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Safety and efficacy of Yaobitong capsules for lumbar disc herniation: A multicenter, randomized, double-blinded, parallel, positive-controlled clinical trial.
Zhao, Ye; Huang, Shi Rong; Zhang, Yu Jie; Chen, Yong Qiang; Liu, Wen Gang; Gu, Fu Shun; Wen, Hui; Xu, Xi Lin; Chen, Jiu Yi; Jin, Da Xiang; Yin, Hong; Dong, Zhong; Yuan, Wei An; Zhan, Hong Sheng.
Afiliación
  • Zhao Y; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, China.
  • Huang SR; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, China.
  • Zhang YJ; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, China.
  • Chen YQ; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Shanghai Hospital of Traditional Chinese Medicine, China.
  • Liu WG; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Guangdong Second Hospital of Traditional Chinese Medicine, Guangzhou, China.
  • Gu FS; Department of Orthopedics, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, China.
  • Wen H; Department of Traditional Chinese Medicine Orthopedics & Traumatology, The Hospital Affiliated to Changchun University of Traditional Chinese Medicine, China.
  • Xu XL; Department of Traditional Chinese Medicine Orthopedics & Traumatology, The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, China.
  • Chen JY; Department of Traditional Chinese Medicine Orthopedics & Traumatology, The First Affiliated Hospital of Guiyang College of Traditional Chinese Medicine, China.
  • Jin DX; Department of Orthopedics, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, China.
  • Yin H; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Nanjing Hospital of Traditional Chinese Medicine, China.
  • Dong Z; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Fujian Institute of Traditional Chinese Medicine, Fuzhou, China.
  • Yuan WA; Clinical Research Center, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
  • Zhan HS; Department of Traditional Chinese Medicine Orthopedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, China.
Adv Clin Exp Med ; 2024 May 13.
Article en En | MEDLINE | ID: mdl-38739103
ABSTRACT

BACKGROUND:

Lumbar disc herniation (LDH) is one of the most common diseases and is a global medical and socioeconomic problem characterized by leg or back pain, weakness in the lower extremities and paresthesia.

OBJECTIVES:

A multicenter, randomized, double-blinded, parallel, positive-controlled clinical trial was conducted to evaluate the efficacy and safety of Yaobitong capsules (YBT) for LDH. MATERIAL AND

METHODS:

Patients (n = 479) were recruited and randomized into YBT and Jingyaokang capsule (JYK) groups (the positive control), and received YBT or JYK at a dose of 3 capsules 3 times per day after a meal for 30 days. The primary efficacy outcome was the Oswestry Disability Index (ODI), with the visual analogue scale (VAS) used as the secondary efficacy outcome. The adverse events and adverse reactions were also evaluated.

RESULTS:

There was no significant difference in baseline characteristics between YBT (n = 358) and JYK groups (n = 120), and no difference was observed between groups for mean ODI score at day 0 (p = 0.064) or day 7 (p = 0.196), but there were differences at days 14, 21 and 30 (p < 0.001). The YBT showed more decline from baseline, and the decreased ODI score was substantially different from JYK (p < 0.001). The differences in decreased VAS scores between YBT and JYK were also significant at each time point (days 7, 14, 21, and 30), with better scores in the YBT group than in the JYK group (p < 0.001). In terms of safety, there was no obvious disparity in adverse events or adverse reactions between the 2 groups (p > 0.05).

CONCLUSIONS:

Yaobitong was better than JYK for LDH treatment, with no significant difference in safety. The study suggests that YBT is a promising and effective treatment for LDH.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Polonia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Clin Exp Med Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Polonia