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[替代医学研究。有哪些记录,记录的是什么?]

[Research in alternative medicine. What is documented, and what is documentation?].

作者信息

Borchgrevink C F

机构信息

Avdeling for samfunnsmedisin, Statens institutt for folkehelse, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1997 Jun 30;117(17):2469-73.

PMID:9265307
Abstract

A study of the literature describing research on alternative medicine showed that, in general, the research was of poor quality. Any clinical effect of kinesiology had not been documented. Only few studies on reflexology had been controlled. Several controlled studies on healing showed significant effect, mainly in patients with psychosomatic disorders, or when the patient had great faith in the healer. Acupuncture seems to be effective against nausea, in patients with chronic pain and in patients who have had stroke. The data do not support the claim that acupuncture is effective for asthma or addiction. In the case of homeopathy the evidence from clinical trials is positive but not sufficient to draw a definite conclusion, for example, is it better than placebo? The majority of studies seems to disregard the principle of homeopathy, i.e. that the treatment should be individualised. Even if the documented effect of alternative medicine is not convincing, the effect is favourable empirically and may in itself be sufficient to give practitioners of alternative medicine an authorization. The term "alternative medicine" should be replaced by "complementary medicine".

摘要

一项对描述替代医学研究的文献进行的研究表明,总体而言,这些研究质量较差。运动机能学的任何临床效果都未得到证实。只有少数关于反射疗法的研究得到了对照。几项关于治疗的对照研究显示出显著效果,主要是在患有身心障碍的患者中,或者当患者对治疗师有极大信心时。针灸似乎对恶心、慢性疼痛患者和中风患者有效。数据不支持针灸对哮喘或成瘾有效的说法。就顺势疗法而言,临床试验的证据是积极的,但不足以得出明确结论,例如,它是否比安慰剂更好?大多数研究似乎忽视了顺势疗法的原则,即治疗应该个体化。即使替代医学的已记录效果不令人信服,但从经验上看效果是有利的,这本身可能足以赋予替代医学从业者一种认可。“替代医学”一词应被“补充医学”所取代。

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引用本文的文献

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Evidence-based complementary medicine: a contradiction in terms?循证补充医学:自相矛盾的说法?
Ann Rheum Dis. 1999 Feb;58(2):69-70. doi: 10.1136/ard.58.2.69.