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荷兰人对 CAM 科学的看法 1986-2003 年。

A Dutch view of the ''science'' of CAM 1986--2003.

机构信息

Dutch Society Against Quackery, Hoorn, Netherlands.

出版信息

Eval Health Prof. 2009 Dec;32(4):431-50. doi: 10.1177/0163278709346815. Epub 2009 Nov 18.

DOI:10.1177/0163278709346815
PMID:19926606
Abstract

Between 1986 and 2003, research efforts on complementary and alternative medicine (CAM) were subsidized by the Dutch government. This led to 12 academic theses and a considerable number of papers in medical journals. In our review, we have summarized the results of this research, grouped by therapeutic category (that is, acupuncture, paranormal therapies, naturopathy, manual therapies, homeopathy and anthroposophical medicine.) Of the 12 theses, four were written in Dutch, three of which were not subsequently published in peer-reviewed journals, while the fourth, on enzyme therapy, led to a number of papers in Dutch medical journals. In three instances, mildly positive findings were reported: on the efficacy of manual therapies, the use of acupuncture analgesia in surgery, and an elimination diet against migraine and tension headaches. These positive conclusions can easily be explained by methodological shortcomings (e.g., not using credible placebo-control groups); in the other nine theses, the researchers themselves had drawn negative conclusions. The Dutch government ended its financial support for CAM research in 2006.

摘要

1986 年至 2003 年期间,荷兰政府资助了补充和替代医学(CAM)的研究工作。这促成了 12 篇学术论文和大量医学期刊上的论文。在我们的综述中,我们根据治疗类别(即针灸、超自然疗法、顺势疗法、手法疗法、顺势疗法和人智学医学)总结了这些研究的结果。在这 12 篇论文中,有 4 篇是用荷兰语写的,其中有 3 篇没有在同行评审的期刊上发表,而第 4 篇关于酶疗法的论文则在荷兰医学期刊上发表了多篇论文。有 3 篇论文报告了轻度积极的发现:手法疗法的疗效、手术中针灸镇痛的应用以及消除偏头痛和紧张性头痛的饮食。这些积极的结论很容易被方法学上的缺陷所解释(例如,不使用可信的安慰剂对照组);在其他 9 篇论文中,研究人员自己得出了负面结论。荷兰政府于 2006 年停止了对 CAM 研究的财政支持。

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Eval Health Prof. 2009 Dec;32(4):431-50. doi: 10.1177/0163278709346815. Epub 2009 Nov 18.
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