补充和替代疗法在儿科糖尿病中的作用。

The role of complementary and alternative therapies in pediatric diabetes.

机构信息

Mount Sinai School of Medicine, New York, NY 10029, USA.

出版信息

Endocrinol Metab Clin North Am. 2009 Dec;38(4):791-810. doi: 10.1016/j.ecl.2009.09.004.

DOI:10.1016/j.ecl.2009.09.004

PMID:19944293

Abstract

Complementary and alternative medicine (CAM), also referred to as holistic, or integrative, medicine, are terms that describe a heterogeneous collection of nontraditional therapies, from chemical substances, to biofeedback, to prayer. This review focuses on CAM in pediatric patients with type 1 and type 2 diabetes. CAM prevalence in this population and the specific modalities that have been studied in children are described. Randomized, placebo-controlled, prospective studies in young adults are evaluated for their applicability to pediatric patients. CAM's "complementary" role is emphasized, as there is evidence of significant morbidity when CAM replaces standard-of-care therapy.

摘要

补充和替代医学（CAM），也称为整体或综合医学，是描述一系列非传统疗法的术语，包括化学物质、生物反馈、祈祷等。本综述重点关注 1 型和 2 型糖尿病患儿的 CAM。描述了该人群中 CAM 的流行情况以及已在儿童中研究过的具体方式。评估了针对年轻人的随机、安慰剂对照、前瞻性研究在儿科患者中的适用性。强调了 CAM 的“补充”作用，因为当 CAM 替代标准治疗时，有证据表明会出现严重的发病率。