摘要
目前针对膝关节骨性关节炎(Knee osteoarthritis,KOA)的临床治疗呈多样化,中医药因其不良反应小、疗效确切而被广大患者所接受。中医药治疗KOA以针灸推拿疗法、中药疗法以及综合疗法为主,疗效较好。对于中医药治疗KOA的临床研究已经有长足进展:挖掘文献研究规律、基础研究与临床研究相结合,使得中医药治疗方法更有规律性、更加规范化;中医药治疗KOA疗法应用呈多样化,中药泥灸、针刀、刃针等治疗方法的报道逐渐增多;关节镜、超短波、威伐光等高科技手段及功能锻炼、运动疗法、肌内效贴等治疗方法成为新生学术动力。但同时也存在许多不足:中医药尚未形成统一标准、规范操作的治疗KOA的临床路径,不利于开展相关循证医学研究;疗效以患者主观感受、量表问卷为主,未形成中医特色、标准统一的客观评价手段。因此,今后应当广泛开展中医药治疗KOA的相关临床路径和循证医学方面的研究,并将四诊客观化的研究成果进一步纳入进来,更好地对其疗效进行评价,以期实现对中医药疗法治疗KOA的临床推广应用。
At present,the clinical treatment of knee osteoarthritis(KOA)is diversified.Traditional Chinese medicine has been accepted by many patients because of its little side effects and significant curative effect.Traditional Chinese medicine treatment of KOA is mainly based on acupuncture and moxibustion therapy,traditional Chinese medicine therapy and comprehensive therapy.The clinical research on traditional Chinese medicine treatment of KOA has made great progress:the combination of literature research law,basic research and clinical research makes the Chinese medicine treatment method more regular and standardized;the application of traditional Chinese medicine treatment KOA therapy is diversified,Chinese medicine mud moxibustion Reports on treatment methods such as mud moxibustion,needle-knife and blade needles have gradually increased;high-tech methods such as arthroscopy,ultrashort wave,and weivar light,as well as functional exercise,exercise therapy,and intramuscular effect have become new academic motivations.However,there are also many shortcomings:Chinese medicine has not yet formed a unified standard,standardized operation of the treatment of KOA clinical path,is not conducive to the development of relevant evidence-based medical research;efficacy based on patient subjective feelings,questionnaires,mainly did not form TCM characteristics,standards A unified objective evaluation tool.Therefore,in the future,the clinical path and evidence-based medicine research of traditional Chinese medicine treatment of KOA should be widely carried out,and the objective research results of the four clinics should be further included to better evaluate its efficacy in order to achieve the clinical efficacy of KOA treatment with TCM.
作者
许辉
康冰心
孙松涛
钟声
邱国伟
肖涟波
施杞
XU Hui;KANG Bingxin;SUN Songtao;ZHONG Sheng;QIU Guowei;XIAO Lianbo;SHI Qi(Guanghua Hospital Affiliated to Shanghai University of Chinese Medicine,Shanghai China 200052;Shanghai Guanghua Hospital of Integrative Medicine,Shanghai China 200052;Longhua Hospital Affiliated to Shanghai University of Chinese Medicine,Shanghai China 200052;Institute of Spinal Diseases Affiliated to Shanghai University of Chinese Medicine,Shanghai China 200052)
出处
《中医学报》
CAS
2019年第10期2124-2129,共6页
Acta Chinese Medicine
基金
上海市科学技术委员会项目(17401932900)
上海市卫生计划生育委员会项目[ZY(2018-2020)-FWTX-6023]
关键词
中医
针灸
推拿
膝关节骨性关节炎
Chinese medicine
acupuncture and moxibustion
massage
knee osteoarthritis
