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中国膝骨关节炎康复治疗指南(2023版)

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膝骨关节炎(KOA)是最常见的关节退行性疾病,是我国最常见致残疾病之一,给患者、家庭和社会造成巨大的经济负担.康复治疗是KOA疾病管理的核心与基础,规范化KOA康复治疗是疾病防治、促进医疗服务高质量发展的重要手段.本指南在2016、2019年版基础上进行更新,由中华医学会物理医学与康复学分会和四川大学华西医院牵头发起,指南制订以国内外指南制订方法与原则为指导,通过临床问题筛选与解构、多轮德尔菲问卷咨询等方法,遴选出两大类(康复评定与治疗)11个核心临床问题.以《国际功能、残疾和健康分类》(ICF)为理论架构,基于当前可获得的最佳证据,采用推荐意见分级的评估、制订及评价(GRADE)方法对证据质量及推荐意见进行分级,同时采用GRADE从证据到决策的框架(EtD)辅助由证据向推荐意见转化,按照国际临床实践指南报告标准(RIGHT)进行报告,充分考虑患者意愿及价值观,并结合中国临床实践需求,最终形成11个要点和28条推荐意见,以期系统性规范膝骨关节炎康复治疗.
Chinese guideline for the rehabilitation treatment of knee osteoarthritis(2023 edition)
Knee osteoarthritis(KOA)is the most common degenerative joint disease and one of the most disabling diseases in China,causing a huge economic burden to patients,families and society.Standardized KOA rehabilitation treatment is an important means to prevent and treat the disease and promote the development of high-quality medical services.This guideline was updated based on the 2016 and 2019 editions,and was initiated by the Chinese Medical Association Physical Medicine and Rehabilitation Branch and West China Hospital of Sichuan University.The guideline development was guided by domestic and international guideline development methods and principles,and 11 core clinical issues in two categories(rehabilitation assessment and treatment)were selected through clinical issue screening and deconstruction,and multiple rounds of Delphi questionnaire consultation.The International Classification of Functioning,Disability and Health(ICF)was used as the theoretical framework,and the Grading of Recommendations Assessment,Development and Evaluation(GR)was used based on the best available evidence.The International Classification of Functioning,Disability and Health(ICF)is a theoretical framework based on the best available evidence,and uses the Grading of Recommendations Assessment,Development and Evaluation(GRADE)method to grade the quality of evidence and recommendations,and reports them according to the Reporting Items for Practice Guidelines in Healthcare(RIGHT),taking into account patients'preferences and values and the needs of Chinese clinical practice,resulting in 11 key points and 28 recommendations to systematically standardize the rehabilitation of knee osteoarthritis.

Knee osteoarthritisRehabilitation assessmentRehabilitation treatmentClinical practice guidelineEvidence-based medicine

中华医学会物理医学与康复学分会、四川大学华西医院、杨霖、何成奇

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膝骨关节炎 康复评定 康复治疗 临床实践指南 循证医学

国家自然科学基金项目国家自然科学基金项目国家自然科学基金项目四川大学华西医院135工程项目四川大学教育改革项目四川大学教育改革项目四川省自然科学基金项目

819721468200239382272599ZYGD18018GSSCU2021038GSSCU20211302022NSFSC1512

2024

10.7507/1672-2531.202306145

中国循证医学杂志
四川大学

中国循证医学杂志

CSTPCD北大核心
影响因子：1.761
ISSN：1672-2531
年,卷(期)：2024.24(1)
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