膝骨关节炎人群生活方式干预及中医健康管理的专家调查问卷及分析  

Research on Expert Questionnaire for Subjects with Knee Osteoarthritis Concerning Lifestyle Intervention and TCM Health Management

作　　者：曾令烽[1,2,3] 杨伟毅 梁桂洪[1,3] 肖萧 罗明辉 陈红云[1] 郭达[1] 潘建科[1] 韩燕鸿[2] 黄和涛[2] 赵金龙[2] 赵第[2] 梁伟雄 刘军[1,2,3] Zeng Lingfeng;Yang Weiyi;Liang Guihong;Xiao Xiao;Luo Minghui;Chen Hongyun;Guo Da;Pan Jianke;Han Yanhong;Huang Hetao;Zhao Jinlong;Zhao Di;Liang Weixiong;Liu Jun(Guangdong Provincial Hospital of Chinese Medicine(The 2nd Affiliated Hospital,Guangzhou University of Chinese Medicine),Guangzhou 510120,China;The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Bone and Joint Research Team of Degeneration and Injury,Guangdong Provincial Academy of Chinese Medical Sciences,Guangzhou 510120,China)

机构地区：[1]广东省中医院广州中医药大学第二附属医院,广州510120 [2]广州中医药大学第二临床医学院,广州510405 [3]广东省中医药科学院骨与关节退变及损伤研究团队,广州510120

出　　处：《世界科学技术-中医药现代化》2020年第9期3311-3317,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：中国博士后科学基金委员会面上二等资助项目(2018M633036):膝骨关节炎临床防治指南及中医慢病管理研究,负责人:曾令烽;广东省医学科学技术研究基金项目(B2019091):全膝关节置换TKA术前及术后测定量表N-KSS 2.0的引进与考核,负责人:曾令烽;广东省中医院中医药科学技术研究专项(YN2019ML08):基于岭南瘀湿合治理论探讨膝骨关节炎临床诊治及慢病管理研究,负责人:刘军。

摘　　要：目的针对膝骨关节炎(KOA)人群生活方式干预及中医健康管理进行问卷调查分析,形成专家共识意见。方法运用德尔菲法,在前期文献研究及第1轮"膝骨关节炎人群生活方式干预及中医健康管理"专家问卷的基础上,结合2018年8月岭南微创关节论坛及2018年11月中华中医药学会运动医学分会专家组的专家建议,编制第2轮专家问卷;对国内骨伤科尤其关节专科的专家进行意见征询,并对调查结果进行统计分析。结果(1)受访专家的积极性与专业水平均相对较高,分布地区广泛,具有代表性。(2)问卷调查各项条目的专家意见集中程度、协调程度均相对较高;KOA人群生活方式干预及中医健康管理优选条目依次为:①减重;②外伤后及早治疗;③自我行为疗法干预;④防外邪;⑤关节功能训练;⑥改变负重力线;⑦其他:健康宣教、四季调摄、生活起居干预、膳食指导、方药及运动干预等。结论采用医学循证结合德尔菲法能够较好的总结本领域专家对KOA人群生活方式干预及中医健康管理的意见,为后续诊治方案优化及慢病管理提供参考依据。Objective To form expert consensus by analyzing questionnaire for subjects with knee osteoarthritis(KOA)concerning lifestyle intervention and TCM health management.Methods Based on the literature research and 1st round of expert questionnaire, we prepared 2nd round of expert questionnaire and performed expert consultation from domestic orthopedics experts, along with the panel of expert suggestion from ling-Nan Minimally Invasive Joint Forum and Sports Medicine Branch of China Association of Chinese Medicine. This process was conducted using Delphi method, and taken the survey results for statistical analysis. Results(1) The positivity and professional level of the experts were identified high, along with the sample group distributed widely and representatively.(2) The degree of concentration and coordination of expert opinions on each item of the questionnaire is relatively high. The optimal items of lifestyle intervention and TCM health management for KOA subjects were: ①Weight loss;②Early treatment after knee injury;③Self-behavior therapy intervention;④To prevent external evil;⑤Joint function training;⑥Change the negative gravity line;⑦ Others, such as health education, adjustment according to four seasons, living intervention, dietary guidance, herbal prescriptions and sports intervention. Conclusion The approach that integrated evidence-based medicine with Delphi method can fully summarize the opinions of experts involving lifestyle intervention and TCM health management of KOA subjects. All these can provide references for optimization of the follow-up diagnosis and treatment and management of chronic disease.

关 键 词：生活方式干预 中医健康管理 膝骨关节炎(KOA) 专家调查问卷 

分 类 号：R274[医药卫生—中医骨伤科学]