Nationwide Children's Hospital, Columbus, OH.
Nationwide Children's Hospital, Columbus, OH; The Ohio State University College of Medicine, Department of Biomedical Informatics, Columbus, OH.
J Pediatr. 2020 Dec;227:53-59.e1. doi: 10.1016/j.jpeds.2020.08.027. Epub 2020 Aug 13.
To describe the use of complementary and alternative medicine (CAM) in pediatric functional abdominal pain disorders at a large Midwestern pediatric gastroenterology center.
A survey of patients attending a follow-up visit for functional abdominal pain disorders was completed. Data were collected on demographics, quality of life, use of conventional therapies, patient's opinions, and perception of provider's knowledge of CAM.
Of 100 respondents (mean age, 13.3 ± 3.5 years), 47 (60% female) had irritable bowel syndrome, 29 (83% female) had functional dyspepsia, 18 (67% female) had functional abdominal pain, and 6 (83% female) had abdominal migraine (Rome III criteria). Ninety-six percent reported using at least 1 CAM modality. Dietary changes were undertaken by 69%. Multivitamins and probiotics were the most common supplements used by 48% and 33% of respondents, respectively. One-quarter had seen a psychologist. Children with self-reported severe disease were more likely to use exercise (P < .05); those with active symptoms (P < .01) or in a high-income group (P < .05) were more likely to make dietary changes; and those without private insurance (P < .05), or who felt poorly informed regarding CAM (P < .05), were more likely to use vitamins and supplements. Seventy-seven percent of patients described their quality of life as very good or excellent.
The use of CAM in children with functional abdominal pain disorders is common, with a majority reporting a high quality of life. Our study underscores the importance of asking about CAM use and patient/family knowledge of these treatments.
描述在中西部一家大型儿科胃肠病学中心，儿童功能性腹痛障碍患者对补充和替代医学（CAM）的应用。
对功能性腹痛障碍复诊患者进行问卷调查。收集的数据包括人口统计学、生活质量、常规治疗方法的应用、患者意见以及患者和家属对 CAM 相关知识的认知。
在 100 名应答者中（平均年龄 13.3 ± 3.5 岁），47 名（60%为女性）患有肠易激综合征，29 名（83%为女性）患有功能性消化不良，18 名（67%为女性）患有功能性腹痛，6 名（83%为女性）患有腹型偏头痛（罗马 III 标准）。96%的患者报告至少使用过 1 种 CAM 疗法。69%的患者进行了饮食调整。复合维生素和益生菌是最常用的补充剂，分别有 48%和 33%的应答者使用。四分之一的患者曾看过心理医生。自我报告疾病严重程度较高的儿童更有可能进行运动（P <.05）；那些有活动症状（P <.01）或高收入群体（P <.05）的患者更有可能进行饮食调整；那些没有私人保险（P <.05）或对 CAM 相关知识了解较少（P <.05）的患者更有可能使用维生素和补充剂。77%的患者描述其生活质量非常好或极好。
儿童功能性腹痛障碍患者中 CAM 的应用较为普遍，大多数患者报告生活质量较高。我们的研究强调了询问 CAM 使用情况以及患者/家属对这些治疗方法的了解程度的重要性。
