McKenzie A G, Simpson K R
Edinburgh Royal Infirmary, Department of Anaesthesia, Critical Care and Pain Medicine, UK.
Eur J Anaesthesiol. 2005 Aug;22(8):597-602. doi: 10.1017/s0265021505001006.
Increasing numbers of patients taking herbal medicine products are presenting for anaesthesia and surgery. Anaesthetists need to consider the perioperative implications of herbal medicines and should, therefore, have some knowledge of this subject.
A postal questionnaire survey was sent to a random 5% of practising members of the Association of Anaesthetists of Great Britain and Ireland residing in the UK, to identify attitudes, practice and knowledge regarding herbal medicines.
From 341 questionnaires there were 221 replies, a 65% response rate. Ninety per cent stated that they seldom or never asked patients about herbal medicine usage, yet 65% felt that there could be potentially harmful effects of herbal medicines in the perioperative period. There was a very poor level of knowledge with respect to the current management of 10 well-known herbal medicines. However, 75% agreed that information about perioperative usage of herbal medicines is important, and 77% felt that herbal medicines should be in the undergraduate medical curriculum. Reading was the usual source of herbal medicine product information. Most (82%) felt their knowledge of herbal medicine products and the implications in patient care were inadequate.
This sample of anaesthetists require education on herbal medicines. Suggestions for remedial action are given.
越来越多服用草药产品的患者接受麻醉和手术。麻醉医生需要考虑草药在围手术期的影响，因此应该对这一主题有所了解。
向居住在英国的大不列颠及爱尔兰麻醉师协会5%的执业会员随机发送邮政问卷调查，以确定他们对草药的态度、做法和知识。
341份问卷中有221份回复，回复率为65%。90%的人表示他们很少或从不询问患者是否使用草药，然而65%的人认为草药在围手术期可能有潜在的有害影响。对于10种知名草药的当前管理，知识水平非常低。然而，75%的人同意关于草药围手术期使用的信息很重要，77%的人认为草药应该纳入本科医学课程。阅读是草药产品信息的常见来源。大多数人（82%）觉得他们对草药产品的知识以及对患者护理的影响不足。
这个麻醉医生样本需要接受关于草药的教育。给出了补救措施的建议。
