Universidad Central del Caribe School of Medicine, Bayamón, Puerto Rico, USA.
Can Respir J. 2010 Jul-Aug;17(4):183-7. doi: 10.1155/2010/682142.
Because of the potential risk of interaction with, and underuse of, conventional medications, it is important to document the prevalence of the use of complementary and alternative medicines (CAMs) in asthmatic children.
To ascertain the prevalence and type of CAMs, and to identify factors associated with their use.
A cross-sectional survey of children who presented to the Asthma Centre of The Montreal Children's Hospital (Montreal, Quebec) between 1999 and 2007 was conducted. At the initial consultation, parents completed a questionnaire inquiring, in part, about CAM use. Computerized health records provided information regarding patient characteristics and their condition.
The median age of the 2027 children surveyed was 6.1 years (interquartile range 3.3 to 10.5 years); 58% were male and 59% of children had persistent asthma. The prevalence of CAM use was 13% (95% CI 12% to 15%). Supplemental vitamins (24%), homeopathy (18%) and acupuncture (11%) were the most commonly reported CAMs. Multivariable logistic regression analysis confirmed the association of CAM use with age younger than six years (OR 1.86; 95% CI 1.20 to 2.96), Asian ethnicity (OR 1.89; 95% CI 1.01 to 3.52), episodic asthma (OR 1.88; 95% CI 1.08 to 3.28) and poor asthma control (OR 1.98; 95% CI 1.80 to 3.31).
The prevalence of reported CAM use among Quebec children with asthma remained modest (13%), with vitamins, homeopathy and acupuncture being the most popular modalities. CAM use was associated with preschool age, Asian ethnicity, episodic asthma and poor asthma control.
由于与传统药物相互作用和使用不足的潜在风险，记录哮喘儿童使用补充和替代药物（CAM）的流行情况很重要。
确定 CAM 的流行率和类型，并确定与使用相关的因素。
对 1999 年至 2007 年间在蒙特利尔儿童医院（魁北克省蒙特利尔）哮喘中心就诊的儿童进行了横断面调查。在初始咨询时，父母填写了一份调查问卷，部分询问了 CAM 的使用情况。计算机化的健康记录提供了有关患者特征及其病情的信息。
接受调查的 2027 名儿童的中位年龄为 6.1 岁（四分位间距为 3.3 至 10.5 岁）；58%为男性，59%的儿童患有持续性哮喘。CAM 使用的患病率为 13%（95%CI 12%至 15%）。补充维生素（24%）、顺势疗法（18%）和针灸（11%）是最常报告的 CAM。多变量逻辑回归分析证实，CAM 的使用与年龄小于 6 岁（OR 1.86；95%CI 1.20 至 2.96）、亚洲种族（OR 1.89；95%CI 1.01 至 3.52）、间歇性哮喘（OR 1.88；95%CI 1.08 至 3.28）和哮喘控制不佳（OR 1.98；95%CI 1.80 至 3.31）有关。
魁北克哮喘儿童报告的 CAM 使用率仍然适中（13%），维生素、顺势疗法和针灸是最受欢迎的方式。CAM 的使用与学龄前年龄、亚洲种族、间歇性哮喘和哮喘控制不佳有关。
