[1]陈卫衡.重视循证医学证据,规范膝骨关节炎中医诊疗[J].中医正骨,2021,33(04):1-3.
 CHEN Weiheng.Emphasizing evidence in evidence-based medicine and standardizing TCM diagnosis and treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(04):1-3.
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重视循证医学证据,规范膝骨关节炎中医诊疗()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年04期
页码:
1-3
栏目:
指南解读
出版日期:
2021-04-20

文章信息/Info

Title:
Emphasizing evidence in evidence-based medicine and standardizing TCM diagnosis and treatment of knee osteoarthritis
作者:
陈卫衡
(北京中医药大学第三附属医院,北京 100029)
Author(s):
CHEN Weiheng
关键词:
骨关节炎 循证医学 中医疗法 中医诊断 指南
摘要:
《膝骨关节炎中医诊疗专家共识(2015年版)》发布5年来得到了广泛应用,达到了对临床、科研和教学起指导作用的目标。随着对膝骨关节炎疾病本身认识的更新,以及相关治疗方法和研究手段的发展,修订共识,形成具有循证医学证据的指南,已经到了合适的时机。经过科学循证、充分讨论,《膝骨关节炎中医诊疗指南(2020年版)》已制定完成并正式发布。本文对《膝骨关节炎中医诊疗指南(2020年版)》制定的必要性与可行性、制定的思路与流程、亮点与价值进行了介绍,旨在使其更好地服务于临床、科研和教学工作。

参考文献/References:

[1] 中国中医药研究促进会骨科专业委员会,中国中西医结合学会骨伤科专业委员会关节工作委员会.膝骨关节炎中医诊疗专家共识(2015年版)[J].中医正骨,2015,27(7):4-5.
[2] 中国中医药研究促进会骨伤科分会.膝骨关节炎中医诊疗指南(2020年版)[J].中医正骨,2020,32(10):1-14.
[3] LO P C,LIN F C,YC T,et al.Traditional Chinese medicine therapy reduces the risk of total knee replacement in patients with knee osteoarthritis[J].Medicine,2019,98(23):e15964.
[4] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715.
[5] 中华医学会骨科分会关节外科学组,吴阶平医学基金会骨科学专家委员会.膝骨关节炎阶梯治疗专家共识(2018年版)[J].中华关节外科杂志(电子版),2019,13(1):124-130.
[6] CHEN W,XUE Z,SUN J,et al.Traditional Chinese patent medicine for knee osteoarthritis pain:systematic review[J].Osteoarthritis and Cartilage,2020,28(Suppl 1):s150- s151.
[7] KOLASINSKI S L,NEOGI T,HOCHBERG M C,et al.2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand,hip,and knee[J].Arthritis Care Res(Hoboken),2020,72(2):149-162.
[8] BANNURU R R,OSANI M C,VAYSBROT E E,et al.OARSI guidelines for the non-surgical management of knee,hip,and polyarticular osteoarthritis[J].Osteoarthritis Cartilage,2019,27(11):1578-1589.
[9] JEVSEVAR D S.Treatment of osteoarthritis of the knee:evidence-based guideline,2nd edition[J].J Am Acad Orthop Surg,2013,21(9):571-576.
[10] CHEN W H,LIU X X,TONG P J,et al.Diagnosis and management of knee osteoarthritis:Chinese medicine expert consensus(2015)[J].Chin J Integr Med,2016,22(2):150-153.
[11] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:30-31.
[12] 刘献祥.中医药治疗膝骨性关节炎的研究现状[J].中医正骨,2012,24(1):3-7.
[13] 刘建平.传统医学证据体的构成及证据分级的建议[J].中国中西医结合杂志,2007,27(12):1061-1065.
[14] XUE Z,SUN J,LI T,et al.How to evaluate the clinical outcome of joint-preserving treatment for osteonecrosis of the femoral head:development of a core outcome set[J].J Orthop Surg Res,2019,14(1):317.
[15] ZHANG L,ZHANG J,CHEN J,et al.Clinical research of Traditional Chinese Medicine needs to develop its own system of core outcome sets[J/OL].Evid Based Complement Alternat Med,2013
[2020-02-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838829.
[16] 全国人民代表大会.中华人民共和国民法典[M].北京:中国法制出版社,2021:530.

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更新日期/Last Update: 1900-01-01