盆底功能障碍女性使用补充和替代医学（CAM）的队列研究。
Complementary and alternative medicine (CAM) use in women with pelvic floor disorders: a cohort study.
作者信息
Slavin Shannon L, Rogers Rebecca G, Komesu Yuko, Omotosho Tola, Hammil Sarah, Lewis Cindi, Sapien Robert
机构信息
Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, 1 University of New Mexico, MSC 10-5580, Albuquerque, NM 87131-0001, USA.
出版信息
Int Urogynecol J. 2010 Apr;21(4):431-7. doi: 10.1007/s00192-009-1058-8. Epub 2009 Dec 5.
INTRODUCTION AND HYPOTHESIS
The objective of this study was to compare complementary and alternative medicine (CAM) use in women with and without pelvic floor disorders (PFD).
METHODS
We conducted a survey of women presenting to a specialty urogynecology (Urogyn) and gynecology (Gyn) clinic that examined demographic data, CAM use, and the presence of PFD (validated questionnaires). T tests, Fisher's exact tests, and logistic regression were used for analysis. To detect a 20% difference between groups, 234 Urogyn and 103 Gyn patients were needed.
RESULTS
Participants included 234 Urogyn and 103 Gyn patients. Urogyn patients reported more CAM use than Gyn patients, even when controlled for differences between groups (51% vs. 32%, adjusted p = 0.006). Previous treatment (61% vs. 39%, adjusted p < 0.001) and increased number of PFD was associated with increased CAM use (adjusted p = 0.02).
CONCLUSIONS
Women with PFD use CAM more frequently than women without PFD.
引言与假设
本研究的目的是比较患有和未患有盆底功能障碍（PFD）的女性对补充和替代医学（CAM）的使用情况。
方法
我们对前往专科泌尿妇科（Urogyn）和妇科（Gyn）诊所就诊的女性进行了一项调查，调查内容包括人口统计学数据、CAM的使用情况以及PFD的存在情况（使用经过验证的问卷）。采用t检验、Fisher精确检验和逻辑回归进行分析。为了检测组间20%的差异，需要234名泌尿妇科患者和103名妇科患者。
结果
参与者包括234名泌尿妇科患者和103名妇科患者。即使在控制了组间差异后，泌尿妇科患者报告的CAM使用比例仍高于妇科患者（51%对32%，校正p = 0.006）。既往治疗（61%对39%，校正p < 0.001）和PFD数量增加与CAM使用增加相关（校正p = 0.02）。
结论
患有PFD的女性比未患有PFD的女性更频繁地使用CAM。
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