Kern J, Bielory L
Rutgers University-New Jersey Medical School, Newark, NJ, USA,
Curr Allergy Asthma Rep. 2014 Dec;14(12):479. doi: 10.1007/s11882-014-0479-8.
CAM is any therapeutic intervention that exists outside traditional allopathic medicine. The utilization in the US population is increasing up to 4 out of 10 patients in some surveys. Given this increasing prevalence, it is essential that clinicians have the resources to advise their patients in the utilizations, benefits, and potential harms of these alternative therapies. Recent literature was reviewed in regard to traditional Chinese medicine [TCM], acupuncture, homeopathy, and herbal therapy in the treatment of allergic rhinitis limited to randomized controlled trials. Several complementary treatment studies demonstrated statistically significant benefits to patients' quality of life and symptom scoring without providing duration of effect. Alternative therapy studies have revealed mixed results in regard to efficacy. Although the adverse effect profile is low, additional studies will be required to further promote integration into the standard of care for the routine treatment of allergic rhinitis.
补充与替代医学(CAM)是指存在于传统对抗疗法医学之外的任何治疗干预措施。在美国人群中的使用率不断上升,在一些调查中,每10名患者中就有4人使用。鉴于其使用率不断上升,临床医生必须有资源就这些替代疗法的使用、益处和潜在危害向患者提供建议。针对治疗过敏性鼻炎的传统中医、针灸、顺势疗法和草药疗法,查阅了近期仅限于随机对照试验的文献。几项补充治疗研究表明,对患者的生活质量和症状评分有统计学上的显著益处,但未提供疗效持续时间。替代疗法研究在疗效方面得出了喜忧参半的结果。尽管不良反应较少,但仍需要进一步研究,以促进其更好地融入过敏性鼻炎常规治疗的标准护理中。