Golnik Allison E, Ireland Marjorie
Division of General Pediatrics, Department of Pediatrics, University of Minnesota, 717 Delaware Street SE, 3rd Floor (west), Room 370E, Minneapolis, MN 55414, USA.
J Autism Dev Disord. 2009 Jul;39(7):996-1005. doi: 10.1007/s10803-009-0714-7. Epub 2009 Mar 11.
Previous studies suggest over half of children with autism are using complementary alternative medicine (CAM). In this study, physicians responded (n = 539, 19% response rate) to a survey regarding CAM use in children with autism. Physicians encouraged multi-vitamins (49%), essential fatty acids (25%), melatonin (25%) and probiotics (19%) and discouraged withholding immunizations (76%), chelation (61%), anti-infectives (57%), delaying immunizations (55%) and secretin (43%). Physicians encouraging CAM were more likely to desire CAM training, inquire about CAM use, be female, be younger, and report greater autism visits, autism education and CAM knowledge. Physicians were more likely to desire CAM training, inquire about CAM and view CAM as a challenge for children with autism compared to children with other neurodevelopmental and chronic/complex conditions.
先前的研究表明，超过半数的自闭症儿童正在使用补充替代医学（CAM）。在本研究中，医生们（n = 539，回应率19%）对一项关于自闭症儿童使用CAM的调查做出了回应。医生们鼓励使用多种维生素（49%）、必需脂肪酸（25%）、褪黑素（25%）和益生菌（19%），并反对不进行免疫接种（76%）、螯合疗法（61%）、抗感染药物（57%）、延迟免疫接种（55%）和促胰液素（43%）。鼓励使用CAM的医生更有可能希望接受CAM培训、询问CAM的使用情况、为女性、更年轻，并且报告更多的自闭症就诊、自闭症教育和CAM知识。与患有其他神经发育疾病和慢性/复杂疾病的儿童相比，医生更有可能希望接受CAM培训、询问CAM的使用情况，并将CAM视为自闭症儿童面临的一项挑战。
