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Survey of Chinese rheumatologists’ attitude towards traditional Chinese medicine for Sjögren’s syndrome |
LIU Ruihua1 ZHOU Xinyao1 GUO Zilin1 XU Haodong2 ZHAO Ziying1 TANG Xiaopo1 |
1.Department of Rheumatology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;
2.Department of Rheumatology, Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 215002, China
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Abstract Objective To understand the attitude of Chinese rheumatologists towards the treatment of Sjögren’s syndrome (SS) with traditional Chinese medicine, and to analyze the problems facing the application of traditional Chinese medicine. Methods An anonymous questionnaire survey was used to investigate the attitudes of Chinese rheumatology clinicians attending the 2022 “Fengyun Forum” on the treatment of SS by traditional Chinese medicine. Results A total of 347 questionnaires were distributed, and 320 were effectively collected, with an effective recovery rate of 92.22%. The vast majority of doctors affirmed the efficacy of traditional Chinese medicine and hoped that it could relieve the symptoms of dryness (88.41%) and fatigue (68.12%) in SS patients. Logistic regression analysis showed that the elderly with Chinese medicine education background and working years were more inclined to recommend Chinese medicine treatment for SS (P<0.05). Most doctors (65.63%) thought that the proportion of clinical application of Chinese medicine was less than 40%, which was related to the lack of Chinese medicine guidelines and too few clinical studies. Conclusion Chinese doctors pay great attention to the advantages and characteristics of traditional Chinese medicine, but the lack of guidelines and evidence-based evidence restrict the application and development of traditional Chinese medicine. It is urgent to formulate SS guidelines for traditional Chinese medicine diagnosis and treatment and strengthen the research of traditional Chinese medicine.
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[1] Lee JJ,Park YJ,Park M,et al. Longitudinal analysis of sym- ptom-based clustering in patients with primary Sjogren’s syndrome:a prospective cohort study with a 5-year follow-up period [J]. J Transl Med,2021,19(1):394.
[2] 张文,厉小梅,徐东,等.原发性干燥综合征诊疗规范[J].中华内科杂志,2020,59(4):269-276.
[3] 罗静,徐愿,周新尧,等.中医临床优势病种探讨——干燥综合征[J].中国实验方剂学杂志,2023,29(8):73-79.
[4] Mariette X,Criswell LA. Primary Sj?觟gren’s Syndrome [J]. New Engl J Med,2018,378(10):931-939.
[5] 薄一波.路志正医林集腋[M].北京:人民卫生出版社,1990:154-155.
[6] 姜泉,张华东,陈祎,等.路志正治疗干燥综合征经验[J].中医杂志,2016,57(6):463-465.
[7] 吴子华,黄子玮,陈嘉琪,等.化湿润燥方治疗原发性干燥综合征的临床疗效[J].中国实验方剂学杂志,2023,29(8):45-51.
[8] 姜利芳,刘璐,李雪梅.益气养阴、活血祛风治疗原发性干燥综合征[J].吉林中医药,2021,41(6):763-766.
[9] 黄佳珉,金艳,周定华.润燥汤治疗气阴两虚型干燥综合征的临床疗效[J].内蒙古中医药,2021,40(8):39-40.
[10] 周新尧,张华东,刘志顺,等.针灸干预原发性干燥综合征症状临床研究现状与思考[J].中华中医药杂志,2016, 31(11):4629-4633.
[11] 齐微微.针刺治疗原发性干燥综合征伴焦虑抑郁的临床疗效评价研究[D].北京:中国中医科学院,2019.
[12] 李奔,薛鸾,朴雪梅,等.针药结合对原发性干燥综合征疾病相关指数影响的临床观察[J].天津中医药,2017, 34(1):26-31.
[13] 陈亚娟.补阳还五汤加减辅治干燥综合征临床观察[J].实用中医药杂志,2023,39(2):349-351.
[14] 徐浩东,姜泉,程增玉,等.干燥综合征证候研究中的关键问题及应对策略[J].中华中医药杂志,2022,37(8):4323-4326.
[15] 郭子琳,唐晓颇,徐浩东,等.626例干燥综合征患者中医药应用情况调查分析[J].中国中医药信息杂志,2022, 29(6):115-119.
[16] 焦娟,张柔曼,姜泉.中医风湿专科医生对纤维肌痛症认知水平的调查[J].中医杂志,2017,58(20):1740-1742, 1759.
[17] 唐禄俊,张其成.中医药文化的社会认知问卷调查研究[J].中医学报,2020,35(10):2153-2160.
[18] 何菁,丁艳,李玉慧,等.原发性干燥综合征患者初诊的临床特征分析[J].北京大学学报(医学版),2012,44(2):225-228.
[19] 钟柏昌,黄峰.问卷设计的基本原则与问题分析——以某校2011年教育学硕士学位论文为例[J].学位与研究生教育,2012(3):67-72.
[20] 武玉琴.风湿免疫病早期诊断方法的探讨及临床应用[J].临床医药文献电子杂志,2018,5(34):68-69.
[21] Chevet B,Chiche LY,Devauchelle-Pensec V,et al. How rare is primary Sj?觟gren’s syndrome? [J]. Joint Bone Spine,2023, 90(1):105480.
[22] 吴桐,明冰霞,董凌莉.干燥综合征的诊治现状[J].内科急危重症杂志,2019,25(2):95-97,102.
[23] 王静,佘春晖,刘斌.原发性干燥综合征的研究进展[J].中国药物与临床,2019,19(16):2762-2763.
[24] Beylerian M,Lazaro M,Magalon J,et al. Autologous serum tears:long-term treatment in dry eye syndrome [J]. J Fr Ophtalmol,2018,41(3):246-254.
[25] 王梦洁,徐子琦,刘英.原发性干燥综合征的中西医治疗新进展[J].现代中西医结合杂志,2021,30(4):443- 448.
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