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肺癌患者的补充和替代医学:一种被忽视的现象?

Complementary and alternative medicine in lung cancer patients: a neglected phenomenon?

作者信息

Micke O, Büntzel J, Kisters K, Schäfer U, Micke P, Mücke R

出版信息

Front Radiat Ther Oncol. 2010;42:198-205. doi: 10.1159/000262477. Epub 2009 Nov 24.

Abstract

Study on the use of complementary and alternative medicine (CAM) in lung cancer patients has been widely neglected. Therefore, we initiated a study on the use of CAM in lung cancer patients in addition to radiation treatment. Overall, 120 patients from 3 institutions were interviewed by a standardized questionnaire. Besides the tumor parameters and the use of CAM, the reason for the use, patient information of the medication, the information sources and the subjective condition of the patient. Altogether, 54% of the patients reported using CAM (66% of female patients, 52% of male patients). The most frequently used CAM measures were vitamin combinations (17%), mistletoe (15%), and selenium (12%). A total of 52% reported the wish to support the tumor treatment as a reason for using CAM and 27% had a 'better feeling' using CAM. 50% of CAM was bought by the patients themselves and 50% were prescribed by their family physicians. The use of CAM is frequent in lung cancer patients. Our results suggest that it is very important to obtain information on the CAM use of patients and, particularly in controlled clinical trials, to prospectively document it.

摘要

肺癌患者补充和替代医学(CAM)使用情况的研究一直被广泛忽视。因此,我们开展了一项关于肺癌患者在放疗之外使用CAM的研究。总体而言,来自3家机构的120名患者接受了标准化问卷调查。除了肿瘤参数和CAM的使用情况外,还调查了使用原因、药物的患者信息、信息来源以及患者的主观状况。共有54%的患者报告使用CAM(女性患者为66%,男性患者为52%)。最常使用的CAM措施是维生素组合(17%)、槲寄生(15%)和硒(12%)。共有52%的患者表示希望支持肿瘤治疗是使用CAM的原因,27%的患者使用CAM后“感觉更好”。50%的CAM是患者自行购买的,50%是由家庭医生开的药。肺癌患者中CAM的使用很常见。我们的结果表明,获取患者CAM使用情况的信息非常重要,尤其是在对照临床试验中,要前瞻性地记录这些信息。

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