中医外治法治疗膝骨性关节炎最新进展
Latest development of external treatment with traditional Chinese medicine for knee osteoarthritis
  
DOI:10.3969/j.issn.1006.7108.2016.07.024
中文关键词:  中医中药  膝骨性关节炎  外治法
英文关键词:中医中药  膝骨性关节炎  外治法
基金项目:辽宁省教育厅杰出青年基金(LJQ2012082)
作者单位
张师侥1 关雪峰2* 1. 辽宁中医药大学沈阳110847 2. 辽宁中医药大学附属医院沈阳110032 
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中文摘要:
      目的 查阅中医外治法治疗膝骨性关节炎的相关文献,发现并总结临床治疗新方法。方法 检索2010年至2015年期 间的CNKI、万方、维普、pubmed数据库中采用针灸、推拿、小针刀、热敷、熏洗、敷贴药、膏药外涂和中药离子导人等方法治疗膝骨性关节炎的文献,筛选出影响力大、代表性强、治疗方法新颖的文献,将各种方法进行分类,概括总结得出结论并分析临床应用现状。结果国内外对于中医外治法治疗膝骨性关节炎的报道数量呈现逐年增多的趋势,但较内治法而言还相对不足。 国内相关治疗方法集中在针灸、推拿、小针刀、热敷、熏洗、敷贴药、膏药外涂和中药离子导入等八个方面,主要通过中医基础理论辨证施治。国外相关报道主要在针灸、推拿和小针刀等三个方面,尤其在针灸的应用上尤为广泛。结论 中医外治法治疗膝骨性关节炎在临床中有较高的疗效,可以缓解膝关节疼痛、肿胀等临床表现。但仍缺乏相对科学、准确的数据,有待进一步研究,以期为临床治疗提供更加有力的依据。
英文摘要:
      Objective To find and summarize new clinical methods by accessing to information of external treatment to knee osteoarthritis (KOA) in traditional Chinese medicine (TCM). Methods All the Chinese and English research articles which included acupuncture and moxibustion, manipulation, needle-knife, hot compress, fuming and washing, medicine apply, plaster coating, and iontophoresis were searched from CNKI, Wanfang data, VIP database, and PubMed database from 2010 to 2015. Articles from famous magazines and with typical and innovative methods were chosen. The selected articles were classified, summarized and analyzed. Results The research of external treatment of KOA with TCM showed an increasing trend in domestic and overseas, but it was still less than internal one. There were mainly eight aspects using TCM theory including acupuncture and moxibustion,manipulation, needle-knife, hot compress,fuming and washing,medicine apply, plaster coating, and iontophoresis in the country. There were mainly three methods used overseas including acupuncture and moxibustion, manipulation, and needle- knife ,especially the use of acupuncture and moxibustion. Conclusion The use of external treatment of TCM for KOA has a good efficacy. It relieves pain and swelling. However, it is still short of scientific and accurate data. Further study is needed to provide the strong evidence for the clinical use.
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