The use of complementary and alternative medicines by patients with peripheral neuropathy
The use of complementary and alternative medicines by patients with peripheral neuropathy
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DOI：
10.1016/j.jns.2003.10.013
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发表时间：
2004-03-15
影响因子：
4.4
通讯作者：
Gorson, KC
中科院分区：
文献类型：
--
作者：
Brunelli, B;Gorson, KC
补充和替代医学（CAM）疗法越来越受欢迎，并经常被慢性神经系统疾病患者使用。周围神经病变患者使用CAM的患病率和特征尚不清楚。我们进行了一项前瞻性的、基于神经病学的研究，以确定180例连续门诊周围神经病变患者中CAM治疗的流行率和使用模式。77例神经病变患者（43%）报告使用CAM。最常见的是兆焦耳（35%），磁铁（30%）。针灸（30%），草药（22%）和脊椎按摩（21%）; 37（48%）人尝试了一种以上的替代疗法。17名受访者（27%）认为他们的神经病变症状通过这些方法得到改善。与CAM非使用者相比，使用CAM的人略年轻（平均年龄62岁对65岁，p = 0.05），更经常接受大学教育（39%对24%，p = 0.03）。他们也更经常报告烧灼性神经性疼痛（62% vs. 44%，p = 0.01）。糖尿病神经病变患者使用CAM的频率高于其他患者（p = 0.03）。使用CAM的最常见原因是疼痛控制不足（32%）。几乎一半的患者在开始CAM之前没有咨询医生。我们的结论是，在我们的神经病变患者中，CAM的使用率很高，四分之一的患者报告他们的症状改善。CAM使用者比非使用者受教育程度更高，但大多数人没有与医生讨论CAM治疗。神经性疼痛在CAM使用者中更常见，缺乏疼痛控制是CAM使用的最常见原因。(C)2003 Elsevier B. V.保留所有权利。
Complementary and alternative medicine (CAM) therapies have become increasingly popular and are used regularly by patients with chronic neurological disorders. The prevalence and characteristics of CAM use by patients with peripheral neuropathy is unknown. We performed a prospective, questionnaire-based study to determine the prevalence and patterns of use of CAM therapies in 180 consecutive outpatients with peripheral neuropathy. The use of CAM was reported by 77 patients (43%) with neuropathy. The most frequent were megavitamins (35%), magnets (30%). acupuncture (30%), herbal remedies (22%), and chiropractic manipulation (21%); 37 (48%) tried more than one form of alternative treatment. Seventeen respondents (27%) thought their neuropathy symptoms improved with these approaches. Those who used CAM were slightly younger (mean age 62 vs. 65 years, p = 0.05) and more often college educated (39% vs. 24%, p = 0.03) compared to CAM nonusers. They also more often reported burning neuropathic pain (62% vs. 44%, p = 0.01). Patients with diabetic neuropathy used CAM more frequently than others (p = 0.03). The most common reason for using CAM was inadequate pain control (32%). Almost half of patients did not consult a physician before starting CAM. We conclude that there is a high prevalence of CAM use in our patients with neuropathy, and one-quarter reported that their symptoms improved. CAM users were better educated than nonusers, but most did not discuss CAM treatments with their physician. Neuropathic pain was substantially more common in CAM users, and lack of pain control was the most common reason for CAM use. (C) 2003 Elsevier B.V. All rights reserved.