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补充医学。寻找证据。

Complementary medicine. Searching for the evidence.

作者信息

Bensoussan A

机构信息

Chinese Medicine Unit and Research Unit for Complementary Medicine, Faculty of Health, University of Western Sydney, New South Wales.

出版信息

Aust Fam Physician. 2000 Dec;29(12):1129-33.

PMID:11140216
Abstract

BACKGROUND

Complementary and alternative medicines form significant parts of the health economy and are therefore increasingly scrutinised by consumers, clinicians and scientists, all of whom have an interest in understanding what works and what is safe.

OBJECTIVE

To examine issues relevant to the evidence based assessment of complementary and alternative medicines.

DISCUSSION

There are a large number of systematic reviews on complementary and alternative practices and many hundreds more randomised, controlled trials which form a growing body of original research. However, given the extensive nature of the discipline, and the difficulty in performing rigorous trials, appropriate clinical trial evidence is still required for many of these interventions. On the other hand, consumers are using these medicines and seem unlikely to rely on positive clinical trials to be convinced of the potential effectiveness and relative safety of a medicine with a long tradition.

摘要

背景

补充和替代医学在卫生经济中占据重要部分,因此受到消费者、临床医生和科学家越来越多的审视,他们都有兴趣了解哪些方法有效以及哪些是安全的。

目的

探讨与补充和替代医学循证评估相关的问题。

讨论

关于补充和替代医学实践有大量的系统评价,还有数百项随机对照试验,构成了越来越多的原始研究。然而,鉴于该学科的广泛性以及进行严格试验的难度,许多这些干预措施仍需要适当的临床试验证据。另一方面,消费者正在使用这些药物,而且似乎不太可能仅仅依靠阳性临床试验来相信一种有着悠久传统的药物的潜在有效性和相对安全性。

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