推拿治疗膝关节骨关节炎个体化综合方案的专家共识.PDFVIP

国际中医中药杂志2018年5月第40卷第5期 Int J Trad Chin Med, May 2018, Vol. 40, No.5 ·385 · ·专题论坛 · 推拿治疗膝关节骨关节炎个体化 综合方案的专家共识 卿伦学 王宾 刘佳琪 李多多 江浩 杨晓明 孙艳艳 刘长信 王锡友 于长禾 【摘要】 为了形成推拿治疗膝关节骨关节炎(knee osteoarthritis, KOA)综合个体化临床干预方案的 专家共识，课题组分析推拿专家的访谈、论著，总结形成推拿治疗KOA 的初步方案，并采用专家共识会 议的方式形成推拿治疗KOA 方案的共识。经讨论，根据KOA 主症个体化分类形成3 套推拿治疗KOA 的具体方案，其中，75%～80%的条目为强推荐，其他为弱推荐，没有不推荐条目。故认为采用不同推拿 手法治疗KOA 的综合方案切实可行，标准化后具有可重复性。 【关键词】 正骨；推拿；膝关节；骨关节炎；理筋手法 Expert consensus on the comprehensive individualized protocol of Tuina therapy for knee osteoarthritis Qing Lunxue, Wang Bin, Liu Jiaqi, Li Duoduo, Jiang Hao, Yang Xiaoming, Sun Yanyan, Liu Changxin, Wang Xiyou, Yu Changhe. Department of the Tuina and Pain, Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine, Beijing 100700, China Corresponding author: Yu Changhe, Email: changhe.yu86@ 【Abstract 】 In order to form the expert consensus which researched on the comprehensive individualized protocol of Tuina therapy for Knee osteoarthritis, the preliminary protocol was summarized and formed by analyzing the interviews and published paper. And then the expert consensus method was applied for the protocols of Tuina therapy for KOA. After discussions, the consensus of three protocols according to the classification of KOA main symptomes was researched. In the protocols, 75%～80% of the entries were considered as strong recommendation, and the others were weak recommended. Thus, it is believed that the comprehensive protocols for the treatment of KOA with different Tuina manipulations is feasible and reproducible after standardization. 【Key words 】 Bone setting; Tuina; Knee joint; Osteoarthritis; Lijin manipulation 膝关节骨关节炎(knee osteoarthritis, KOA)是 目前