Kenney Daniel, Jenkins Sarah, Youssef Paul, Kotagal Suresh
Mayo Clinic Department of Child and Adolescent Neurology, Rochester, Minnesota.
Mayo Clinic Department of Biomedical Statistics and Informatics, Rochester Minnesota.
Pediatr Neurol. 2016 May;58:48-52.e7. doi: 10.1016/j.pediatrneurol.2015.11.003. Epub 2016 Jan 11.
This article describes the use of complementary and alternative medicines in an outpatient pediatric neurology clinic, and assesses family attitudes toward the efficacy of complementary and alternative medicines versus prescription medications. Complementary and alternative medicine is an important element of the modern health care landscape. There is limited information about whether, and to what extent, families perceive its utility in childhood neurological disorders.
DESIGN/METHODS: Surveys were distributed to 500 consecutive patients at a child neurology clinic in Rochester, Minnesota. Questions pertained to the child's diagnoses, use of complementary and alternative medicines, and the specific complementary and alternative medicine modalities that were used. Opinions were also gathered on the perceived efficacy of complementary and alternative medicines and prescription medications. Data were compared using χ(2) or Fisher exact tests as indicated.
A total of 484 surveys were returned, of which 327 were usable. Only 17.4% admitted to use of complementary and alternative medicine to treat neurological problems. However, in follow-up questioning, actually 41.6% of patients recognized that they were using one or more types of complementary and alternative medicines. Disorders associated with a statistically significant increased prevalence of complementary and alternative medicine use were headache (50.8% with headache used complementary and alternative medicine versus 35.7% without headache; P = 0.008, Fisher exact test), chronic fatigue (63.2% vs 38.8%; P = 0.005, Fisher exact test), and sleep disorders (77.1% vs 37.3%; P < 0.0001, Fisher exact test).
A large proportion of pediatric neurology patients in our clinic are also using complementary and alternative medicine. Only 38.5% of these recognize themselves as using complementary and alternative medicine, underlining the need to inquire in-depth about its use. Patients who are less satisfied with their prescription medications are more likely to use complementary and alternative medicine, perhaps reflecting the less tractable nature of their disorders.
本文描述了在一家儿科神经内科门诊中补充和替代医学的使用情况，并评估了家庭对补充和替代医学与处方药疗效的态度。补充和替代医学是现代医疗保健领域的一个重要组成部分。关于家庭是否以及在何种程度上认为其在儿童神经系统疾病中有用的信息有限。
设计/方法：向明尼苏达州罗切斯特市一家儿童神经科诊所的500名连续就诊患者发放了调查问卷。问题涉及儿童的诊断、补充和替代医学的使用情况以及所使用的具体补充和替代医学方式。还收集了关于补充和替代医学及处方药疗效的看法。根据指示使用χ(2)检验或Fisher精确检验对数据进行比较。
共收回484份调查问卷，其中327份可用。只有17.4%的人承认使用补充和替代医学来治疗神经系统问题。然而，在后续询问中，实际上41.6%的患者认识到他们正在使用一种或多种补充和替代医学。与补充和替代医学使用患病率在统计学上显著增加相关的疾病有头痛（有头痛的患者中50.8%使用补充和替代医学，无头痛的患者中为35.7%；P = 0.008，Fisher精确检验）、慢性疲劳（63.2%对38.8%；P = 0.005，Fisher精确检验）和睡眠障碍（77.1%对37.3%；P < 0.0001，Fisher精确检验）。
我们诊所中很大一部分儿科神经科患者也在使用补充和替代医学。其中只有38.5%的人认为自己在使用补充和替代医学，这突出了深入询问其使用情况的必要性。对处方药不太满意的患者更有可能使用补充和替代医学，这可能反映了他们疾病较难治疗的性质。
