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基于中医大健康理念探讨膝骨关节炎循证分期及阶梯治疗

Exploration on knee osteoarthritis of evidence-based staging and step-by-step treatment strategy based on TCM great health concepts
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摘要 膝骨关节炎(KOA)以疼痛、关节僵硬、功能障碍为主要临床体征,是困扰我国老年人群的重要疾患之一;在中医整体观与大健康理念指引下,亟需不断创新并发掘机体病理变化的早期监测技术,以及健康维持与疾患预防的早期干预方案,以实现对个体健康与不同疾患阶段的最优化处理。文章围绕上述核心问题在大健康思维与内涵阐释、中医整体观与大健康的相关性、KOA中西医防治方案优化等方面展开论述,并就KOA循证分期、KOA阶梯治疗以及KOA决策优化等方面进行相关分析,以期为当前KOA临床诊治提供参考。 Knee osteoarthritis(KOA),with pain,joint stiffness and dysfunction as the main clinical signs,is one of the important diseases that plague the elderly in China;under the guidance of the concept of health,there is an urgent need to continuously innovate and explore early monitoring techniques for pathological changes in the body,as well as early intervention programs for health maintenance and disease prevention to achieve optimal treatment of individual health and different disease stages.The article revolves around the above core issues.In the aspects of big health thinking and connotation interpretation,the relationship between TCM holistic view and great health,KOA Chinese and western medicine prevention and treatment program,etc.,and related analysis on KOA evidence-based staging,KOA ladder treatment,and KOA decision-making optimization,with a view to provide reference for the current clinical diagnosis and treatment of KOA.
作者 刘军 曾令烽 杨伟毅 梁桂洪 罗明辉 陈红云 郭达 潘建科 韩燕鸿 黄和涛 林炯同 侯森荣 欧爱华 梁伟雄 LIU Jun;ZENG Ling-feng;YANG Wei-yi;LIANG Gui-hong;LUO Ming-hui;CHEN Hong-yun;GUO Da;PAN Jian-ke;HAN Yan-hong;HUANG He-tao;LIN Jiong-tong;HOU Sen-rong;OU Ai-hua;LIANG Wei-xiong(No.2 Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Chinese Medicine),Guangzhou 510120,China;Second School of Clinic Medicine,Guangzhou University of Chinese Medicine,Center for Post-Doctoral Studies,Guangzhou 510405,China;Bone and Joint Research Team of Degeneration and Injury,Guangdong Academy of Chinese Medicine Sciences,Guangzhou 510120,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2019年第4期1321-1327,共7页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 国家自然科学基金项目(No.81473698) 中国博士后科学基金资助项目(No.2018M633036) 广东省财政厅项目(No.[2014]157号,No.[2018]8号) 广东省医学科学技术研究基金(No.A2019) 广东省中医院中医药科学技术研究专项(No.YK2013B2N19,No.YN2015MS15).
关键词 大健康理念 中医整体观 膝骨关节炎 循证分期 阶梯诊疗决策 Concept of great health TCM holism Knee osteoarthritis(KOA) Evidence-based staging Step-by-step strategy for treatment
作者简介 通讯作者:刘军,广东省广州市越秀区大德路111号广东省中医院研修楼16楼1603房,邮编:510120,电话:020-81887233转35633 E-mail:liujun.tcm@163.com;通讯作者:曾令烽,广东省广州市越秀区大德路111号广东省中医院研修楼16楼1603房,邮编:510120,电话:020-81887233转35633 E-mail:lingfengzeng0202@163.com。
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