Laboratoires Boiron, Sainte Foy-lès-Lyon, France.
J Altern Complement Med. 2013 Feb;19(2):146-52. doi: 10.1089/acm.2011.0706. Epub 2012 Jul 17.
This study was done to determine characteristics and management of patients in France visiting allopathic general practitioners (AGPs) and homeopathic general practitioners (HGPs) for influenza-like illness (ILI).
This was a prospective observational study.
SETTINGS/LOCATION: It was conducted in metropolitan France during the 2009-2010 influenza season.
Sixty-five HGPs and 124 AGPs recruited a total of 461 patients with ILI.
Patients were treated for ILI by their GPs. GPs and patients completed questionnaires recording demographic characteristics and patient symptoms when patients were included in the study. Patients reported satisfaction with treatment on day 4. Prescriptions were recorded by the GPs.
Outcome measures were patient characteristics, demographics, and symptoms at baseline; medications prescribed by type of physician; and satisfaction with treatment by type of physician and medication.
Most AGPs (86%), and most patients visiting them (58%) were men; whereas most HGPs (57%; p<0.0001), and most patients visiting them (56%; p=0.006) were women. Patients visiting AGPs were seen sooner after the appearance of symptoms, and they self-treated more frequently with cough suppressants or expectorants (p=0.0018). Patients visiting HGPs were seen later after the appearance of symptoms and they self-treated with homeopathic medications more frequently (p<0.0001). At enrollment, headaches (p=0.025), cough (p=0.01), muscle/joint pain (p=0.049), chills/shivering (p<0.001), and nasal discharge/congestion (p=0.002) were more common in patients visiting AGPs. Of these patients, 37.1% visiting AGPs were prescribed at least one homeopathic medication, and 59.6% of patients visiting HGPs were prescribed at least one allopathic medication. Patient satisfaction with treatment did not differ between AGPs and HGPs but was highest for patients treated with homeopathic medications only.
In France, homeopathy is widely accepted for the treatment of ILI and does not preclude the use of allopathic medications. However, patients treated with homeopathic medications only are more satisfied with their treatment than other patients.
本研究旨在确定在法国就诊的顺势疗法全科医生（HGPs）和顺势疗法全科医生（HGPs）治疗流感样疾病（ILI）的患者的特征和管理。
这是一项前瞻性观察性研究。
地点/位置：在 2009-2010 年流感季节，在法国大都市进行了这项研究。
65 名 HGPs 和 124 名 AGPs 共招募了 461 名 ILI 患者。
全科医生为 ILI 患者进行治疗。当患者被纳入研究时，全科医生和患者完成了记录人口统计学特征和患者症状的问卷。患者在第 4 天报告了对治疗的满意度。全科医生记录了处方。
大多数 AGPs（86%）和大多数就诊的患者（58%）为男性；而大多数 HGPs（57%；p<0.0001）和大多数就诊的患者（56%；p=0.006）为女性。就诊于 AGPs 的患者在出现症状后就诊时间更早，并且他们更频繁地自行使用止咳药或祛痰药（p=0.0018）。就诊于 HGPs 的患者在出现症状后就诊时间较晚，并且他们更频繁地自行使用顺势疗法药物（p<0.0001）。在入组时，头痛（p=0.025）、咳嗽（p=0.01）、肌肉/关节疼痛（p=0.049）、寒战/颤抖（p<0.001）和鼻漏/充血（p=0.002）在就诊于 AGPs 的患者中更为常见。在这些患者中，37.1%就诊于 AGPs 的患者至少服用了一种顺势疗法药物，而 59.6%就诊于 HGPs 的患者至少服用了一种顺势疗法药物。就诊于 AGPs 和 HGPs 的患者对治疗的满意度没有差异，但仅接受顺势疗法药物治疗的患者对治疗的满意度最高。
在法国，顺势疗法被广泛用于治疗 ILI，并且不会排除使用顺势疗法药物。然而，仅接受顺势疗法药物治疗的患者对其治疗的满意度高于其他患者。
