【美国儿科医学会】台湾科研分析: 接受传统中药治疗的儿科患者的特征

来源: 闽姑 2012-06-18 08:20:17 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (9353 bytes)
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      英文摘要链接: http://pediatrics.aappublications.org/content/129/6/e1485.abstract

      美国儿科医学会【接受传统中药治疗的儿科患者的特征】: 台湾科研人员利用全民健保数据对台湾地区接受中医治疗的儿科患者进行了分析。结果显示 107 337名参与调查的患儿中,18.3%曾接受传统中药治疗。幼儿过敏反应和呼吸道、消化道和骨骼出现的副作用问题,也与过高的中药使用有关。

Characteristics of Pediatric Traditional Chinese Medicine Users in Taiwan: A Nationwide Cohort Study

  1. Su-Shun Lo, MDc

+ Author Affiliations

  1. Drs Hsing-Yu Chen and Yi-Hsuan Lin contributed equally to this work.

Abstract

BACKGROUND AND OBJECTIVES: Traditional chinese medicine (TCM) is one of the most commonly used complementary and alternative medicines. However, there is a paucity of epidemiologic reports on features of pediatric TCM users. As TCM services are fully reimbursed by National Health Insurance in Taiwan, this study used a nationwide cohort database to investigate demographics, diseases patterns, and parents' characteristics of pediatric TCM users.

METHODS: Children aged <12 years were extracted from the National Health Insurance Research Database for analysis. These pediatric TCM users’ demographics, medical conditions, and reasons for medical services were compared with users of Western medicine by Poisson regression. Children who did not use any medical services were excluded.

RESULTS: Of 107 337 children who were enrolled and followed up in 2005, 19 669 children (18.3%) used TCM. Compared with Western medicine-only users, school-age children (aged 6–12 years), preschool age children (3–5 years), and toddlers (1–2 years) were more likely to use TCM than infants (<1 year; rate ratio = 4.47, 3.66 and 2.59, respectively; P < .001 for all). Parental factors were associated with more TCM use, including female gender, age >35 years, past experience with TCM, and higher income levels. Allergic reactions and respiratory tract, gastrointestinal tract, and musculoskeletal problems were also associated with higher TCM use.

CONCLUSIONS: The use of TCM was correlated with both patient and parental factors, among which children’s age and parental TCM use were the most prominent. Additional studies on the efficacy of TCM are warranted.

 

 

所有跟帖: 

台湾是民选政府。坐等台湾百姓要求总统取消中医、中药! -8139- 给 8139 发送悄悄话 (0 bytes) () 06/18/2012 postreply 08:47:37

像日本那样,流入民间.民间是有牛人的啊---> -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (529 bytes) () 06/18/2012 postreply 09:39:38

在日本的医学院,任何医生必修“中医”,日本的中医非民间,比中国发展的好,只是人家称“汉医” -8139- 给 8139 发送悄悄话 (0 bytes) () 06/18/2012 postreply 10:07:32

你听谁说的? -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (920 bytes) () 06/18/2012 postreply 11:15:35

听黄煌说过,也听好几个在日本留学回国的西医说过要背117方,还刚也狗了段文章 -8139- 给 8139 发送悄悄话 (1037 bytes) () 06/18/2012 postreply 11:36:01

亲!狗得好!你很会“狗”,不然不科学,没说服力。 -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (135 bytes) () 06/18/2012 postreply 14:33:59

刚跟一顾客说,别听TBz的,这燕窝、雪蛤,就只有你这身份的人才吃得起,他那是嫉妒。这一上来又让你给亲了 -8139- 给 8139 发送悄悄话 (0 bytes) () 06/18/2012 postreply 21:46:16

英国幼儿过敏反应比例很高,他们未曾接受中药治疗,他们的过敏与什么使用有关? -清清泉水- 给 清清泉水 发送悄悄话 (0 bytes) () 06/18/2012 postreply 10:36:32

中医有阴阳嘛,还有气功嘛,中药的气传导过去的 -8139- 给 8139 发送悄悄话 (0 bytes) () 06/18/2012 postreply 10:50:02

除了西医和中医极少有第三种治疗方案了, 所以或许与西医治疗有关系 -mitts- 给 mitts 发送悄悄话 (0 bytes) () 06/18/2012 postreply 13:41:18

个人对此类研究的一点看法 -华山97- 给 华山97 发送悄悄话 华山97 的博客首页 (1320 bytes) () 06/18/2012 postreply 11:50:35

原创没用,得会“狗”,不然不科学,没说服力。要是能“狗”出英文的,那铁定科学,都不用争了 -8139- 给 8139 发送悄悄话 (0 bytes) () 06/18/2012 postreply 12:02:01

-TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (0 bytes) () 06/18/2012 postreply 14:41:30

你说的有关研究方法的部分很对 -TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (701 bytes) () 06/18/2012 postreply 13:53:24

其实还有一个人为因素 -华山97- 给 华山97 发送悄悄话 华山97 的博客首页 (920 bytes) () 06/18/2012 postreply 14:34:28

-TBz- 给 TBz 发送悄悄话 TBz 的博客首页 (0 bytes) () 06/18/2012 postreply 14:43:17

美国曾说过40%的外科手术都是错误诊断的结果,那又怎么样? -chinomango- 给 chinomango 发送悄悄话 chinomango 的博客首页 (0 bytes) () 06/26/2012 postreply 10:05:52

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