Department of Neurology, the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, 325000, China.
Department of Neurology, Wenzhou Central Hospital, Theorem Clinical College of Wenzhou Medical University, Wenzhou, Zhejiang Province, 325000, China.
Chin J Integr Med. 2020 Mar;26(3):168-173. doi: 10.1007/s11655-018-2560-y. Epub 2018 Jun 18.
To investigate the prevalence and spectrum of complementary and alternative medicine (CAM) application and its related-factors in Parkinson's disease (PD) patients in China.
A structured questionnaire regarding the use of CAMs was administered to PD patients by face-to-face interview. Demographic and social variables, clinical characteristics and treatments, and the related factors of PD were also surveyed.
Ninety out of 113 patients (79.6%) reported that they had received CAMs treatment, of which 48.6% (55/113) patients had received CAMs treatment for PD. The top 3 kinds of CAMs for PD were Chinese materia medica, rehabilitation exercise, and acupuncture ordinally. The source of information regarding CAMs treatment mainly came from relatives and friends (51.8%, 73 cases), followed by physicians (31.9%, 45 cases), and medias such as television, newspapers or the internet (16.3%, 28 cases). Fifty percent of CAM users reported a good therapeutic efficacy, whereas 39% patients reported that they felt neither better nor worse after the treatment, while 11% patients claimed worsening of symptoms. Multiple correspondence analyses survey found the main factors affecting the selectivity of CAMs ranked in the following order: income, education, occupation, habitation, age at onset, Hoehn and Yahr staging, PD duration, and gender.
CAMs, especially Chinese materia medica, rehabilitation exercise, and acupuncture, are widely used for PD patients in China.
调查中国帕金森病（PD）患者使用补充和替代医学（CAM）的流行率和范围及其相关因素。
通过面对面访谈，向 PD 患者发放关于 CAM 使用情况的结构化问卷。还调查了人口统计学和社会变量、临床特征和治疗以及 PD 的相关因素。
93 名患者（79.6%）报告接受了 CAM 治疗，其中 48.6%（55/113）的患者接受了 CAM 治疗。PD 患者使用的前 3 种 CAM 依次为中药、康复运动和针灸。CAM 治疗信息的主要来源是亲戚和朋友（51.8%，73 例），其次是医生（31.9%，45 例），电视、报纸或互联网等媒体（16.3%，28 例）。50%的 CAM 用户报告治疗效果良好，39%的患者报告治疗后感觉没有好转，11%的患者报告症状恶化。多元对应分析调查发现，影响 CAM 选择性的主要因素依次为：收入、教育、职业、居住地、发病年龄、Hoehn 和 Yahr 分期、PD 病程和性别。
CAM，特别是中药、康复运动和针灸，在中国 PD 患者中广泛应用。
