Complementary and alternative medicine therapies for chronic pain
Complementary and alternative medicine therapies for chronic pain
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DOI：
10.1007/s11655-016-2258-y
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发表时间：
2016-06-01
影响因子：
2.9
通讯作者：
Wang Shi-han
中科院分区：
文献类型：
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作者：
Bauer, Brent A.;Tilburt, Jon C.;Wang Shi-han
在美国，疼痛困扰着超过 5000 万人，其中 30.7% 的美国成年人患有慢性疼痛。尽管治疗方法取得了进步，但许多患者仍将继续应对持续出现的症状，而最好的传统医学无法完全解决这些症状。患者经常寻求传统医学（草药、针灸、冥想等）范围之外的疗法，称为补充和替代医学（CAM）。学术和政府团体也开始将 CAM 建议纳入慢性疼痛管理策略。因此，对于任何护理慢性疼痛患者的医生来说，熟悉这些疗法（包括风险和益处）将是帮助指导患者就是否使用此类疗法做出基于证据的、明智的决定的关键。另一方面，如果 CAM 疗法有安全性和有效性的证据，那么不将其提供给正在遭受痛苦的患者就不能满足患者的需求。我们在本文中总结了多种 CAM 模式的当前证据，这些模式有可能帮助慢性疼痛患者。慢性疼痛症状、随时获取互联网信息以及不断增强的患者自主权这三大因素表明，CAM 疗法仍将是慢性疼痛患者医疗保健的一个一致组成部分。
Pain afflflicts over 50 million people in the US, with 30.7% US adults suffering with chronic pain. Despite advances in therapies, many patients will continue to deal with ongoing symptoms that are not fully addressed by the best conventional medicine has to offer them. The patients frequently turn to therapies outside the usual purview of conventional medicine (herbs, acupuncture, meditation, etc.) called complementary and alternative medicine (CAM). Academic and governmental groups are also starting to incorporate CAM recommendations into chronic pain management strategies. Thus, for any physician who care for patients with chronic pain, having some familiarity with these therapies-including risks and benefits-will be key to helping guide patients in making evidence-based, well informed decisions about whether or not to use such therapies. On the other hand, if a CAM therapy has evidence of both safety and efficacy then not making it available to a patient who is suffering does not meet the need of the patient. We summarize the current evidence of a wide variety of CAM modalities that have potential for helping patients with chronic pain in this article. The triad of chronic pain symptoms, ready access to information on the internet, and growing patient empowerment suggest that CAM therapies will remain a consistent part of the healthcare of patients dealing with chronic pain.