《中国骨关节炎诊疗指南(2021版)》中医药相关内容解读

TCM Interpretation of Chinese Guideline for Diagnosis and Treatment of Osteoarthritis(2021 Edition)

骨关节炎是多种因素引起的一种退行性关节病,属于中医“骨痹”“痹证”范畴,是中医药疗法的优势病种之一。尽管中医药治疗骨关节炎方法多,疗效好,但是由于之前缺少高质量的证据以及中西医之间缺乏了解,《骨关节炎诊疗指南(2018年版)》之前的西医指南并没有完整地推荐中医药疗法。随着近年中医药治疗骨关节炎形成了规范诊疗以及系统科研工作的不断发展,最新制定的《中国骨关节炎诊疗指南(2021版)》中首次较为完整地对中医药方案进行推荐。通过对《中国骨关节炎诊疗指南(2021版)》中有关中医药内容进行解读,探讨近年中医药治疗骨关节炎中被西医指南收录的较为规范和完整的研究成果,为膝骨关节炎的临床与科研提供参考建议。

Osteoarthritis is a degenerative joint disease caused by multiple factors and falls under the category of“bone impediment”and“Bi syndrome”in traditional Chinese medicine(TCM).It is one of the diseases responding specifically to TCM.Although TCM has various methods for treating osteoarthritis and has shown good efficacy,previous western medicine guidelines lacked comprehensive recommendations for TCM due to a lack of high-quality evidence and a lack of understanding between Chinese and western medicine.With the continuous development of standardized diagnosis and treatment and systematic scientific research in recent years,the latest version of the Chinese Guideline for Diagnosis and Treatment of Osteoarthritis(2021 Edition)provides more complete recommendations for TCM approaches.By interpreting the relevant contents on TCM in the Chinese Guideline for Diagnosis and Treatment of Osteoarthritis(2021 Edition),this paper explored the standardized and comprehensive research achievements on TCM included in western medicine guidelines in recent years,aiming to provide references and suggestions for clinical practice and scientific research in the treatment of osteoarthritis.