Rossanaly Vasram R, Zysman M, Ribeiro Baptista B, Ederle C, Nguyen-Thi P L, Clement-Duchene C, Martinet Y
Département de pneumologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
Département de pneumologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
Rev Pneumol Clin. 2017 Sep;73(4):172-179. doi: 10.1016/j.pneumo.2017.04.002. Epub 2017 Jul 26.
Complementary and alternative medicine (CMA) use is frequent among cancer patients. Only few results are available about lung cancer patients. The aim of this study was to evaluate how often the CMA were used by lung cancer patients and to define the type of CMA used.
Every lung cancer patients with an ongoing chemotherapy in the respiratory department of the University Hospital of Nancy were approached between November 2014 to July 2015. A detailed and anonymous survey was conducted and the socioeconomic characteristics were collected from medical records.
Ninety-one patients were questioned. On 82 patients having answered, 19.5 % had used at least a CMA. The main CMA used was the physical exercise in 50 % of the patients. CMA users were significantly younger with a mean age of 56.4 years versus 65.4 years (P=0.0007). More than half patients did not indicate to their specialist that they used a CMA. The main information source was the circle of acquaintances.
CMA use is frequent among lung cancer patients. The physical exercise is quoted most of the time among the various CMA. There is a real lack of communication on the subject between the physician and the patient. It is thus imperative that the pulmonologists give much interest to these practices in order to give better advices and to reinforce the patient-physician relationship.
补充和替代医学（CMA）在癌症患者中使用频繁。关于肺癌患者的相关结果却很少。本研究的目的是评估肺癌患者使用CMA的频率，并确定所使用的CMA类型。
2014年11月至2015年7月期间，对南锡大学医院呼吸科正在接受化疗的每位肺癌患者进行了调查。进行了详细且匿名的调查，并从病历中收集了社会经济特征。
询问了91名患者。在82名回答问题的患者中，19.5%至少使用过一种CMA。使用的主要CMA是体育锻炼，占患者的50%。使用CMA的患者明显更年轻，平均年龄为56.4岁，而未使用者为65.4岁（P = 0.0007）。超过一半的患者未向其专科医生表明他们使用了CMA。主要信息来源是熟人圈子。
肺癌患者中CMA的使用很频繁。在各种CMA中，体育锻炼最常被提及。医生和患者之间在这个问题上确实缺乏沟通。因此，肺科医生必须对这些做法给予更多关注，以便提供更好的建议并加强医患关系。
