Dossett Michelle L, Cohen Ezra M, Cohen Jonah
Division of General Internal Medicine, Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, 151 Merrimac Street, 4th Floor, Boston, MA 02114, USA.
Division of Immunology, Department of Rheumatology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Prim Care. 2017 Jun;44(2):265-280. doi: 10.1016/j.pop.2017.02.002.
Gastrointestinal conditions are prevalent in the population and account for significant morbidity and health care costs. Patients with gastrointestinal conditions use integrative medicine. There is growing evidence that integrative medicine approaches can improve symptoms and affect physiology and disease course. This article reviews data on some common and well-studied approaches, including mind-body therapies, acupuncture, diet, probiotics, and dietary supplements and herbs. Although clear recommendations can be made for some conditions, in others there are challenges in translating these findings owing to small study size, lack of standardization, and trial heterogeneity.
胃肠道疾病在人群中很常见，会导致严重的发病率和医疗费用。患有胃肠道疾病的患者会使用整合医学。越来越多的证据表明，整合医学方法可以改善症状，并影响生理和疾病进程。本文综述了一些常见且研究充分的方法的数据，包括身心疗法、针灸、饮食、益生菌以及膳食补充剂和草药。尽管对于某些疾病可以给出明确的建议，但在其他疾病中，由于研究规模小、缺乏标准化以及试验异质性，在将这些研究结果转化应用方面存在挑战。
