Efficacy of Ayurvedic herbal formulation and Ayurvedic herbo-mineral formulation in hypothyroidism patients

A. Joshi, R. Yadav, S. Shrestha, Jitendra Shrestha
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Abstract

Background: Hypothyroidism is one of the major endrocrine disorders seen in general population worldwide. Although modern drugs are quite effective in managing hypothyroidism, it is subject to sustaining certain side effects. So, we aim to evaluate the efficacy of Ayurvedic herbal formulation and Ayurvedic herbo-mineral formulation in managing hypothyroidism in Nepalese population. Methods and analysis: This study was a randomized, double-blind, and controlled trial. A total of 50 participants with the diagnosis of hypothyroidism was randomly assigned to the intervention group or control group in a ratio of 1:1 for 4 weeks. The primary outcome measure was the thyroidstimulating hormone level, and secondary outcome measures was the change in body mass index, waist-hip ratio, blood glucose level, lipid profile, liver function tests and renal function tests between the baseline and at 4 weeks after intervention. Statistical analysis was done by comparing categorical variables using chi-square test and Fisher’s exact test and comparing continuous variables using paired and unpaired student’s t test. Results: There was a decrease in TSH levels of the participants by 12.5% and 7.9%, after intervention with AHF and AHMF, respectively. There were a small statistical significant difference only in waist-hip ratio ( p= 0.04) when compared before and after treatment with AHF and AHMF whereas there was no significant changes observed in other clinical variables after intervention with AHF and AHMF. Conclusion: This study may provide new evidence for the effectiveness of Ayurvedic herbal formulation and Ayurvedic herbo-mineral formulation in hypothyroidism in context of Nepal.
阿育吠陀草药制剂和阿育吠陀草药矿物制剂治疗甲状腺功能减退的疗效观察
背景:甲状腺功能减退症是世界范围内常见的主要内分泌疾病之一。虽然现代药物在治疗甲状腺功能减退方面相当有效,但它仍有一定的副作用。因此,我们的目的是评估阿育吠陀草药制剂和阿育吠陀草药矿物制剂在尼泊尔人群中治疗甲状腺功能减退的功效。方法与分析:本研究为随机、双盲、对照试验。将50名诊断为甲状腺功能减退的参与者按1:1的比例随机分为干预组和对照组,为期4周。主要结局指标是促甲状腺激素水平,次要结局指标是体重指数、腰臀比、血糖水平、血脂、肝功能测试和肾功能测试在基线和干预后4周之间的变化。统计分析采用卡方检验和Fisher精确检验对分类变量进行比较,采用配对和非配对学生t检验对连续变量进行比较。结果:在AHF和AHMF干预后,参与者的TSH水平分别下降了12.5%和7.9%。AHF与AHMF治疗前后比较,只有腰臀比差异有统计学意义(p= 0.04),其他临床变量在AHF与AHMF干预前后无显著变化。结论:本研究可能为阿育吠陀草药制剂和阿育吠陀草药矿物制剂治疗尼泊尔地区甲状腺功能减退症的疗效提供新的证据。
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