Kent's Repertory 在治疗念珠菌病中的效用:开放标签、单臂、介入性临床试验

Nitin Saklani, Ramkripal Prajapati
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摘要

摘要 背景:念珠菌病是影响生活质量最严重的机会性感染。研究目的本研究评估了从肯特药典中选取的以厘米为单位的个体化同种异体疗法(IH)对念珠菌病的疗效。研究方法这是一项开放标签、前瞻性、单臂、非随机、非对照临床试验,采用前后对比设计,在印度加尔各答国立顺势疗法研究所的剧目门诊部(OPD)进行。结果使用 NRS 和 MCAQ 评分表计算出的 t29 值为 8.04 或 9.17,在自由度为 29 的 t 表中,发现 t 值为 2.05,p=0.05。然而,我们的计算值 8.04 或 9.17 却大于 2.05(t,p=0.05)。由于计算出的 t 值大于表中 α = 0.05 时的值。因此,在 p≤0.05 时,结果是显著的。参加本次临床研究的患者在干预前和干预后的状况均有明显改善。结论这项研究提供了一个积极的趋势,支持根据肯特的药典原理选择的 IH(个性化同种异体疗法)对不同种类念珠菌病患者的疗效,值得在样本量更大的 RCT(随机对照试验)中进行进一步评估。
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Utility of Kent's Repertory in the treatment of candidiasis: An open labelled, Single arm, interventional clinical trial
ABSTRACT Background: Candidiasis is the most significant opportunistic infection impacting the Quality of life. Objective: This study assess the effectiveness of individualized homoeopathy (IH) in centesimal scale selected from the Kent’s repertory in cases of Candidiasis. Methods: This is open – label, prospective, Single-arm, non-randomized, non-controlled clinical trial of pre-post comparison design was conducted at the Repertory outpatient department (OPD) of National Institute of Homoeopathy, Kolkata, India. Result: Calculated t29 value is 8.04 OR 9.17 by using NRS and MCAQ scoring scale and on referring t-table at degree of freedom 29,  it is found that the t-value is 2.05 at p=0.05. However our calculated value 8.04 or 9.17 is > 2.05 (t at p=0.05). As the calculated t-value is greater than the table value at α  = 0.05 . So the result is significant at p ≤ 0.05. There is statically significant improvement in pre and post intervention status of patients enrolled in this clinical study. Conclusion: This study provides a positive trend to support the effect of IH (Individualized Homoeopathy) selected on the basis of principal of Kent’s repertory  in patients with different variety of candidiasis and warrants further evaluation in RCT (Randomized control trial) with higher sample size.
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