Department of Medicine, Mount Sinai Hospital Centre for Inflammatory Bowel Disease, University of Toronto, 600 University Avenue, Suite 437, Toronto, Ontario M5G 1X5, Canada.
Department of Medicine, Mount Sinai Hospital Centre for Inflammatory Bowel Disease, University of Toronto, 600 University Avenue, Suite 437, Toronto, Ontario M5G 1X5, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, 600 University Avenue, Suite 437, Toronto, Ontario M5G 1X5, Canada.
Gastroenterol Clin North Am. 2017 Dec;46(4):679-688. doi: 10.1016/j.gtc.2017.08.001.
Use of complementary sand alternative medicine (CAM) is common among patients with inflammatory bowel disease (IBD). CAM can be broadly categorized as whole medical systems, mind-body interventions, biologically based therapies, manipulative and body-based methods, and energy therapies. Most do not use it to treat IBD specifically, and most take it as an adjunct to conventional therapy not in place of it. However, patients are frequently uncomfortable initiating a discussion of CAM with their physicians, which may impact adherence to conventional therapy. A greater emphasis on CAM in medical education may facilitate patient-physician discussions regarding CAM.
补充性和替代性的医学(CAM)在炎症性肠病(IBD)患者中很常见。CAM 可以大致分为整体医学系统、身心干预、基于生物的疗法、手法和身体方法以及能量疗法。大多数 CAM 并非专门用于治疗 IBD,大多数是作为传统治疗的辅助手段,而不是替代传统治疗。然而,患者通常对与医生讨论 CAM 感到不舒服,这可能会影响对传统治疗的依从性。在医学教育中更加重视 CAM 可能有助于促进患者与医生之间关于 CAM 的讨论。