Cuzzolin Laura, Zaffani Silvana, Murgia Vitalia, Gangemi Michele, Meneghelli Giorgio, Chiamenti Giampietro, Benoni Giuseppina
Department of Medicine and Public Health, Section of Pharmacology, University of Verona, Policlinico G.B. Rossi, P.le LA Scuro 10, 37134, Verona, Italy.
Eur J Pediatr. 2003 Dec;162(12):820-7. doi: 10.1007/s00431-003-1313-9. Epub 2003 Sep 26.
For many families and their children, the use of complementary/alternative medicine (CAM) is an accepted adjunct or alternative to conventional therapy, even if data available in the literature regarding risks and adverse drug reactions (ADRs) pertaining to childhood populations are scarce. Moreover, despite widespread and increasing use of CAM, there are limited data on how paediatricians communicate with mothers and/or patients about CAM. Therefore, we report the studies available in the literature in the paediatric field and summarise what is known about ADRs and risks of CAM, taking into account in particular problems related to interactions between phytotherapy and conventional medicines and to counselling.
from the analysis of the literature, some interesting aspects emerge: (1) the extent of CAM use in the paediatric field is increasingly sought by parents of children with chronic illnesses; (2) most parents who choose CAM medicine for their children believe that these therapies are "natural" and thus "safe" and (3) physicians often feel to know too little about CAM and wish to learn more for different reasons including "to dissuade whether the alternative method is unsafe and/or ineffective". Therefore, paediatricians should be prepared to discuss alternative therapies with parents, since talking about CAM may help to minimise the risks and to restrain parental misconceptions and doubts. Educational interventions for parents should also be performed to bring about a more aware use of traditional and alternative medicines.
对于许多家庭及其子女而言，补充和替代医学（CAM）是传统疗法公认的辅助手段或替代方法，即便关于儿童群体的风险及药物不良反应（ADR）的文献资料稀少。此外，尽管补充和替代医学的使用广泛且不断增加，但关于儿科医生如何与母亲和/或患者就补充和替代医学进行沟通的数据却很有限。因此，我们报告了儿科领域文献中可用的研究，并总结了已知的补充和替代医学的不良反应及风险，特别考虑了与植物疗法和传统药物之间的相互作用以及咨询相关的问题。
通过对文献的分析，出现了一些有趣的方面：（1）慢性病患儿的家长越来越多地寻求在儿科领域使用补充和替代医学；（2）大多数为孩子选择补充和替代医学的家长认为这些疗法“天然”，因此“安全”；（3）医生常常觉得对补充和替代医学了解太少，并出于不同原因希望了解更多，包括“劝阻替代方法是否不安全和/或无效”。因此，儿科医生应准备好与家长讨论替代疗法，因为谈论补充和替代医学可能有助于将风险降至最低，并抑制家长的误解和疑虑。还应为家长开展教育干预，以促使他们更明智地使用传统医学和替代医学。
