黑麦草补充剂对 2 型糖尿病患者血脂组合的影响:随机对照试验的系统回顾和元分析

Mahdieh Aliyari, S. Hashemy, Farideh Ghavidel, Hossein Hosseini
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摘要

目的:2 型糖尿病已成为全球健康负担,尤其是在发展中国家,而且经常与血脂异常有关。虽然有多种药物可供选择,但人们对将黑麦草(Nigella sativa)等草药作为 2 型糖尿病替代疗法的兴趣与日俱增。本系统综述和荟萃分析旨在评估 N. sativa 对 2 型糖尿病患者血脂状况的影响。研究方法搜索在线数据库,包括 Web of Science、Scopus、PubMed 和 EMBASE。血脂谱参数的变化以加权平均差和 95% 置信区间的形式进行报告。对符合条件的研究进行了敏感性分析、质量评估、亚组分析和发表偏倚评估。研究结果本研究对 8 项随机对照试验(RCT)进行了分析,共有 1030 人参与。研究结果表明,以种子粉或油的形式补充 N. sativa 能显著降低 2 型糖尿病患者的总胆固醇和低密度脂蛋白胆固醇水平,同时提高高密度脂蛋白胆固醇水平。纳入荟萃分析的研究的漏斗图显示出视觉对称性。结论研究结果表明,藜芦作为一种辅助治疗方法,可与标准药物一起用于控制 2 型糖尿病患者的血脂异常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Nigella sativa Supplementation on Lipid Profile in Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Ccontrolled Trials
Objectives: Type 2 diabetes has become a global health burden, especially in developing nations, and is frequently linked to dyslipidemia. While various medications are available, there is a growing interest in herbal remedies such as Nigella sativa (N. sativa) as alternative treatments for type 2 diabetes. In this systematic review and meta-analysis, the objective was to assess the impact of N. sativa on the lipid profile of patients with type 2 diabetes. Methods: Online databases, including Web of Science, Scopus, PubMed, and EMBASE, were searched. Changes in lipid profile parameters were reported as weighted mean differences, along with a 95% confidence interval. Sensitivity analysis, quality assessment, subgroup analysis, and publication bias were evaluated in the eligible studies. Results: The study was performed on eight randomized controlled trials (RCTs) involving 1030 participants. According to the findings, supplementation of N. sativa in the form of seed powder or oil significantly reduced total cholesterol and LDL-cholesterol levels, while increasing HDL-cholesterol levels in patients with type 2 diabetes. The funnel plot exhibited visual symmetry for the studies included in the meta-analysis. Conclusion: The findings indicate that N sativa may be beneficial as an adjunctive treatment alongside standard medications for managing dyslipidemia in individuals with type 2 diabetes.
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