:基于实验和临床的综述。
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Int Immunopharmacol. 2023 Feb;115:109582. doi: 10.1016/j.intimp.2022.109582. Epub 2022 Dec 28.
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