| 王培民，邢润麟.以痛为枢、截断扭转诊治膝骨关节炎理论研究[J].南京中医药大学学报(社会科学版),2016,32(6):501-505. |
| 以痛为枢、截断扭转诊治膝骨关节炎理论研究 |
| Theoretic Study on Diagnosis and Treatment of Knee Osteoarthritis with Pain as Pivot and Truncating and Reversing |
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| DOI： |
| 中文关键词: 膝骨性关节炎 以痛为枢 截断扭转 寒温并用 |
| 英文关键词: knee osteoarthritis pain as pivot truncating and reversing combination of cold and heat |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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