补充和替代医学与心血管疾病：基于证据的综述。
Complementary and alternative medicine and cardiovascular disease: an evidence-based review.
机构信息
Department of Anesthesiology, Louisiana State University Health Sciences Center, School of Medicine, 1542 Tulane Avenue, Room 656, New Orleans, LA 70112, USA.
出版信息
Evid Based Complement Alternat Med. 2013;2013:672097. doi: 10.1155/2013/672097. Epub 2013 Apr 22.
Abstract
Complementary and alternative medicine (CAM) plays a significant role in many aspects of healthcare worldwide, including cardiovascular disease (CVD). This review describes some of the challenges of CAM in terms of scientific research. Biologically-based therapies, mind-body therapies, manipulative and body-based therapies, whole medical systems, and energy medicine are reviewed in detail with regard to cardiovascular risk factors and mediation or modulation of cardiovascular disease pathogenesis. CAM use among patients with CVD is prevalent and in many instances provides positive and significant effects, with biologically-based and mind-body therapies being the most commonly used treatment modalities. More rigorous research to determine the precise physiologic effects and long-term benefits on cardiovascular morbidity and mortality with CAM usage, as well as more open lines of communication between patients and physicians regarding CAM use, is essential when determining optimal treatment plans.
摘要
补充和替代医学（CAM）在全球医疗保健的许多方面发挥着重要作用，包括心血管疾病（CVD）。本文从科学研究的角度描述了 CAM 的一些挑战。本文详细回顾了生物医学疗法、身心疗法、手法和身体为基础的疗法、整体医学系统和能量医学，涉及心血管危险因素以及心血管疾病发病机制的中介或调节。心血管疾病患者使用 CAM 的情况普遍存在，在许多情况下都能产生积极显著的效果，其中生物医学疗法和身心疗法是最常用的治疗方式。为了确定 CAM 使用对心血管发病率和死亡率的确切生理影响和长期益处，以及为了在患者和医生之间就 CAM 使用进行更开放的沟通，开展更严格的研究至关重要，以便制定最佳治疗方案。
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