膝关节骨关节炎患者非药物干预疼痛管理最佳证据总结

Summary of the best evidence for non-pharmacological intervention in pain management for patients with knee osteoarthritis

目的检索和总结膝关节骨关节炎非药物干预疼痛管理的最佳证据。方法系统检索UpToDate、BMJ Best Practice、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、英国国家卫生与临床优化研究所、国际指南协作网、医脉通、Medline、PubMed、万方数据库、中国知网膝关节骨关节炎非药物干预疼痛管理的相关文献,对纳入文献进行质量评价后提取证据。结果共纳入文献11篇,其中指南6篇,专家共识2篇,系统评价2篇,随机对照试验1篇。最终从健康教育、疼痛评估、转诊、心理干预、运动干预、理疗6个方面总结了22条最佳证据。结论膝关节骨关节炎患者非药物干预疼痛的最佳证据总结可为临床医护人员及膝关节骨关节炎患者进行非药物疼痛干预提供循证依据。

Objective To retrieve and summarize the best evidence on non-pharmacological interventions for pain management in knee osteoarthritis.Methods The literatures related to non-pharmacological intervention in pain management for knee osteoarthritis were searched on UpToDate,BMJ Best Practice,Australia Joanna Briggs Institute evidence-based healthcare center database,Cochrane Library,National Institute for Health and Clinical Excellence,Guidelines International Network,Medlive,Medline,PubMed,Wanfang database and China National Knowledge Infrasructure.The evidences were extracted after quality evaluation of the included literature.Results A total of 11 references were included,including 6 guidelines,2 expert consensuses,2 systematic evaluations and 1 randomized controlled trial.Finally,22 pieces of best evidences were summarized from 6 aspects,including health education,pain assessment,referral,psychological intervention,exercise intervention and physical therapy.Conclusions Summary of the best evidence for non-pharmacological intervention in pain management for patients with knee osteoarthritis can provide evidence-based evidence for clinical healthcare professionals and knee osteoarthritis patients to undergo non-pharmacological pain intervention.