中医药防治原发性骨质疏松症专家共识(2020)

Traditional Chinese Medicine Expert Consensus on the prevention and treatment of primary osteoporosis(2020)

中国老年学和老年医学学会骨质疏松分会中医药专家委员会通过文献检索和评价,结合医师问卷调查,经专家组讨论、征求中医药专委会委员意见和咨询中医骨伤科界名老专家建议,对《中医药防治原发性骨质疏松症专家共识(2015)》进行了详实修订。2020版共识内容包括:临床表现和诊断、中医学的病因病机、治则、辨证施治、临床推荐意见、临床疗效评价和监测、治未病与健康管理等,增加了临床表现腰膝酸软、骨密度测量临床指征、骨质疏松脆性骨折诊断标准、骨质疏松症风险评估、中医病因、针灸治疗和中医证候分级量化评分标准等内容。本共识突出中医药的特色和优势,坚持中西医并重,传承精华,守正创新,旨在为临床医师防治原发性骨质疏松症和科学研究提供参考。

Through literature retrieval and evaluation,combined with a questionnaire survey of doctors,the Committee of Experts on Traditional Chinese Medicine(TCM)of Osteoporosis Society of Chinese Association of Gerontology and Geriatricsmade a detailed revision on the Traditional Chinese Medicine Expert Consensus on the Prevention and Treatment of Primary Osteoporosis(2015)after discussion and consultation with members of the Committee of Experts on TCM,and consultation with experts from the field of orthopedics in TCM.The content of 2020 version of the consensus includes:clinical performances and diagnosis,etiology and pathogenesis,treatment principles,syndrome differentiation and treatment,clinical recommendations,clinical efficacy evaluation and monitoring,treatment of disease and health management of TCM,etc.In addition,clinical performance of soreness and weakness of waist and knees,bone mineral density measurement of clinical indicators,osteoporosis brittle fracture diagnosis standards,osteoporosis risk assessment,etiology of TCM,acupuncture treatment,grading and quantitative scoring standards for TCM syndromes,etc.,are included.This consensus highlights the characteristics and advantages of TCM,adheres to the equal emphasis on TCM and modern medicine,inherits the essence,keeps integrity and innovation,and aims to provide reference for clinicians in the prevention and treatment of primary osteoporosis and scientific research.