Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)
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- 作者：Wei-heng Chen 陈卫蟿/a> ; Xian-xiang Liu 刘献磿/a>…
- 关键词：knee osteoarthritis ; Chinese medicine ; integrative medicine ; expert opinion
- 刊名：Chinese Journal of Integrative Medicine
- 出版年：2016
- 出版时间：February 2016
- 年：2016
- 卷：22
- 期：2
- 页码：150-153
- 全文大小：141 KB
- 参考文献：1.Liu XX. Research status for traditional Chinese medicine treatment of knee osteoarthritis. J Tradit Chin Orthop Traumatol (Chin) 2012;24:3–7.
2.Brown GA, ed. AAOS clinical practice guideline: treatment of osteoarthritis of the knee: evidence-basedguideline, 2nd ed. J Am Acad Orthop Surg 2013;21:577–579.
3.National Clinical Guideline Centre (UK), ed. Osteoarthritis: care and management in adults. London: National Institute for Health and Care Excellence (UK); 2014.
4.Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part I. Osteoarthritis of the hip. American College of Rheumatology. Arthritis Rheum 1995;38:1535–1540.CrossRef PubMed
5.China Association for Traditional Chinese Medicine, ed. Guidelines for diagnosis and treatment of commom diseases of orthopedics and traumatology in traditional Chinese medicine. Beijing: China Press of Traditional Chinese Medicine; 2012:56-58. - 作者单位：Wei-heng Chen 陈卫衡 (1)
Xian-xiang Liu 刘献祥 (2)
Pei-jian Tong 童培建 (3)
Hong-sheng Zhan 詹红生 (4)
The Orthopaedic Professional Committee, Chinese Association of Research and Advancement of Chinese Traditional Medicine, China
The Joint Professional Committee, Branch of Orthopaedic of Chinese Association of Integrative Medicine, China
1. The Third Department of Osteoarthrosis, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, 100102, China
2. Research Institute of Integrated Chinese and Western Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China
3. Department of Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310006, China
4. Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China - 刊物主题：Medicine/Public Health, general;
- 出版者：Springer Berlin Heidelberg
- ISSN：1993-0402
文摘
Literature review shows that Chinese medicine and other related treatment are still the main stream treatment of knee osteoarthritis. Currently, there is short of handbook guiding Chinese medicine from evidence-based medical evidence, so it is a top priority to develop a clinical guideline from the expert consensus. After several rounds of discussion during the conference and examination by letter, which has collected opinions from nearly one hundred experts, consensus was reached. Nonpharmacologic interventions include health education, medical exercise, acupuncture, massage, acupotomology, and physiotherapy. Pharmacological interventions are as follows. Topical application includes fumigation, application, hot compressed, ironing and iontophoresis with Chinese herbs, etc. Chinese patent medicine for external use includes plaster, ointment, etc. Western medicine for external use mainly includes emulsion, ointment, plaster and embrocation containing nonsteroidal anti-inflammatory drugs (NSAIDs). Intraarticular injection mainly includes sodium hyaluronic acid, chitosan (for injection) with prudent use of glucocorticoid. Chinese herbal medicine and Chinese patent medicine can be taken referring to syndrome differentiation which mainly includes syndromes of qi stagnation and blood stasis, cold dampness, deficiency of Gan (Liver) and Shen (Kidney), deficiency of qi and blood. Western medicine mainly includes analgesic, NSAIDs, diseases modifying drugs. Surgery procedures mainly include joint irrigation, arthroscopic surgery, osteotomy, arthroplasty, etc.