[1]李盛华,周明旺.规范膝骨关节炎的分期分型,倡导膝骨关节炎的中医疗法——《膝骨关节炎中医诊疗指南(2020年版)》解读[J].中医正骨,2021,33(07):1-3.
 LI Shenghua,ZHOU Mingwang.Standardizing the staging and typing of knee osteoarthritis and advocating TCM therapy of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(07):1-3.
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规范膝骨关节炎的分期分型,倡导膝骨关节炎的中医疗法——《膝骨关节炎中医诊疗指南(2020年版)》解读()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年07期
页码:
1-3
栏目:
指南解读
出版日期:
2021-07-20

文章信息/Info

Title:
Standardizing the staging and typing of knee osteoarthritis and advocating TCM therapy of knee osteoarthritis
作者:
李盛华周明旺
(甘肃省中医院,甘肃 兰州 730050)
Author(s):
LI ShenghuaZHOU Mingwang
关键词:
骨关节炎 辨证分型 临床分期 中医疗法 指南
摘要:
膝骨关节炎(knee osteoarthritis,KOA)是一种严重影响中老年人生活质量的慢性退行性疾病,属于中医学“痹证(病)”范畴。作为中医骨伤科的优势病种之一,中医疗法在KOA的临床治疗中发挥了重要作用。由于近年来KOA诊疗观念、循证医学证据、国内外相关指南不断更新,中国中医药研究促进会骨伤科分会在《膝骨关节炎中医诊疗专家共识(2015年版)》的基础上制定并发布了《膝骨关节炎中医诊疗指南(2020年版)》。本文从KOA的临床分期、辨证分型、中医疗法的运用原则3个方面对《膝骨关节炎中医诊疗指南(2020年版)》进行了解读,以期其更好地服务于临床和科研工作。

参考文献/References:

[1] 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.
[2] 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.
[3] 中医康复临床实践指南·膝骨关节炎制定工作组.中医康复临床实践指南·膝骨关节炎[J].康复学报,2020,30(3):177-182.
[4] 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.
[5] 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.
[6] BASTICK A N,WESSELING J,DAMEN J,et al.Defining knee pain trajectories in early symptomatic knee osteoarthritis in primary care:5-year results from a nationwide prospective cohort study(CHECK)[J].Br J Gen Pract,2016,66(642):e32-e39.
[7] WESSELING J,BASTICK A N,TEN WOLDE S,et al.Identifying trajectories of pain severity in early symptomatic knee osteoarthritis:a 5-year followup of the cohort hip and cohort knee(CHECK)study[J].J Rheumatol,2015,42(8):1470-1477.
[8] 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中华骨科杂志,2007,27(10):793-796.
[9] 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.
[10] 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.
[11] ZHANG W,DOHERTY M,PEAT G,et al.EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis[J].Ann Rheum Dis,2010,69(3):483-489.
[12] 邢丹,林剑浩,胡永成.《中国骨关节炎疼痛管理临床实践指南(2020年版)》解读与实施建议[J].中华骨科杂志,2020,40(20):1429-1434.
[13] WANG Z,JONES G,WINZENBERG T,et al.Effectiveness of curcuma longa extract for the treatment of symptoms and effusion-synovitis of knee osteoarthritis:a randomized trial[J].Ann Intern Med,2020,173(11):861-869.
[14] MCALINDON T E,LAVALLEY M P,HARVEY W F,et al.Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis a randomized clinical trial[J].JAMA,2017,317(19):1967-1975.
[15] CAI G,AITKEN D,LASLETT L L,et al.Effect of intravenous zoledronic acid on tibiofemoral cartilage volume among patients with knee osteoarthritis with bone marrow lesions:a randomized clinical trial[J].JAMA,2020,323(15):1456-1466.
[16] 齐晓凤,王腾腾,梁倩倩,等.膝骨关节炎中医证型的研究现状[J].世界科学技术——中医药现代化,2016,18(11):1879-1882.
[17] 中华中医药学会.中医骨伤科常见病诊疗指南[M].北京:中国中医药出版社,2012:55-58.
[18] CORBETT M S,RICE S J,MADURASINGHE V,et al.Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee:network meta-analysis[J].Osteoarthritis Cartilage,2013,21(9):1290-1298.
[19] 庄松强,庄开赞,张露敏,等.针刺联合玻璃酸钠关节腔注射治疗膝关节骨性关节炎的临床观察[J].针刺研究,2018,43(5):326-329.
[20] XIE K,PAN X,HUANG F,et al.Needle knife therapy plus sodium hyaluronate injection for knee osteoarthritis:a protocol for a systematic review and meta-analysis[J].Medicine(Baltimore),2020,99(46):e23242.

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备注/Memo

备注/Memo:
基金项目:中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目(国中医药人教〔2018〕12号)
通讯作者:李盛华 E-mail:Lishenghua0619@126.com
更新日期/Last Update: 1900-01-01