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研究发现,不必要的处方维生素B12针剂让安省每年损失数千万





CBC的一篇文章指出,根据一项研究发现,安省接受维生素B12注射的老年人中,有三分二人根本不缺B12。

近期的医学杂志《JAMA Internal Medicine》发表了有关这方面的研究,根据多伦多临床评估科学研究所(Institute for Clinical Evaluative Sciences)的数据,对2011年1月至2015年10月期间,定期服用维生素B12的全省146,850名、65岁以上老人的病历进行研究。

研究发现,在这些老年人中,有93,615人(占64%)经测试后确定具有正常的B12水平,还有一些甚至根本没有进行检测。

该报告的共同撰写人是多伦多大学教授希弗斯坦(William Silverstein),他表示,公众都了解加拿大一直存在滥用医疗资源的问题,但如此高数字实在令人感到惊讶。

不恰当的处方维生素B12,令安省医疗保健系统每年损失4,560万元。

其实,与B12处方针剂相比,病人在非处方柜台上购买口服维生素B12片剂可以起到同样的作用。除非病人还患有肠道疾病,无法完全吸收片剂中的B12。



而且,日常摄取肉鱼禽蛋及乳制品等动物食物,也能补充道维生素B12;如果人体未能摄入足够维生素B12,会感到恶心、疲劳、头晕或出现抑郁等症状,长期缺乏甚至会有认知问题。

研究指出,大约20%老年人缺乏维生素B12。2013年加拿大人口统计做的一项调查显示,老年人体内的B12的平均水平比年轻人的差别并不大,只是略微低了一些。

希弗斯坦表示,素食主义者、克罗恩氏病(Crohn's)及结肠炎等疾病患者,以及恶性贫血患者特别容易缺乏维生素B12。

他表示,每月一次注射费用约为$44.33元,其中支付给医生的费用为$33.7元,注射费一次为$6.74元,一小瓶维生素B12的药费为$3.89元。而到一家大型药房购买非处方口服补充剂,其全年的价格仅$30元。

希弗斯坦表示,没法确定家庭医生为何不恰当地开处方维生素B12,当中可能涉及医生应患者的要求;他亦强调,不清楚其他省份是否存在处方过量的问题。

事实上,诊所拿到的化验报告中所显示的B12数量是否能准确代表人体中所含数量还存在疑问。

79岁的德沃卡(Kema Dwarka)因疲劳和精力不足而去看家庭医生时,她的验血报告显示一个严重问题。 “家庭医生告诉她说,“我不知道你是如何能稳稳的站立。你的B12含量太低了。”所以医生立即在德沃卡的手臂上注射了B12。

这位多伦多妇女表示,当她的B12水平恢复正常后,她便改用了非处方药。

不过,有些人还对B12的其他作用着魔。



著名歌手蕾哈娜(Rihanna)和凯蒂·佩里(Katy Perry)等名人非常相信B12,因为它们被宣传是提高能量的一种手段。 自然疗法医生和美容中心也提供B12的注射剂或维生素滴剂,许诺会产生立竿见影的效果。

多伦多西乃山医院(Mount Sinai Hospital)老人病学专家辛那(Samir Sinha)医生对此持否定态度。他不认为B12有让人精力充沛的功效,但人们却非要相信,对他们来说就是一种体力补充的安慰剂。

辛那表示,评估一个人是否患上痴呆症或评估是否有平衡问题时,医生才会测试其维生素B12的水平,但服用维生素B12补充剂来作预防是没有效用的,甚至存在过度服用的潜在风险。

辛那表示,最近在《美国医学会杂志》(JAMA)发表的一项研究更发现,维生素B6及B12的摄入量过多,与老年女性髋部骨折有关。



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