中医康复临床实践指南·类风湿关节炎  

Clinical Practice Guidelines in Traditional Chinese Medicine Rehabilitation—Rheumatoid Arthritis

作　　者：无 罗杰[2] 兰培敏[2] 陈汉玉[2] 方兴刚[2] 陈曾凤 牛玉明[2] 张超[2] 高峰[2] 温国宏[2] 王俊华[2] 郑苏[2] 李瑞[2] 张保[2] 冷冬月 魏建东 陈勇[2] 蒋磊 王瑞 无;LUO Jie;LAN Peimin;CHEN Hanyu;FANG Xinggang;CHEN Zengfeng;NIU Yuming;ZHANG Chao;GAO Feng;WEN Guohong;WANG Junhua;ZHENG Su;LI Rui;ZHANG Bao;LENG Dongyue;WEI Jiandong;CHEN Yong;JIANG Lei;WANG Rui(Working Group on Setting up Standardization Guidelines of Rheumatoid Arthritis in Traditional Chinese Medicine Rehabilitation;Affiliated Taihe Hospital of Hubei University of Medicine,Shiyan,Hubei 442000)

机构地区：[1]中医康复临床实践指南·类风湿关节炎制定工作组 [2]堰市太和医院(湖北医药学院附属太和医院),湖北十堰442000

出　　处：《康复学报》2020年第1期16-25,共10页Rehabilitation Medicine

基　　金：中国中医药科技开发交流中心中医康复服务能力规范化项目(GZK-KT201901-13)。

摘　　要：类风湿关节炎(RA)是一种以侵蚀性关节炎为主要临床表现的自身免疫性疾病,最终导致关节畸形和功能丧失。为规范RA中医康复操作标准并更好地指导临床实践,专家组基于循证医学理念与方法并结合专家共识与论证及临床评价等证据,按照临床诊疗指南报告规则撰写中医康复临床实践指南·类风湿关节炎。本指南从范围、规范性引用、术语和定义、诊断标准、评定标准及治疗等方面,对RA的诊治流程进行了系统化的规范,旨在为中医风湿科、中西医结合风湿科、中医科、康复科、风湿科等相关临床医师提供更为专业化的诊疗指导及参考。该指南涉及治疗方案有康复治疗、中医治疗、心理康复、饮食及手术治疗等,其中康复治疗环节有物理因子治疗、运动疗法、作业治疗、矫形器及关节内注射等;中医治疗有针灸、推拿、中医传统功法及中医辨证论治。本指南具有较好的实用性、科学性及有效性,将为RA的中医康复治疗提供规范化的诊治流程,更好地为RA临床决策的实践提供可靠的证据参考。Rheumatoid arthritis(RA)is an autoimmune disease characterized by erosive arthritis,eventually leading to joint deformity and loss of function.To standardize the operating standards of RA for traditional Chinese medicine(TCM)and better guide clinical practice,the experts group compiled RA clinical practice guidelines for TCM rehabilitation according to the rules of clinical practice guidelines based on the principles of evidence-based medicine combined with expert consensus and argumentation,and clinical evaluation.Aiming to provide more specialized medical guidance for clinical practitioners,such as rheumatology of TCM,rheumatology of integrated traditional Chinese and Western medicine,TCM rehabilitation,and rheumatology,the diagnosis and treatment process of RA,including scope,normative references,terminology and definitions,diagnostic criteria,assessment criteria,treatment,and other aspects,were systematized and standardized in the guidelines.The part of treatment is divided into rehabilitation treatment,TCM treatment,psychological rehabilitation,diet,and surgical treatment.Rehabilitation therapy includes physical factor therapy,exercise therapy,operation therapy,orthopedic apparatus,and intra-articular injection;and the TCM treatment includes the acupuncture and moxibustion,the massage,the TCM practice and the TCM syndrome differentiation.The guidelines has excellent practicality,scientificity and effectiveness,and it will provide a standardized diagnosis and treatment process for RA's TCM rehabilitation treatment,and provide reliable evidence for better clinical decision-making practice.

关 键 词：类风湿关节炎 中医 康复 临床实践 指南 

分 类 号：R47[医药卫生—护理学]