Steinsbekk Aslak, Lewith George, Fønnebø Vinjar, Bentzen Niels
Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), MTFS, N-7489 Trondheim, Norway.
Prev Med. 2007 Oct;45(4):274-9; discussion 280-1. doi: 10.1016/j.ypmed.2007.02.004. Epub 2007 Feb 9.
The aim of this study was to explore the contextual effect of homeopathic consultation by investigating the effect of homeopathic care compared to self-treatment with self prescribed homeopathic medicine in the prevention of childhood upper respiratory tract infections (URTI).
Randomised parallel group trial with 208 children below the age of 10. The children were randomly assigned to receive either homeopathic care (HC: individual homeopathic consultations with any homeopathic medicine in any potency being prescribed) or one of three self-prescribed homeopathic medicines (SPH) in C-30 administered twice weekly, for 12 weeks.
There were no significant differences in clinical effects between SPH and HC for primary outcomes. Mean URTI scores over 12 weeks were 39.0 in the HC group and 43.9 in the SPH group (p=0.782, difference -5.0 points (95% C.I.; -20.5 to +10.5)). The mean number of days where the parents rated their child as 'ill with URTI' was 10.0 in the HC group and 13.7 in the SPH group (p=0.394). There was a trend in favour of HC for other outcomes.
In this innovative and exploratory study, there was no evidence for a clinically relevant effect of homeopathic care vs. a homeopathic medicine given by the child's parents and based on a pre-agreed homeopathic treatment protocol.
本研究旨在通过调查顺势疗法护理与自行服用顺势疗法药物进行自我治疗在预防儿童上呼吸道感染(URTI)方面的效果,探讨顺势疗法咨询的背景效应。
对208名10岁以下儿童进行随机平行组试验。将儿童随机分配接受顺势疗法护理(HC:进行个体顺势疗法咨询,并开具任何药力的顺势疗法药物)或三种自行服用的顺势疗法药物(SPH)之一,以C - 30剂型每周服用两次,共12周。
对于主要结局,SPH和HC在临床效果上无显著差异。HC组12周内的平均URTI评分为39.0,SPH组为43.9(p = 0.782,差异为 - 5.0分(95%置信区间:- 20.5至 + 10.5))。父母将孩子评为“患URTI生病”的平均天数,HC组为10.0天,SPH组为13.7天(p = 0.394)。对于其他结局,有倾向于HC的趋势。
在这项创新性探索性研究中,没有证据表明顺势疗法护理与孩子父母根据预先商定的顺势疗法治疗方案自行给予的顺势疗法药物相比,具有临床相关效果。