Pandit Awadh Kishor, Vibha Deepti, Srivastava Achal Kumar, Shukla Garima, Goyal Vinay, Behari Madhuri
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
J Tradit Complement Med. 2015 Aug 20;6(4):377-382. doi: 10.1016/j.jtcme.2015.03.009. eCollection 2016 Oct.
Use of complementary and alternative medicine (CAM; bǔ chōng yǔ tì dài yī xué) in Parkinson disease (PD) ranged 40-70%. The objective of this study was to determine the frequency, types and factors associated with the use of CAM in Indian PD patients. PD patients, fulfilling UKPD-Society brain-bank diagnostic-criteria, attending Movement-disorders clinic of a tertiary-care teaching hospital in India from 1st May to 15th December 2012 were enrolled. Information on socio-demographic, clinical data and treatment along with factors (source of information, benefits, harms, reason for use and cost) associated with CAM use were recorded. Out of 233 consecutive PD patients, 106 (46%) used CAM. Mean ± SD age of CAM users was 56 ± 11.2 years. Among CAM users, 72% were males, with mean age-onset 49 ± 11.16 years (P = 0.042) and 73% receiving levodopa therapy (p = 0.006). Longer duration PD, higher education (graduates and above), urban residence, and fairly good perceived health were other factors seen among CAM users. Reasons for using CAM were 'feel good factor' (73%), 9% took CAM due to side effects from allopathic-medicines. Commonly used CAM were Ayurvedic, homeopathic medicines, and acupuncture ( zhēn jiǔ) [74/106 (70%)]. Median CAM cost in Indian Rupees (INR) was 1000/month (USD16, range: 0-400USD/month in year 2012). Almost half of PD patients use CAM. Three-quarters of Indian CAM using PD patients believe that CAM is harmless, using it at a substantial cost. CAM-users are educated, young, urban dwellers, longer duration PD and receiving levodopa. Commonly used CAM was Ayurvedic, Homeopathic medicines and acupuncture.
帕金森病（PD）患者补充与替代医学（CAM；补充与替代医学）的使用率在40%至70%之间。本研究的目的是确定印度帕金森病患者使用补充与替代医学的频率、类型及相关因素。纳入了2012年5月1日至12月15日期间在印度一家三级护理教学医院的运动障碍门诊就诊、符合英国帕金森病协会脑库诊断标准的帕金森病患者。记录了社会人口统计学、临床数据和治疗信息，以及与使用补充与替代医学相关的因素（信息来源、益处、危害、使用原因和费用）。在233例连续的帕金森病患者中，106例（46%）使用了补充与替代医学。补充与替代医学使用者的平均年龄±标准差为56±11.2岁。在补充与替代医学使用者中，72%为男性，平均发病年龄为49±11.16岁（P = 0.042），73%接受左旋多巴治疗（P = 0.006）。帕金森病病程较长、受过高等教育（本科及以上）、居住在城市以及自我感觉健康状况较好是补充与替代医学使用者的其他特征。使用补充与替代医学的原因是“感觉良好因素”（73%），9%的患者因使用对抗疗法药物出现副作用而使用补充与替代医学。常用的补充与替代医学包括阿育吠陀医学、顺势疗法药物和针灸[74/106（70%）]。补充与替代医学的印度卢比（INR）中位数费用为每月1000卢比（16美元，2012年范围：0 - 400美元/月）。几乎一半的帕金森病患者使用补充与替代医学。四分之三使用补充与替代医学的印度帕金森病患者认为补充与替代医学无害，且使用成本高昂。补充与替代医学使用者受过教育、较为年轻、居住在城市、帕金森病病程较长且接受左旋多巴治疗。常用的补充与替代医学是阿育吠陀医学、顺势疗法药物和针灸。
