基于“以筋代骨”理论探讨中国式疼痛治疗模式改善KOA疼痛症状的阶梯化干预方案

发布时间：2018-08-01 16:45

【摘要】：膝骨关节炎是引起老年人下肢疼痛、活动障碍的主要原因。为遏制该疾病的发展,国际医学界建议把减轻疼痛和僵硬作为首要治疗目标;但就目前中国实际情况而言,治疗本病难以依靠单一治疗模式取得满意疗效。笔者基于中国国情和经验总结,进一步提出了"以筋代骨"的学术理念,采取中国式疼痛治疗模式指导的阶梯化干预方案,针对早、中、晚期患者进行个体化治疗,首选中医内外治法,结合现代西医微创技术,对患者膝周软组织进行重点干预,达到缓解疼痛、改善活动障碍的目的。实践证明这一探索不仅取得了良好的社会效益和经济效益,更是为实现中、西医学系统合理整合的积极探索,并试图寻求适合当代中国国情的最佳选择。
[Abstract]:Knee osteoarthritis is the main cause of lower limb pain and dyskinesia in the elderly. In order to curb the development of the disease, the international medical profession suggests that pain relief and stiffness should be regarded as the primary target of treatment, but in the current situation in China, it is difficult to rely on a single treatment mode to achieve satisfactory results. Based on the situation of China and the summary of experience, the author put forward the academic idea of "replacing bone with tendons", and adopted the step by step intervention scheme guided by Chinese pain treatment mode, and individualized treatment was carried out for early, middle and late stage patients. The first choice of internal and external treatment of TCM combined with modern western minimally invasive technology to focus on the patients knee soft tissue intervention to ease the pain and improve the movement of the purpose. Practice has proved that this exploration has not only achieved good social and economic benefits, but also actively explored the rational integration of the western medical system in order to realize it, and attempted to seek the best choice suitable for the current situation of China.
【作者单位】：北京中医药大学东直门医院;中国中医科学院望京医院;北京中医药大学;中国中医科学院广安门医院;
【基金】：2016年北京中医药科技发展资金(青年研究项目)(No.QN2016-03) 2016年北京中医药大学自主选题(中青年教师项目)(No.2016-JYB-JSMS-031)~~
【分类号】：R274.9

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