Kestin M, Miller L, Littlejohn G, Wahlqvist M
Med J Aust. 1985 Nov 25;143(11):516-8. doi: 10.5694/j.1326-5377.1985.tb119916.x.
It is important for a medical practitioner to be aware of his or her patient's use of non-prescribed, unproven remedies. This is especially so in a chronic relapsing disease of unknown cause such as rheumatoid arthritis. We selected 90 consecutive patients with classic or definite rheumatoid arthritis who attended the rheumatology clinic of a teaching hospital in 1982. The patients were asked about their previous or current use of an unproven remedy; 82% had used more than one unproven remedy since the diagnosis was made and 52% were currently using an unproven remedy. In all, 352 separate unproven remedies were used, with a mean of 4 +/- 0.3 remedies per patient. Avoidance of a particular food substance or use of a copper bracelet were the most common of such remedies. Fourteen per cent of remedies were deemed to be useful and 3% were felt to have resulted in an adverse effect.
对于医生而言,了解其患者使用非处方、未经证实的疗法非常重要。在诸如类风湿性关节炎这种病因不明的慢性复发性疾病中尤其如此。我们选取了1982年在一家教学医院的风湿病门诊就诊的90例连续性经典型或确诊类风湿性关节炎患者。询问患者之前或当前是否使用过未经证实的疗法;自确诊以来,82%的患者使用过不止一种未经证实的疗法,52%的患者目前正在使用一种未经证实的疗法。总共使用了352种不同的未经证实的疗法,每位患者平均使用4±0.3种疗法。避免食用特定食物或使用铜手镯是此类疗法中最常见的。14%的疗法被认为有用,3%的疗法被认为导致了不良反应。