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

被引:47
作者
李盛华
周明旺
机构
[1] 甘肃省中医院
关键词
骨关节炎,膝; 辨证分型; 临床分期; 中医疗法; 指南;
D O I
暂无
中图分类号
R274.9 [现代医学骨伤科疾病];
学科分类号
100210 [外科学];
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。
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页码:1 / 3
页数:3
相关论文
共 19 条
[1]
Effectiveness of <i>Curcuma longa</i> Extract for the Treatment of Symptoms and Effusion-Synovitis of Knee Osteoarthritis : A Randomized Trial..[J].Wang Zhiqiang;Jones Graeme;Winzenberg Tania;Cai Guoqi;Laslett Laura L;Aitken Dawn;Hopper Ingrid;Singh Ambrish;Jones Robert;Fripp Jurgen;Ding Changhai;Antony Benny.Annals of internal medicine.2020,
[2]
Effect of Intravenous Zoledronic Acid on Tibiofemoral Cartilage Volume Among Patients With Knee Osteoarthritis With Bone Marrow Lesions A Randomized Clinical Trial [J].
Cai, Guoqi ;
Aitken, Dawn ;
Laslett, Laura L. ;
Pelletier, Jean-Pierre ;
Martel-Pelletier, Johanne ;
Hill, Catherine ;
March, Lyn ;
Wluka, Anita E. ;
Wang, Yuanyuan ;
Antony, Benny ;
Blizzard, Leigh ;
Winzenberg, Tania ;
Cicuttini, Flavia ;
Jones, Graeme .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (15) :1456-1466
[3]
2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee [J].
Kolasinski, Sharon L. ;
Neogi, Tuhina ;
Hochberg, Marc C. ;
Oatis, Carol ;
Guyatt, Gordon ;
Block, Joel ;
Callahan, Leigh ;
Copenhaver, Cindy ;
Dodge, Carole ;
Felson, David ;
Gellar, Kathleen ;
Harvey, William F. ;
Hawker, Gillian ;
Herzig, Edward ;
Kwoh, C. Kent ;
Nelson, Amanda E. ;
Samuels, Jonathan ;
Scanzello, Carla ;
White, Daniel ;
Wise, Barton ;
Altman, Roy D. ;
DiRenzo, Dana ;
Fontanarosa, Joann ;
Giradi, Gina ;
Ishimori, Mariko ;
Misra, Devyani ;
Shah, Amit Aakash ;
Shmagel, Anna K. ;
Thoma, Louise M. ;
Turgunbaev, Marat ;
Turner, Amy S. ;
Reston, James .
ARTHRITIS CARE & RESEARCH, 2020, 72 (02) :149-162
[4]
OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis [J].
Bannuru, R. R. ;
Osani, M. C. ;
Vaysbrot, E. E. ;
Arden, N. K. ;
Bennell, K. ;
Bierma-Zeinstra, S. M. A. ;
Kraus, V. B. ;
Lohmander, L. S. ;
Abbott, J. H. ;
Bhandari, M. ;
Blanco, F. J. ;
Espinosa, R. ;
Haugen, I. K. ;
Lin, J. ;
Mandl, L. A. ;
Moilanen, E. ;
Nakamura, N. ;
Snyder-Mackler, L. ;
Trojian, T. ;
Underwood, M. ;
McAlindon, T. E. .
OSTEOARTHRITIS AND CARTILAGE, 2019, 27 (11) :1578-1589
[5]
Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis A Randomized Clinical Trial [J].
McAlindon, Timothy E. ;
LaValley, Michael P. ;
Harvey, William F. ;
Price, Lori Lyn ;
Driban, Jeffrey B. ;
Zhang, Ming ;
Ward, Robert J. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 317 (19) :1967-1975
[6]
Defining knee pain trajectories in early symptomatic knee osteoarthritis in primary care: 5-year results from a nationwide prospective cohort study (CHECK) [J].
Bastick, Alex N. ;
Wesseling, Janet ;
Damen, Jurgen ;
Verkleij, Saskia P. J. ;
Emans, Pieter J. ;
Bindels, Patrick J. E. ;
Bierma-Zeinstra, Sita M. A. .
BRITISH JOURNAL OF GENERAL PRACTICE, 2016, 66 (642) :E32-E39
[7]
Identifying Trajectories of Pain Severity in Early Symptomatic Knee Osteoarthritis: A 5-year Followup of the Cohort Hip and Cohort Knee (CHECK) Study [J].
Wesseling, Janet ;
Bastick, Alex N. ;
ten Wolde, Saskia ;
Kloppenburg, Margreet ;
Lafeber, Floris P. J. G. ;
Bierma-Zeinstra, Sita M. A. ;
Bijlsma, Johannes W. J. .
JOURNAL OF RHEUMATOLOGY, 2015, 42 (08) :1470-1477
[8]
Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: network meta-analysis [J].
Corbett, M. S. ;
Rice, S. J. C. ;
Madurasinghe, V. ;
Slack, R. ;
Fayter, D. A. ;
Harden, M. ;
Sutton, A. J. ;
MacPherson, H. ;
Woolacott, N. F. .
OSTEOARTHRITIS AND CARTILAGE, 2013, 21 (09) :1290-1298
[9]
EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis [J].
Zhang, W. ;
Doherty, M. ;
Peat, G. ;
Bierma-Zeinstra, S. M. A. ;
Arden, N. K. ;
Bresnihan, B. ;
Herrero-Beaumont, G. ;
Kirschner, S. ;
Leeb, B. F. ;
Lohmander, L. S. ;
Mazieres, B. ;
Pavelka, K. ;
Punzi, L. ;
So, A. K. ;
Tuncer, T. ;
Watt, I. ;
Bijlsma, J. W. .
ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (03) :483-489
[10]
膝骨关节炎中医诊疗指南(2020年版) [J].
陈卫衡 .
中医正骨, 2020, (10) :1-14