Center for Integrative Medicine, University of Arizona, Tucson, AZ, USA,
Curr Allergy Asthma Rep. 2014 Oct;14(10):464. doi: 10.1007/s11882-014-0464-2.
Treatment of asthma lends itself to an integrative medicine approach due to the multifactorial nature of the disease. It is well established that asthma has a neuromuscular component (bronchospasm), an immunological component (inflammation), and a psychological component. This encourages the use of diverse approaches to address all avenues of pathophysiology, aiming for the most effective blend of treatment approaches possible. Integrative medicine is defined by NIH NCCAM ( http://nccam.nih.gov ) as medicine that blends the use of evidence-based complementary therapies with conventional medicine. Statistics from the 2007 National Health Interview Survey (NHIS), conducted by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS), showed that approximately four out of 10 adults and approximately one in nine children and more than 50 % of children living with chronic illness, including asthma, used complementary therapies in the USA in 2007. Asthma and allergies rank among the top 15 most common medical conditions in which integrative therapies are used in both children and adults. To date, integrative treatment approaches with some evidence for benefit in asthma treatment include the following: nutrition modification, mind-body medicine, physical activity, and certain dietary supplement interventions.
由于哮喘的多因素性质，其治疗方法适合采用整体医学方法。众所周知，哮喘有神经肌肉成分（支气管痉挛）、免疫成分（炎症）和心理成分。这鼓励使用多种方法来解决所有病理生理学途径，旨在尽可能有效地融合治疗方法。美国国立卫生研究院补充和整合医学中心（NIH NCCAM，http://nccam.nih.gov）将整体医学定义为将循证补充疗法与常规医学结合使用的医学。疾病控制和预防中心（CDC）国家卫生统计中心（NCHS）进行的 2007 年全国健康访谈调查（NHIS）的统计数据显示，2007 年，美国约有十分之四的成年人、约十分之一的儿童和超过 50%的患有慢性病（包括哮喘）的儿童使用补充疗法。哮喘和过敏在儿童和成人中使用整体疗法的前 15 种最常见医疗条件中排名靠前。迄今为止，在哮喘治疗中具有一定益处证据的整体治疗方法包括以下几种：营养调整、身心医学、身体活动和某些膳食补充剂干预。
