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中草药辨证外治膝骨关节炎的研究进展

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膝骨关节炎(Knee Osteoarthritis,KOA)是由多种因素导致软骨出现损伤,逐渐恶化、进展而发生关节软骨纤维化、皲裂、剥脱,出现以关节疼痛、功能受限为主要症状的退行性疾病.随着我国老龄化进程逐渐加重,KOA病患逐渐增多,呈逐年上升趋势.缓解疼痛、恢复关节功能是临床治疗KOA的首要问题.国际骨关节炎研究学会推荐的KOA一线治疗方案仍是药物治疗,主要以口服非甾体抗炎药和氦基葡萄糖为主,虽能缓解部分症状,但长期应用可能会引起诸多不良反应.中医学在治疗此病时积累了丰富的经验,治疗方法多样,将整体观念与辨证施治相结合,治疗优势显著,尤其是中草药外治有着确切优势,治疗效果可靠、费用低廉、不良反应少,患者可以长期使用.然而,当前中草药外治KOA在临床应用中还存在一些问题.需要在临床实践中不断总结经验教训,加强中医理论的学习和实践,提高辨证论治的水平.本研究就中草药外治KOA的辨证论治研究进展进行综述,以期为临床规范应用中草药外治KOA提供参考.
Research progress of Chinese herbal medicine external differentiation and treatment of knee osteoarthritis
Knee osteoarthritis(KO A)is a degenerative disease with joint pain and functional limitation as the main symptoms of cartilage injury caused by various factors,which gradually deteriorates and progresses,resulting in joint cartilage fibrosis,chapping and exfoliation.With the aging process of our country,the number of KOA patients is gradually increasing,and the trend is rising year by year.How to relieve pain and restore joint function is the primary problem in the clinical treatment of KOA.The first line of treatment for KOA recommended by the International Society for Osteoarthritis Research is still drug therapy.The drug treatment of KOA is mainly oral non-steroidal anti-inflammatory drugs and glucosamine.Although these drugs can alleviate some symptoms,long-term application may cause many adverse reactions.Traditional Chinese medicine has accumulated rich experience in the treatment of this disease,and there are various kinds of treatment methods.TCM treatment method combines the holistic concept with the treatment of syndrome differentiation,and has significant advantages in the treatment of this disease,especially the extemal treatment of Chinese herbal medicine has exact advantages,of which not only the treatment effect is reliable,the cost is low,the side effects are few,and the patients can use it for a long time.However,we must also be soberly aware that there are still some problems in the clinical application of Chinese herbal medicine for extemal treatment of KOA.For example,some doctors ignore the importance of syndrome differentiation in the process of disease differentiation,resulting in improper drug use;There are also some doctors who rely too much on the empirical prescription and lack the idea of innovation and personalized treatment,which affects the efficacy.Therefore,we need to sum up the experience and lessons in clinical practice,strengthen the study and practice of TCM theory,and improve the level of syndrome differentiation and treatment.The author consults relevant literature,and reviews the research progress of TCM extemal treatment of KOA based on syndrome differentiation,in order to provide reference for clinical standard application of TCM external treatment of KOA.

OsteoarthritisKneeChinese herbal medicineExternal treatmentReview

张云华、王钢、彭仕波、吴良荣、冯林伟

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甘肃中医药大学,甘肃 兰州,730000

重庆市南川区中医医院,重庆 南川,408400

甘肃中医药大学附属医院,甘肃 兰州,730000

膝骨关节炎 中草药 外治 综述

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(27)