Lin Yuan-Chi, Lee Anne C C, Kemper Kathi J, Berde Charles B
Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston; Harvard Medical School, Boston, Massachusetts 02115, USA.
Pain Med. 2005 Nov-Dec;6(6):452-8. doi: 10.1111/j.1526-4637.2005.00071.x.
To survey the use of complementary and alternative medical therapies by pediatric pain management services affiliated with major universities.
A telephone survey was conducted of pediatric anesthesia training programs accredited by the Accreditation Council for Graduate Medical Education in the United States. The survey instrument included questions on the provision of complementary and alternative medical therapies in their pediatric pain programs.
Forty-three pediatric anesthesia fellowship programs (100%) responded to the survey. Thirty-eight institutions (86%) offered one or more complementary and alternative medical therapies for their patients. Those therapies included biofeedback (65%), guided imagery (49%), relaxation therapy (33%), massage (35%), hypnosis (44%), acupuncture (33%), art therapy (21%), and meditation (21%).
This report documents trends in complementary and alternative medical therapies usage in the tertiary pediatric pain management service. There is a high prevalence in the integration of complementary and alternative medical therapies in pediatric pain management programs. Additional clinical research in the safety and efficacy in complementary and alternative medical therapies for pediatric pain management is urgently needed.
调查主要大学附属的儿科疼痛管理服务中补充和替代医学疗法的使用情况。
对美国毕业后医学教育认证委员会认可的儿科麻醉培训项目进行电话调查。调查问卷包括关于其儿科疼痛项目中补充和替代医学疗法提供情况的问题。
43个儿科麻醉专科培训项目（100%）回复了调查。38个机构（86%）为其患者提供了一种或多种补充和替代医学疗法。这些疗法包括生物反馈（65%）、引导式意象（49%）、放松疗法（33%）、按摩（35%）、催眠（44%）、针灸（33%）、艺术疗法（21%）和冥想（21%）。
本报告记录了三级儿科疼痛管理服务中补充和替代医学疗法使用的趋势。补充和替代医学疗法在儿科疼痛管理项目中的整合率很高。迫切需要对补充和替代医学疗法用于儿科疼痛管理的安全性和有效性进行更多临床研究。
