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医学中的安慰剂

Placebos in medicine.

作者信息

Bernstein C N

机构信息

Section of Gastroenterology, University of Manitoba, Winnipeg, Canada.

出版信息

Semin Gastrointest Dis. 1999 Jan;10(1):3-7.

Abstract

Although placebo may be defined as a treatment that does not have a specific effect on the illness for which it is being used, or as an intervention for which there is no scientific theory explaining its mechanism of action, placebo can be an effective therapeutic intervention. Placebo can be administered as a drug or as a procedural intervention. Multiple factors affect the ultimate intensity of the placebo response. One of these factors is the approach taken by the health care provider in administering an intervention. The medical literature is replete with clinical studies showing beneficial results of placebo administration. Physicians should attempt to better understand placebo to harness its beneficial effects, avoid nocebo or negative effects, and maximize the placebo response.

摘要

虽然安慰剂可被定义为对其所用疾病没有特定效果的治疗方法,或没有科学理论解释其作用机制的干预措施,但安慰剂可以是一种有效的治疗性干预手段。安慰剂可以作为药物或程序性干预措施来给予。多种因素会影响安慰剂反应的最终强度。其中一个因素是医疗服务提供者在实施干预措施时所采取的方法。医学文献中充斥着显示安慰剂给药有益结果的临床研究。医生应试图更好地理解安慰剂,以利用其有益效果,避免产生反安慰剂效应或负面影响,并使安慰剂反应最大化。

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