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土耳其哮喘儿童对补充和替代医学的高使用率。

High Usage of Complementary and Alternative Medicine among Turkish Asthmatic Children.

作者信息

Hocaoglu Babayigit Arzu

机构信息

Kanuni Sultan Suleyman Hospital, Department of Pediatric Allergy, Istanbul, Turkey.

出版信息

Iran J Allergy Asthma Immunol. 2015 Aug;14(4):410-5.

Abstract

An increasing number of asthmatic patients are attracted by complementary and and alternative medicine (CAM). The aim of this study was to estimate the prevalence and describe the characteristics of CAM use by children with asthma in a paediatric allergy clinic in Istanbul, Turkey. The parents of asthmatic children were invited to participate in a cross-sectional survey study. Current asthma treatment, severity of asthma, emergency admittances and hospitalisations, education of parents, settlements, income of the family and parental use of CAM were investigated as predictors of CAM usage. Out of the 500 patients, 330 (66%) had used CAM therapy; most popular modalities were herbal medicine (45%), honey (41.6%), grape syrup (37.2%) and quail eggs (36.2%). The most common used herbal medicine in the study group were linden (21.6%) and ginger (21.2%). There was no significant difference in regard to the use of regular asthma treatment, the severity of asthma, the frequency of emergency admittance, hospitalisations due to asthma, education of parents and settlements between CAM users and non-CAM group. A significant inverse association was found in terms of family income and CAM usage. Parents' own use of CAM was also associated with significant increase in the use of CAM. In conclusion; the prevalance of reported CAM use among Turkish asthmatic children was found to be high (66%), with herbal medicine being the most popular modality. The results of this study shows that CAM use becomes more prevelant among asthmatic children from families with low income. It will be increasingly important for physicians who care for allergic children to be aware of high CAM usage.

摘要

越来越多的哮喘患者被补充和替代医学(CAM)所吸引。本研究的目的是评估土耳其伊斯坦布尔一家儿科过敏诊所中哮喘儿童使用CAM的患病率,并描述其特征。邀请哮喘儿童的家长参与一项横断面调查研究。调查了当前哮喘治疗情况、哮喘严重程度、急诊入院和住院情况、家长教育程度、居住地、家庭收入以及家长对CAM的使用情况,将其作为CAM使用的预测因素。在500名患者中,330名(66%)使用过CAM疗法;最常用的方式是草药(45%)、蜂蜜(41.6%)、葡萄糖浆(37.2%)和鹌鹑蛋(36.2%)。研究组中最常用的草药是椴树(21.6%)和生姜(21.2%)。在常规哮喘治疗的使用、哮喘严重程度、急诊入院频率、因哮喘住院情况、家长教育程度和居住地方面,CAM使用者和非CAM使用者组之间没有显著差异。在家庭收入和CAM使用方面发现了显著的负相关。家长自身对CAM的使用也与CAM使用的显著增加有关。总之;在土耳其哮喘儿童中,报告使用CAM的患病率很高(66%),草药是最常用的方式。本研究结果表明,低收入家庭的哮喘儿童中CAM的使用更为普遍。对于照顾过敏儿童的医生来说,意识到CAM的高使用率将变得越来越重要。

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