中医外治法治疗膝骨关节炎的临床研究进展  

Clinical Research Progress of External Treatment of Traditional Chinese Medicine in the Treatment of Knee Osteoarthritis

作　　者：连亦丰 许辉[1,2] 边艳琴[3] 王峥 王真 LIAN Yi-Feng;XU Hui;BIAN Yan-Qin;WANG Zheng;WANG Zhen(College of Acupuncture and Tuina,Henan University of Chinese Medicine,Zhengzhou Henan 450046,China;Tuina Department,Third Affi liated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan 450003,China;Orthopedic Research Laborator,University of California Davis,Davis California 95616,USA)

机构地区：[1]河南中医药大学针灸推拿学院,河南郑州450046 [2]河南中医药大学第三附属医院推拿科,河南郑州450003 [3]美国加州大学戴维斯分校骨科研究实验室,加利福尼亚州戴维斯95616

出　　处：《中华养生保健》2024年第19期65-68,共4页CHINESE HEALTH CARE

基　　金：2022年度中原英才计划(育才系列)——中原青年拔尖人才项目[豫人才办(2022)5号];河南省科技攻关项目(No.222102310214);2022年河南省中医药科学研究专项课题(No.2022ZY1108);2023年度河南省中医学“双一流”创建科学研究专项(No.HSRP-DFCTCM-2023-7-09);2024年度河南省中医药科学研究专项课题(No.2024ZY3060)。

摘　　要：膝骨关节炎(Knee Osteoarthritis,KOA)是常见的退行性骨关节疾病之一,其发病原因复杂,具有发病率高、致残率高的特点。中医外治法是临床上干预KOA的重要方法之一,在缓解疼痛、改善膝关节活动度、降低炎症反应等方面疗效显著。本文通过对近年来KOA有关研究文献进行总结,发现中医外治法手段多样,常采用联合治疗的形式。目前中医治疗KOA相关研究存在着样本量小、随访少、缺乏客观评估指标等不足之处,应进一步采用更加严格的随机对照试验设计,可以通过应用压力痛阈值等评价指标,明确治疗效果。Knee osteoarthritis(KOA)is one of the common degenerative bone and joint diseases.Its causes are complex,and it has the characteristics of high incidence and high disability rate.External treatment of traditional Chinese medicine is one of the important methods to intervene koa in clinic.It has signifi cant curative eff ect in relieving pain,improving knee joint mobility,reducing infl ammatory reaction and so on.This paper summarizes the relevant research literature of KOA in recent years,and fi nds that the external treatment methods of traditional Chinese medicine are diverse,often in the form of combined treatment.At present,there are some shortcomings in the related research of traditional Chinese medicine treatment of KOA,such as small sample size,less follow-up,lack of objective evaluation indicators,etc.we should further adopt a more rigorous randomized controlled trial design,and we can clarify the treatment eff ect by applying evaluation indicators such as pressure pain threshold.

关 键 词：膝骨关节炎 中医外治法 研究进展 临床 

分 类 号：R274.9[医药卫生—中西医结合]