芳香疗法在病毒性肝炎治疗中的作用

A.M. Giraud-Robert
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引用次数: 11

摘要

乙型和丙型肝炎是公共卫生的一个重要问题。目前在法国,丙型肝炎(HCV)的患病率估计为1.1%(约50万人,其中80%是病毒携带者)。其全球患病率为3%。乙型肝炎(HBV)的患病率在0.2%至0.5%之间(至少10万人)。85-90%的丙型肝炎患者会发展为慢性肝炎,而乙肝病毒携带者中这一比例仅为5-10%。对于丙型肝炎病毒,目前的治疗是干扰素聚乙二醇α -2a或α -2b (IFN-α)和利巴韦林的双疗法。这导致近85%的基因2型或3型感染患者的病毒被根除,而基因1型感染患者的病毒仅被根除50%。治疗的负面副作用是常见的。对于HBV,对抗疗法依赖于干扰素-α和核苷类似物,如拉米夫定和阿德福韦。治疗的目的是使病毒不具有传染性,而不是根除病毒。本研究对60例慢性乙型或丙型肝炎携带者(50例HCV和10例HBV)进行了研究。42名女性和8名男性被招募,年龄在12岁到75岁之间。精油如荆芥、拉布拉多茶、胡萝卜籽、百里香、月桂、牛油和蜡菊被口服用于单一疗法或作为对抗疗法的补充。在接受双疗法和精油治疗的HCV患者中,耐受性和对治疗的反应得到改善(80%的患者耐受性良好,100%完全缓解,尤其是基因型1)。对于接受单一疗法(精油)治疗的HCV患者,64%的病例肝炎得到改善。对于HBV,精油单药治疗可获得两种疗效。因此,精油治疗可以提供单一疗法或作为对抗疗法干预的补充的治疗机会。
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The role of aromatherapy in the treatment of viral hepatitis

Hepatitis B and C constitute an important problem for public health. Currently in France, the prevalence of hepatitis C (HCV) is estimated at 1.1% (approximately 500,000 people 80% of which are viraemic). Its worldwide prevalence is 3%. The prevalence of hepatitis B (HBV) is between 0.2% and 0.5% (at least 100,000 people). 85–90% of persons with HCV go onto develop chronic hepatitis whereas for HBV, this is only 5–10% in immunocompetent carriers.

For HCV, the current treatment is bitherapy with interferon pegyl alpha-2a or alpha-2b (IFN-α) and ribavirin. This leads to eradication of the virus in almost 85% of patients infected with genotype 2 or 3 and only 50% in those with genotype 1. Negative side effects of treatment are common.

For HBV, allopathic treatments rely on IFN-α and nucleoside analogues such as lamivudine and adefovir. The objectives of treatment are to render the virus non-infective rather than lead to virus eradication.

This study was conducted on 60 patients that were chronic carriers of hepatitis B or C (50 HCV and 10 HBV). 42 women and 8 men were recruited between the ages of 12 and 75 years. Essential oils such as ravintsara, Labrador tea, carrot seed, thyme ct thujanol, laurel, niaouli and helichrysum were used orally either in monotherapy or as a complement to allopathic treatment. In patients with HCV treated with bitherapy and essential oils, tolerance and response to treatment was improved (80% good tolerance and 100% complete response especially for genotype 1). For patients with HCV treated with monotherapy (essential oils), an improvement in hepatitis was noted in 64% of cases. For HBV, two cures were obtained with essential oils in monotherapy.

Treatment with essential oils may thus offer treatment opportunities either in monotherapy or as complements to allopathic interventions.

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