Department of Gastroenterology, Hospital Beatriz Ângelo, Loures, Portugal.
Department of Medicine, Division of Gastroenterology, Mater Dei Hospital, Msida, Malta.
J Crohns Colitis. 2019 May 27;13(6):673-685e. doi: 10.1093/ecco-jcc/jjz051.
Patients with inflammatory bowel disease [IBD] increasingly use alternative and complementary therapies, for which appropriate evidence is often lacking. It is estimated that up to half of all patients with IBD use various forms of complementary and alternative medicine during some point in their disease course. Considering the frequent use of such therapies, it is crucial that physicians and patients are informed about their efficacy and safety in order to provide guidance and evidence-based advice. Additionally, increasing evidence suggests that some psychotherapies and mind-body interventions may be beneficial in the management of IBD, but their best use remains a matter of research. Herein, we provide a comprehensive review of some of the most commonly used complementary, alternative and psychotherapy interventions in IBD.
炎症性肠病 [IBD] 患者越来越多地使用替代和补充疗法,但这些疗法往往缺乏适当的证据。据估计,在疾病过程的某个阶段,多达一半的 IBD 患者会使用各种形式的补充和替代药物。考虑到这些疗法的频繁使用,医生和患者了解其疗效和安全性至关重要,以便提供指导和基于证据的建议。此外,越来越多的证据表明,一些心理治疗和身心干预措施可能对 IBD 的治疗有益,但如何最佳使用这些疗法仍有待研究。在此,我们对 IBD 中最常用的一些补充、替代和心理治疗干预措施进行了全面综述。