中医外治法治疗膝骨关节炎的临床研究进展

Clinical Research Progress of External Treatment of Traditional Chinese Medicine in the Treatment of Knee Osteoarthritis

膝骨关节炎(Knee Osteoarthritis,KOA)是常见的退行性骨关节疾病之一,其发病原因复杂,具有发病率高、致残率高的特点。中医外治法是临床上干预KOA的重要方法之一,在缓解疼痛、改善膝关节活动度、降低炎症反应等方面疗效显著。本文通过对近年来KOA有关研究文献进行总结,发现中医外治法手段多样,常采用联合治疗的形式。目前中医治疗KOA相关研究存在着样本量小、随访少、缺乏客观评估指标等不足之处,应进一步采用更加严格的随机对照试验设计,可以通过应用压力痛阈值等评价指标,明确治疗效果。

Knee osteoarthritis(KOA)is one of the common degenerative bone and joint diseases.Its causes are complex,and it has the characteristics of high incidence and high disability rate.External treatment of traditional Chinese medicine is one of the important methods to intervene koa in clinic.It has signifi cant curative eff ect in relieving pain,improving knee joint mobility,reducing infl ammatory reaction and so on.This paper summarizes the relevant research literature of KOA in recent years,and fi nds that the external treatment methods of traditional Chinese medicine are diverse,often in the form of combined treatment.At present,there are some shortcomings in the related research of traditional Chinese medicine treatment of KOA,such as small sample size,less follow-up,lack of objective evaluation indicators,etc.we should further adopt a more rigorous randomized controlled trial design,and we can clarify the treatment eff ect by applying evaluation indicators such as pressure pain threshold.