Caliskaner Z, Kartal O, Gulec M, Ozturk S, Erel F, Sener O, Karaayvaz M
Gülhane Military Medical Academy, School of Medicine, Department of Internal Medicine, Division of Allergy, Ankara, Turkey.
Allergol Immunopathol (Madr). 2010 Mar-Apr;38(2):78-82. doi: 10.1016/j.aller.2009.07.010. Epub 2010 Feb 25.
The use of herbs in patients with allergic diseases is a special problem and still controversial. The objective of this questionnaire-based study was to determine the rate of herbal use in allergy clinic outpatients as well as to explore patient knowledge.
Patients with respiratory and/or skin disease, either atopic or non-atopic were assigned to a prospective questionnaire study conducted in allergy clinic outpatients.
Three hundred and ninety-five patients enrolled in the study. The mean age was 33.50+/-12.14 years. Participants generally had a high educational level (40.5% college and 39% university graduated). The rate of herbal use was 14.2%. All characteristics were similar within herbal user and non-user patients, except gender and age. The number of female patients who use herbal products was greater than for males (p=0.043). Herbal use was common in patients in their late thirties (p=0.024). Three main rationales for herbal use were revealed: (i) acting upon advice of someone (41.1%); (ii) the belief that "herbals are always more beneficial than chemicals" (37.5%); and (iii) the trust that "herbals are always safe" (21.4%). Most of the participants have "no idea" (41.5%) or are "not sure" (33.7%) about potential harmful effects of herbs to allergic people.
People will continue to use herbals for one reason or another. Allergists and clinical immunologists need to become more knowledgeable about herbal therapies so that they can inform patients about either the benefits or possible harmful effects of herbs.
在过敏性疾病患者中使用草药是一个特殊问题,且仍存在争议。这项基于问卷调查的研究旨在确定过敏门诊患者中使用草药的比例,并探索患者的相关知识。
将患有呼吸道和/或皮肤疾病的特应性或非特应性患者纳入在过敏门诊进行的前瞻性问卷调查研究。
395名患者参与了该研究。平均年龄为33.50±12.14岁。参与者普遍具有较高的教育水平(40.5%为大专学历,39%为大学学历)。草药使用率为14.2%。除性别和年龄外,草药使用者和非使用者患者的所有特征相似。使用草药产品的女性患者数量多于男性(p = 0.043)。草药使用在三十多岁后期的患者中较为常见(p = 0.024)。揭示了使用草药的三个主要理由:(i)听从他人建议(41.1%);(ii)认为“草药总是比化学药物更有益”(37.5%);以及(iii)相信“草药总是安全的”(21.4%)。大多数参与者对草药对过敏人群的潜在有害影响“一无所知”(41.5%)或“不确定”(33.7%)。
人们会因各种原因继续使用草药。过敏症专科医生和临床免疫学家需要对草药疗法有更多了解,以便能够告知患者草药的益处或可能的有害影响。