Ferry P, Johnson M, Wallis P
Department of Care of the Elderly, Birmingham Heartlands Hospital, Birmingham, UK.
Postgrad Med J. 2002 Oct;78(924):612-4. doi: 10.1136/pmj.78.924.612.
Patients with Parkinson's disease resort to complementary therapy and non-prescribed medication in the hope of improving their quality of life. In the US 40% of patients with Parkinson's disease reported the use of at least one form of complementary therapy for Parkinson's disease. Data for the UK are limited. A structured questionnaire was administered to consecutive patients attending a Parkinson's disease clinic. Patients were excluded if they were cognitively impaired, if they were living in an institution, or if they declined to take part. The participants were asked about current and previous use of complementary therapy in general and Parkinson's disease in particular and were presented with an extensive list of complementary therapies and non-prescribed medications. The response rate was 90% and 80 patients met the inclusion criteria. Fifty four per cent (n=44) reported the use of at least one form of complementary therapy or non-prescribed medication either for Parkinson's disease or for some other indication, of whom 31 (38.7% of the total sample) used it solely for the treatment of Parkinson's disease. The most commonly used complementary therapies for Parkinson's disease were massage (n=9) and aromatherapy (n=8). Non-prescribed medication was mainly used for indications other than Parkinson's disease and the commonest drugs used were simple analgesics (n=7), cod liver oil (n=5), and multivitamins (n=4). The use of complementary therapy for Parkinson's disease correlated significantly (Pearson's r=0.44, p=0.01) with a younger age at diagnosis of Parkinson's disease. Comorbidity correlated significantly with complementary therapy use for indications other than Parkinson's disease (Pearson's r=0.29, p= 0.01). The use of complementary therapy for Parkinson's disease in this UK based clinic closely mimics that in the US. Non-pharmacological complementary therapy is mainly used for Parkinson's disease, while non-prescribed medication is more commonly used for other indications.
帕金森病患者求助于辅助疗法和非处方药，希望能改善生活质量。在美国，40%的帕金森病患者报告至少使用过一种针对帕金森病的辅助疗法。英国的数据有限。我们对一家帕金森病诊所的连续就诊患者进行了结构化问卷调查。如果患者存在认知障碍、住在机构里或拒绝参与，则被排除。参与者被问及目前和以前对辅助疗法的总体使用情况，特别是针对帕金森病的使用情况，并被展示了一份详尽的辅助疗法和非处方药清单。回复率为90%，80名患者符合纳入标准。54%（n = 44）的患者报告至少使用过一种针对帕金森病或其他病症的辅助疗法或非处方药，其中31人（占总样本的38.7%）仅将其用于治疗帕金森病。用于帕金森病最常用的辅助疗法是按摩（n = 9）和芳香疗法（n = 8）。非处方药主要用于帕金森病以外的病症，最常用的药物是简单镇痛药（n = 7）、鱼肝油（n = 5）和多种维生素（n = 4）。针对帕金森病使用辅助疗法与帕金森病诊断时较年轻的年龄显著相关（皮尔逊r = 0.44，p = 0.01）。合并症与用于帕金森病以外病症的辅助疗法使用显著相关（皮尔逊r = 0.29，p = 0.01）。在这家英国诊所中，针对帕金森病使用辅助疗法的情况与美国非常相似。非药物辅助疗法主要用于帕金森病，而非处方药更常用于其他病症。
