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纤维肌痛综合征中的替代医学应用。

Alternative medicine use in fibromyalgia syndrome.

作者信息

Pioro-Boisset M, Esdaile J M, Fitzcharles M A

出版信息

Arthritis Care Res. 1996 Feb;9(1):13-7. doi: 10.1002/art.1790090105.

Abstract

OBJECTIVE

To record the prevalence, extent, cost, and satisfaction with use of alternative medicine practices by patients with fibromyalgia syndrome (FMS), compared to control rheumatology patients.

METHODS

An interviewer-based questionnaire was administered to 221 consecutive rheumatology patients and 80 FMS patients.

RESULTS

Alternative medicine interventions were currently being used extensively by rheumatology patients overall, and by FMS patients in particular. All categories of alternative practices were used more often by FMS patients, compared to controls, including overall use 91% versus 63% (P = 0.0001), over-the-counter products 70% versus 54% (NS), spiritual practices 48% versus 37% (NS), and alternative practitioners 26% versus 12% (P = 0.003), respectively. Two-thirds of patients using alternative medicine practices were concurrently using multiple interventions. Patient satisfaction ratings were highest for spiritual interventions.

CONCLUSIONS

Alternative medicine practices were currently being used by almost all FMS patients. This observation might indicate that traditional medical therapies are inadequate in providing symptomatic relief to FMS patients.

摘要

目的

记录纤维肌痛综合征(FMS)患者与对照风湿科患者使用替代医学疗法的患病率、程度、费用及满意度。

方法

对221例连续就诊的风湿科患者和80例FMS患者进行基于访谈的问卷调查。

结果

总体而言,风湿科患者,尤其是FMS患者广泛使用替代医学干预措施。与对照组相比,FMS患者使用各类替代疗法的频率更高,包括总体使用率91%对63%(P = 0.0001),非处方产品70%对54%(无统计学差异),精神疗法48%对37%(无统计学差异),以及替代医学从业者26%对12%(P = 0.003)。使用替代医学疗法的患者中有三分之二同时使用多种干预措施。患者对精神干预的满意度评分最高。

结论

几乎所有FMS患者目前都在使用替代医学疗法。这一观察结果可能表明传统医学疗法在为FMS患者提供症状缓解方面不足。

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