Bittinger M, Barnert J, Wienbeck M
III. Medizinische Klinik, Zentralklinikum Augsburg.
Z Gastroenterol. 1998 Jun;36(6):519-24.
Patients with functional disorders of the gastrointestinal tract often respond poorly to standard therapeutic regimes. Therefore, "alternative" forms of treatment (e.g. homocopathy, acupuncture, phytotherapy, diet modifications, psychotherapy, hypnosis) often come into play. Critical assessment of these forms of therapy is difficult: placebo response is high in functional disorders of the gastrointestinal tract and usually no placebo-controlled studies are available to prove the efficacy of these forms of therapy. Up to now no data was able to prove the efficacy of homoeopathy and phytotherapy, and the efficacy of acupuncture has to be questioned. In contrast to this, hyponosis, psychotherapy and some forms of diet modification seem to be useful at least in some patients with functional disorders of the gastrointestinal tract.
胃肠道功能紊乱患者通常对标准治疗方案反应不佳。因此,“替代”治疗形式(如顺势疗法、针灸、植物疗法、饮食调整、心理治疗、催眠)常常发挥作用。对这些治疗形式进行批判性评估很困难:胃肠道功能紊乱的安慰剂反应率很高,而且通常没有安慰剂对照研究来证明这些治疗形式的疗效。到目前为止,没有数据能够证明顺势疗法和植物疗法的疗效,针灸的疗效也有待质疑。与此相反,催眠、心理治疗和某些形式的饮食调整似乎至少对一些胃肠道功能紊乱患者有用。