在癌症患者中使用草药
Ana Carolina Vasques1, Patricia Cavaco2, Tânia Duarte1
1Medical Oncology, Centro Hospitalar Lisboa Ocidental, Lisbon, PRT.
Cureus
|March 4, 2024
概括
近一半的癌症患者使用草药,通常不公开,导致药物与草药的显著相互作用. 这凸显了需要更好的沟通和基于证据的协议,以确保更安全的患者护理.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 综合医学是一个整体的医学.
背景情况:
- 癌症患者越来越多地使用草药来治疗症状.
- 患者不愿意向医疗保健提供者披露草药使用情况.
- 草药补充剂与常规癌症治疗之间可能存在危险的相互作用,原因是治疗边际狭窄.
研究的目的:
- 为了确定在癌症患者中使用草药的流行率.
- 评估药物与草药相互作用的发生率.
- 为了确定与葡萄牙医院人口中草药使用相关的因素.
主要方法:
- 对65名正在接受治疗的乳腺,前列腺和结直肠癌患者进行调查和临床档案审查.
- 评估潜在的药物-草药相互作用.
- 统计分析以确定草药使用的预测因素.
主要成果:
- 46%的癌症患者经常使用草药来支持免疫力,解毒,失眠和便秘.
- 在37%的患者中发现了药物-草药相互作用,特别是多克索鲁比辛-维生素C.
- 在无变量分析中没有发现草药使用的显著预测因素.
结论:
- 草药的使用在癌症患者中很常见,潜在的有害相互作用的比例很高.
- 迫切需要基于证据的指导方针和改善关于在瘤学中使用草药补充剂的沟通.
- 进一步的研究对于确保更安全,更有效的综合性癌症护理至关重要.
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