Doehring C, Sundrum A
Department of Animal Nutrition and Animal Health, University of Kassel, Nordbahnhofstraße 1a, D-37213 Witzenhausen, Germany.
Vet Rec. 2016 Dec 17;179(24):628. doi: 10.1136/vr.103779. Epub 2016 Dec 12.
Homeopathy is widely used in livestock, especially in order to reduce the use of antibiotics, although it is often seen as controversial. A comprehensive literature review has been conducted to assess the efficacy of homeopathy in cattle, pigs and poultry. Only peer-reviewed publications dealing with homeopathic remedies, which could possibly replace or prevent the use of antibiotics in the case of infective diseases or growth promotion in livestock were included. Search results revealed a total number of 52 trials performed within 48 publications fulfilling the predefined criteria. Twenty-eight trials were in favour of homeopathy, with 26 trials showing a significantly higher efficacy in comparison to a control group, whereas 22 showed no medicinal effect. Cure rates for the treatments with antibiotics, homeopathy or placebo varied to a high degree, while the remedy used did not seem to make a big difference. Looking at all the studies, no study was repeated under comparable conditions. Consequently, the use of homeopathy currently cannot claim to have sufficient prognostic validity where efficacy is concerned. When striving for high therapeutic success in treatment, the potential of homeopathy in replacing or reducing antibiotics can only be validated if evidence of efficacy is confirmed by randomised controlled trials under modified conditions.
顺势疗法在畜牧业中被广泛使用,特别是为了减少抗生素的使用,尽管它常常被视为有争议的。已进行了一项全面的文献综述,以评估顺势疗法在牛、猪和家禽中的疗效。仅纳入了经过同行评审的、涉及顺势疗法药物的出版物,这些药物在传染病情况下可能替代或预防抗生素的使用,或用于促进家畜生长。搜索结果显示,在符合预定标准的48篇出版物中总共进行了52项试验。28项试验支持顺势疗法,其中26项试验表明与对照组相比疗效显著更高,而22项试验未显示出药物效果。使用抗生素、顺势疗法或安慰剂进行治疗的治愈率差异很大,而所使用的药物似乎没有太大差别。纵观所有研究,没有一项研究是在可比条件下重复进行的。因此,就疗效而言,目前顺势疗法的使用不能声称具有足够的预后有效性。当追求治疗的高成功率时,只有在经过改进条件下的随机对照试验证实了疗效证据之后,顺势疗法在替代或减少抗生素方面的潜力才能得到验证。