宫颈发育异常女性的自然疗法管理：探索当前实践的德尔菲法
Naturopathic management of females with cervical atypia: a delphi process to explore current practice.
作者信息
Leaver Cynthia Ann, Miller-Davis Claiborne, Wallen Gwenyth R
机构信息
National Institutes of Health, National Institute of Nursing Research, Bethesda, MD.
出版信息
Integr Med Insights. 2013;8:9-17. doi: 10.4137/IMI.S11088. Epub 2013 Jan 31.
BACKGROUND
Human papillomavirus is the most significant factor contributing to cervical cancer. Naturopathic doctors (NDs) implement an integrative approach to treat cervical atypia. This study explored practice consensus and variance among NDs.
METHODS
A purposefully selected panel of six NDs participated in a modified Delphi study to validate practice. Three electronic web-based surveys were completed over nine months.
RESULTS
Local and systemic treatments were included in all ND protocols. Six protocols included cervical cancer screening guidelines, green tea suppositories, and oral folic acid. Five protocols included oral green tea, diindoylemethane (DIM), and cartenoids. Four protocols incorporated Vitamin C. Two NDs considered escharotics when managing cervical atypia. All NDs included health behavior management in their protocols.
CONCLUSION
Naturopathic management of cervical atypia varies across practitioners. However, in general, elements of management include (1) cervical cancer screening guidelines, (2) local and systemic treatments, (3) health behavior/lifestyle recommendations, and (4) immune system support.
背景
人乳头瘤病毒是导致宫颈癌的最重要因素。自然疗法医生采用综合方法治疗宫颈非典型病变。本研究探讨了自然疗法医生之间的实践共识和差异。
方法
精心挑选的六名自然疗法医生组成的小组参与了一项改良的德尔菲研究以验证实践。在九个月内完成了三项基于网络的电子调查。
结果
所有自然疗法医生的方案都包括局部和全身治疗。六项方案包括宫颈癌筛查指南、绿茶栓剂和口服叶酸。五项方案包括口服绿茶、二吲哚甲烷（DIM）和类胡萝卜素。四项方案纳入了维生素C。两名自然疗法医生在处理宫颈非典型病变时考虑使用腐蚀剂。所有自然疗法医生在其方案中都包括健康行为管理。
结论
自然疗法医生对宫颈非典型病变的管理因从业者而异。然而，总体而言，管理要素包括（1）宫颈癌筛查指南，（2）局部和全身治疗，（3）健康行为/生活方式建议，以及（4）免疫系统支持。
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