Evaluation of the efficacy and safety of an innovative flavonoid lotion in patients with haemorrhoid: a randomised clinical trial.

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY BMJ Open Gastroenterology Pub Date : 2023-08-01 DOI:10.1136/bmjgast-2023-001158
Sara Razdar, Yunes Panahi, Ramtin Mohammadi, Leila Khedmat, Hossein Khedmat
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Abstract

Objective: Haemorrhoids are one of the most common gastrointestinal and anal diseases. In olive oil and honey propolis, flavonoids have beneficial effects on improving vascular function and decreasing vascular resistance. In this study, we aimed to produce a combination of these two substances in the form of lotions and assess their healing and side effects in comparison with routine treatment, anti-haemorrhoid ointment (containing hydrocortisone and lidocaine).

Design: In this randomised clinical trial study, 86 patients with grade 2 or more haemorrhoid degrees, diagnosed by colonoscopy, were divided into two groups, the case (n=44) and control (n=42). The case group was treated with flavonoid lotion, and the control group was treated with anti-haemorrhoid ointment two times per day for 1 month. Patients were followed weekly with history and physical examination. The data of the two groups were collected before and after the intervention and statistically analysed.

Results: Post-treatment reduction in haemorrhoid grade was significant in the case group (p=0.02). This ratio was insignificant in the control group (p=0.139). Flavonoid lotion (p<0.05) significantly reduced the signs and symptoms of haemorrhoids more than anti-haemorrhoid ointment.

Conclusion: According to the results, flavonoid lotion can be an excellent alternative to topical chemical drugs, such as anti-haemorrhoid ointment, in treating haemorrhoid disease. Besides its effectiveness and safety, it can be easily manufactured and widely available to patien.

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新型类黄酮洗剂治疗痔疮的疗效和安全性评价:一项随机临床试验。
目的:痔疮是最常见的胃肠道和肛门疾病之一。在橄榄油和蜂蜜蜂胶中,黄酮类化合物具有改善血管功能和降低血管阻力的有益作用。在这项研究中,我们旨在以乳液的形式生产这两种物质的组合,并与常规治疗的抗痔疮软膏(含有氢化可的松和利多卡因)进行比较,评估其愈合和副作用。设计:在这项随机临床试验研究中,86名经结肠镜检查诊断为2级或2级以上痔疮的患者,分为病例组(n=44)和对照组(n=42)。病例组用类黄酮洗剂治疗,对照组用痔疮膏治疗,每日2次,疗程1个疗程 月每周对患者进行病史和体格检查。在干预前后收集两组的数据并进行统计学分析。结果:病例组治疗后痔疮分级显著降低(p=0.02),对照组治疗后这一比例不显著(p=0.139)(结论:类黄酮洗剂是治疗痔疮的一种很好的外用化学药物,如抗痔疮膏的替代品,除了有效性和安全性外,它还易于生产,可广泛用于患者。
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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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