Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial

Burn injuries are considered an important public health problem in the world. Burns are considered the fourth most common kind of trauma in the world, after traffic accidents, falls, and interpersonal violence. Various biochemical agents are involved in the burn healing process such as cytokines (su...

Full description

Saved in:
Bibliographic Details
Main Authors: Abdolkhalegh Keshavarzi, Rahimeh Akrami, Mohammad M. Zarshenas, Saeid Zareie, Tayyeb Ghadimi, Ali Najafi, Mahsa Rostami Chijan, Azizallah Dehghan, Elham Zarenezhad
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2024/1016247
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832559547948990464
author Abdolkhalegh Keshavarzi
Rahimeh Akrami
Mohammad M. Zarshenas
Saeid Zareie
Tayyeb Ghadimi
Ali Najafi
Mahsa Rostami Chijan
Azizallah Dehghan
Elham Zarenezhad
author_facet Abdolkhalegh Keshavarzi
Rahimeh Akrami
Mohammad M. Zarshenas
Saeid Zareie
Tayyeb Ghadimi
Ali Najafi
Mahsa Rostami Chijan
Azizallah Dehghan
Elham Zarenezhad
author_sort Abdolkhalegh Keshavarzi
collection DOAJ
description Burn injuries are considered an important public health problem in the world. Burns are considered the fourth most common kind of trauma in the world, after traffic accidents, falls, and interpersonal violence. Various biochemical agents are involved in the burn healing process such as cytokines (such as IL-6 and TNF-α), antioxidants, and liver and kidney damage biomarkers. Cichorium intybus L. and milk thistle extracts showed a wide range of pharmacological activities such as significant antimicrobial effect and antioxidant activity, as well as anti-inflammatory, antidiabetic, antiproliferative, antiprotozoal, and hepatoprotective effect. Also, these two herbs possess blood-cleansing, detoxifying, laxative, and invigorating activities. Some research confirmed that the preparations of the extract are very suitable for the treatment of nonalcoholic fatty liver disease. This is a double-blind randomized controlled clinical trial. Patients with 2nd and 3rd degree burns have been selected to participate in the study according to the inclusion criteria. A total of 60 patients were selected and divided into intervention and control groups (30 patients in each group). Patients in the intervention group received chicory seed syrup 10 cc three times a day and 1 placebo capsule, and those in the control group received placebo syrup (10 cc three times a day) and one Livergol (140 mg of silymarin in each capsule) capsule. Lab data such as liver function tests, albumin, creatinine, BUN, and hemoglobin were checked every 3 days and 1 week after discharge. The treatment lasted for 4 weeks. According to the results of the study, although the average of liver enzymes at the end of the study does not show a significant difference between the two groups, the level of liver enzymes in each group decreased on the 15th day of the study compared to the first day. This trial is registered with IRCT20180609040016N1.
format Article
id doaj-art-385e5bf50b764717a95fce063039e3b3
institution Kabale University
issn 1742-1241
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series International Journal of Clinical Practice
spelling doaj-art-385e5bf50b764717a95fce063039e3b32025-02-03T01:29:50ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/1016247Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical TrialAbdolkhalegh Keshavarzi0Rahimeh Akrami1Mohammad M. Zarshenas2Saeid Zareie3Tayyeb Ghadimi4Ali Najafi5Mahsa Rostami Chijan6Azizallah Dehghan7Elham Zarenezhad8Shiraz Burn and Wound Healing Research CenterShiraz Burn and Wound Healing Research CenterTraditional Medicine and Hydrotherapy Research CenterNurse of Intensive Care Unit (ICU) of Amir Al-Momenin Burn Injury HospitalDepartment of Plastic and Reconstructive SurgeryShiraz Burn and Wound Healing Research CenterDepartment of Persian MedicineNoncommunicable Diseases Research CenterNoncommunicable Diseases Research CenterBurn injuries are considered an important public health problem in the world. Burns are considered the fourth most common kind of trauma in the world, after traffic accidents, falls, and interpersonal violence. Various biochemical agents are involved in the burn healing process such as cytokines (such as IL-6 and TNF-α), antioxidants, and liver and kidney damage biomarkers. Cichorium intybus L. and milk thistle extracts showed a wide range of pharmacological activities such as significant antimicrobial effect and antioxidant activity, as well as anti-inflammatory, antidiabetic, antiproliferative, antiprotozoal, and hepatoprotective effect. Also, these two herbs possess blood-cleansing, detoxifying, laxative, and invigorating activities. Some research confirmed that the preparations of the extract are very suitable for the treatment of nonalcoholic fatty liver disease. This is a double-blind randomized controlled clinical trial. Patients with 2nd and 3rd degree burns have been selected to participate in the study according to the inclusion criteria. A total of 60 patients were selected and divided into intervention and control groups (30 patients in each group). Patients in the intervention group received chicory seed syrup 10 cc three times a day and 1 placebo capsule, and those in the control group received placebo syrup (10 cc three times a day) and one Livergol (140 mg of silymarin in each capsule) capsule. Lab data such as liver function tests, albumin, creatinine, BUN, and hemoglobin were checked every 3 days and 1 week after discharge. The treatment lasted for 4 weeks. According to the results of the study, although the average of liver enzymes at the end of the study does not show a significant difference between the two groups, the level of liver enzymes in each group decreased on the 15th day of the study compared to the first day. This trial is registered with IRCT20180609040016N1.http://dx.doi.org/10.1155/2024/1016247
spellingShingle Abdolkhalegh Keshavarzi
Rahimeh Akrami
Mohammad M. Zarshenas
Saeid Zareie
Tayyeb Ghadimi
Ali Najafi
Mahsa Rostami Chijan
Azizallah Dehghan
Elham Zarenezhad
Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial
International Journal of Clinical Practice
title Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial
title_full Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial
title_fullStr Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial
title_full_unstemmed Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial
title_short Evaluation of the Effect of Cichorium intybus L. on the Liver Enzymes in Burn Patients: A Randomized Double-Blind Clinical Trial
title_sort evaluation of the effect of cichorium intybus l on the liver enzymes in burn patients a randomized double blind clinical trial
url http://dx.doi.org/10.1155/2024/1016247
work_keys_str_mv AT abdolkhaleghkeshavarzi evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT rahimehakrami evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT mohammadmzarshenas evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT saeidzareie evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT tayyebghadimi evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT alinajafi evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT mahsarostamichijan evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT azizallahdehghan evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial
AT elhamzarenezhad evaluationoftheeffectofcichoriumintybuslontheliverenzymesinburnpatientsarandomizeddoubleblindclinicaltrial