Department of Ortopaedic Surgery, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
J Am Acad Orthop Surg. 2011 Oct;19(10):634-43. doi: 10.5435/00124635-201110000-00007.
The use of complementary and alternative medicine is widespread and popular with the lay public. Although prevalence of use varies among specific patient populations, complementary and alternative medicine, in particular herbal remedies, are widely marketed and used by orthopaedic patients. Herbal supplements can have a negative impact on the perioperative period and may interact with conventional medicines used to manage chronic conditions. Physician-patient communication often does not include the subject of alternative medicines, leading to underreporting of use. Orthopaedic surgeons should adopt methods to routinely elicit from their patients the use of complementary and alternative medicine and should monitor and counsel patients on potential side effects and drug-herb interactions. Preoperative instructions should include cessation of the use of herbal supplements.
补充和替代医学的应用非常广泛，深受非专业人士的欢迎。尽管特定患者群体的使用频率有所不同，但补充和替代医学，特别是草药疗法，在骨科患者中广泛销售和使用。草药补充剂可能会对围手术期产生负面影响，并且可能与用于治疗慢性疾病的常规药物相互作用。医患沟通通常不包括替代药物这一主题，导致使用情况报告不足。骨科医生应采用常规方法从患者那里获取补充和替代医学的使用情况，并应监测和告知患者潜在的副作用和药物-草药相互作用。术前说明应包括停止使用草药补充剂。
