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补充和替代医学在患有炎症性肠病的儿科患者的使用模式
Katharina Guilcher1, Valerie Pittet2, André Moser3
1Department of Pediatrics, Inselspital, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Bern University Hospital, University of Bern, Bern, Switzerland.
补充和替代医学 (CAM) 的使用在儿科炎性肠病 (IBD) 患者中很常见,通常与自我强加的饮食限制一起使用. 虽然CAM使用者没有报告更高的生活质量,但他们感觉到主观的健康改善.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 补充和替代医学研究 补充和替代医学研究
- 炎症性肠道疾病管理管理
背景情况:
- 炎症性肠病 (IBD) 对儿科患者来说是一个重大的长期挑战.
- 治疗IBD的管理策略包括常规药物,饮食干预措施,以及越来越多的补充和替代医学 (CAM).
- 了解儿科IBD中CAM使用模式对于全面的患者护理至关重要.
研究的目的:
- 调查瑞士儿科IBD患者中CAM使用的流行率和模式.
- 为了识别与CAM利用相关的患者和疾病特征.
- 探索CAM使用,饮食限制和患者报告的结果之间的关系.
主要方法:
- 来自瑞士IBD队列研究的数据分析,这是一个全国性的前性队列.
- 包括填写关于CAM,补充剂和饮食习惯的问卷的儿科和青少年患者.
- 统计分析以评估CAM使用与疾病特征,药物和患者结果之间的关联.
主要成果:
- 在111名儿科IBD患者中,有65%报告使用至少一种形式的CAM.
- 73%的人使用维生素/微量营养素补充剂,53%的人遵循饮食限制.
- 自行实施的饮食限制与CAM使用有显著的关联 (OR:4.48).
- 在CAM使用和IBD亚型,需要生物药物或肠外表现之间没有发现显著的关联.
- 与健康相关的生活质量和疾病活动在CAM用户和非用户之间没有差异.
结论:
- 在儿科IBD中,CAM使用和自我强加的饮食限制是普遍存在的,并且相互关联.
- 尽管生活质量或疾病活动没有客观改善,但CAM使用者报告主观的健康益处.
- 需要进一步的研究来了解CAM在儿科IBD管理中的主观益处和潜在作用.
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