摘要
膝骨关节炎(KOA)是老年常见病,疼痛是KOA最常见的症状,超过65%的患者临床以疼痛为主要表现。目前KOA发病机制尚不十分明确,亦无特效治疗,保守治疗主要是从控制炎症和延缓软骨退变入手,目的是控制疼痛等临床症状。KOA属中医"骨痹""痹症"范畴,回顾既往文献所报道的传统中医伤科学治疗KOA的经验,结合本院骨伤科经验,提出以控制KOA顽固性疼痛为核心的诊疗理念和以截断扭转、寒温并用为指导思想的治法体系。
Knee osteoarthritis（KOA）is a common disease in the elderly.Pain,the most common symptom of KOA,is seen in more than 65% of the patients as main manifestation in clinic.At present,there is no clear pathogenesis and specific treatment of KOA.Conservative treatment,mainly including the control of inflammation and delay of cartilage degeneration,is for controlling pain and other clinical symptoms.KOA belongs to ＂ Bone Bi＂ and ＂ Bi syndrome＂ of traditional Chinese medicine.By reviewing the literature on the treatment experience of KOA in orthopedics and traumatology of TCM and combining the experience of department of orthopedics and traumatology in our hospital,diagnostic and therapeutic ideology centered by the control of intractable pain of KOA is put forward with the therapeutic system guided by the concept of truncating and reversing and the combination of cold and heat.
出处
《南京中医药大学学报》
CAS
CSCD
北大核心
2016年第6期501-505,共5页
Journal of Nanjing University of Traditional Chinese Medicine
基金
国家自然科学基金(81573993)
江苏省自然科学基金(BK20151598)
南京中医药大学附属医院院级课题(Y14022)
江苏省老中医药专家学术经验继承专项(SC200916)
2014年全国名老中医药专家周福贻教授传承工作室
关键词
膝骨性关节炎
以痛为枢
截断扭转
寒温并用
knee osteoarthritis
pain as pivot
truncating and reversing
combination of cold and heat
