Everett Lucinda L, Birmingham Patrick K, Williams Glyn D, Brenn B Randall, Shapiro Jay H
Department of Anesthesiology, Children's Hospital and Regional Medical Center, University of Washington, USA.
Paediatr Anaesth. 2005 Jun;15(6):455-60. doi: 10.1111/j.1460-9592.2005.01487.x.
Patients who present for surgery may be using herbal or homeopathic preparations; adverse effects of some of these substances include bleeding, cardiovascular changes, and liver dysfunction. Little information is available on the frequency of use in the pediatric surgical population.
With institutional approval, a survey was conducted to assess the use of vitamins, nutritional supplements, or herbal or homeopathic preparations in children presenting for surgery in five geographically diverse centers in the USA.
A total of 894 completed surveys showed that overall, 3.5% of pediatric surgical patients had been given herbal or homeopathic medications in the 2 weeks prior to surgery. Most substances were prescribed by parents. The use of these medications did not differ between children with coexisting diseases and those without; use was also not different among ethnic groups or by residence setting (city, suburban, rural). There was a significant difference between the west coast centers in the study compared with the rest of the country (7.5% of patients in Palo Alto, CA; 5.5% of patients in Seattle, WA; 1.5% of patients in Chicago, IL; and 1.9% in Virginia and Delaware used herbal or homeopathic remedies). The most prevalent substance given to children presenting for elective surgery was Echinacea.
Herbal and homeopathic medications are used by a small percentage of pediatric patients presenting for elective pediatric surgery patients. Use of these substances should be addressed in the preoperative history.
接受手术的患者可能正在使用草药或顺势疗法制剂；其中一些物质的不良反应包括出血、心血管变化和肝功能障碍。关于儿科手术人群中这些制剂的使用频率，目前可用信息较少。
经机构批准，开展了一项调查，以评估美国五个地理位置不同的中心中接受手术的儿童使用维生素、营养补充剂或草药或顺势疗法制剂的情况。
总共894份完成的调查问卷显示，总体而言，3.5%的儿科手术患者在手术前2周内服用过草药或顺势疗法药物。大多数药物是由家长开的。患有并存疾病的儿童与未患并存疾病的儿童在这些药物的使用上没有差异；不同种族或居住环境（城市、郊区、农村）的儿童在使用上也没有差异。与美国其他地区相比，该研究中的西海岸中心存在显著差异（加利福尼亚州帕洛阿尔托7.5%的患者；华盛顿州西雅图5.5%的患者；伊利诺伊州芝加哥1.5%的患者；弗吉尼亚州和特拉华州1.9%的患者使用草药或顺势疗法药物）。接受择期手术的儿童中最常用的药物是紫锥菊。
一小部分接受择期儿科手术的患者使用草药和顺势疗法药物。术前病史中应提及这些物质的使用情况。
