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当前位置：国际中医药研究 > 2026年 6卷 (1)期

Open Access Article

International Research in Chinese Medicine. 2026; 6: (1) ; 55-63 ; DOI: 10.12208/j.ircm.20260013.

Evidence summary of the application of traditional Chinese medicine appropriate techniques in knee osteoarthritis
中医适宜技术应用于膝骨关节炎的证据总结

作者： 胡扬 *, 盛琴, 陈艳君

湖南中医药高等专科学校附属第一医院湖南株洲;

*通讯作者：胡扬,单位：湖南中医药高等专科学校附属第一医院湖南株洲；

湖南省教育厅一般课题项目2025年株洲市科技局社会化出资项目

发布时间: 2026-03-11 总浏览量: 150

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摘要

目的总结中医适宜技术在膝骨关节炎患者中应用的循证医学证据，为临床工作者提供指导。方法系统检索中英文数据库及指南网站中关于膝骨关节炎中医护理的指南、专家共识、证据总结、临床决策、最佳实践、系统评价等。检索时限为数据库建库至2025年12月31日。采用AGREE II对指南、JBI对专家共识和临床决策、AMSTAR 2对系统评价进行评价。采用GRADE证据质量分级和推荐强度系统划分纳入证据的质量等级。结果共纳入27篇文献，包括4篇指南、5篇系统评价和18篇Meta分析。从艾灸、刺络拔罐、隔物灸、雷火灸、穴位注射、药泥灸、中药离子导入、中药熏洗、中药外敷及练功等10个方面总结出40条证据。多数证据显示中医适宜技术在缓解疼痛、改善关节功能与生活质量方面具有积极作用，且安全性较高。结论中医适宜技术对KOA具有较好的临床疗效，兼具操作简便、成本低、适用场景广泛等特点，可作为KOA阶梯化、个体化综合管理的重要组成部分。未来仍需开展更多高质量研究以进一步验证其长期效果与作用机制。

关键词： 膝骨关节炎；中医适宜技术；证据总结；循证医学

Abstract

Objective To summarize the evidence-based medical evidence of the application of traditional Chinese medicine appropriate techniques in patients with knee osteoarthritis and provide guidance for clinical workers.
Methods Systematically search for guidelines, expert consensuses, evidence summaries, clinical decisions, best practices, and systematic reviews on traditional Chinese medicine nursing for knee osteoarthritis in Chinese and English databases and guideline websites. The search period is from the establishment of the database to December 31, 2025. AGREE II was used to evaluate guidelines, JBI for expert consensuses and clinical decisions, and AMSTAR 2 for systematic reviews. The GRADE evidence quality grading and recommendation strength system was used to classify the quality grades of the included evidence.
Results A total of 27 articles were included, including 4 guidelines, 5 systematic reviews, and 18 meta-analyses. 40 pieces of evidence were summarized from 10 aspects, including moxibustion, bloodletting cupping, moxibustion with intervening substances, moxibustion with fire, acupoint injection, medicinal mud moxibustion, iontophoresis of traditional Chinese medicine, fumigation and washing with traditional Chinese medicine, external application of traditional Chinese medicine, and exercise. Most of the evidence shows that traditional Chinese medicine appropriate techniques have a positive effect in relieving pain, improving joint function and quality of life, and have high safety.
Conclusion Traditional Chinese medicine appropriate techniques have good clinical efficacy for KOA, and have the characteristics of simple operation, low cost, and wide application scenarios. They can be an important part of the stepwise and individualized comprehensive management of KOA. More high-quality studies are still needed in the future to further verify their long-term effects and mechanisms of action.

Key words： Knee osteoarthritis; Traditional chinese medicine appropriate techniques; Evidence summary; Evidence-based medicine

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引用本文

胡扬, 盛琴, 陈艳君, 中医适宜技术应用于膝骨关节炎的证据总结[J]. 国际中医药研究, 2026; 6: (1) : 55-63.

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