Simon L, Prebay D, Beretz A, Bagot J-L, Lobstein A, Rubinstein I, Schraub S
Centre Paul-Strauss, BP 42, 67065 Strasbourg.
Bull Cancer. 2007 May;94(5):483-8.
244 cancer patients from 2 public hospitals (one adult, one pediatric) and one private clinic receiving chemotherapy were asked about complementary and alternative medicine (CAM). Nearly 28% used one or several CAM, especially homeopathy (60%), special diets or dietary supplements (44%), mistletoe (40%) and less frequently acupuncture or other treatments. These CAM are started 4 to 5 months after the onset of chemotherapy. The reasons for using CAM are enhance host defenses, better tolerance of treatment, but also for nearly 27% to treat cancer. All patients were treated by anticancer classical treatments and none thought to stop them. CAM are prescribed especially by homeopathic doctors. 30% of patients using CAM did not inform their oncologist of their CAM treatment. The same conclusions were drawn for the only 10 pediatric patients. The majority of all patients did not take any CAM before their cancer. In a multivariate analysis, female, young age (30-50 y) are correlated to CAM. All patients taking CAM are satisfied by the CAM treatment with good subjective results on their general status, fatigue and nausea-vomiting. These results are similar to other studies done in Europe.
来自两家公立医院（一家成人医院、一家儿科医院）和一家接受化疗的私人诊所的244名癌症患者被问及补充和替代医学（CAM）的使用情况。近28%的患者使用了一种或几种补充和替代医学，尤其是顺势疗法（60%）、特殊饮食或膳食补充剂（44%）、槲寄生（40%），而针灸或其他治疗的使用频率较低。这些补充和替代医学在化疗开始后4至5个月开始使用。使用补充和替代医学的原因包括增强宿主防御能力、提高对治疗的耐受性，但也有近27%的患者是为了治疗癌症。所有患者均接受了抗癌传统治疗，且无人考虑停止这些治疗。补充和替代医学尤其由顺势疗法医生开出处方。30%使用补充和替代医学的患者未告知肿瘤医生他们正在接受补充和替代医学治疗。对仅有的10名儿科患者也得出了相同的结论。所有患者中的大多数在患癌症之前未使用任何补充和替代医学。在多变量分析中，女性、年轻（30 - 50岁）与使用补充和替代医学相关。所有使用补充和替代医学的患者对补充和替代医学治疗感到满意，在总体状况、疲劳和恶心呕吐方面有良好的主观效果。这些结果与欧洲的其他研究相似。
