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Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015) / 中国结合医学杂志
Chinese journal of integrative medicine ; (12): 150-153, 2016.
Artigo em Inglês | WPRIM | ID: wpr-229544
ABSTRACT
Literature review shows that Chinese medicine and other related treatment are still the main stream treatment of knee osteoarthritis. Currently, there is short of handbook guiding Chinese medicine from evidence-based medical evidence, so it is a top priority to develop a clinical guideline from the expert consensus. After several rounds of discussion during the conference and examination by letter, which has collected opinions from nearly one hundred experts, consensus was reached. Nonpharmacologic interventions include health education, medical exercise, acupuncture, massage, acupotomology, and physiotherapy. Pharmacological interventions are as follows. Topical application includes fumigation, application, hot compressed, ironing and iontophoresis with Chinese herbs, etc. Chinese patent medicine for external use includes plaster, ointment, etc. Western medicine for external use mainly includes emulsion, ointment, plaster and embrocation containing nonsteroidal anti-inflammatory drugs (NSAIDs). Intraarticular injection mainly includes sodium hyaluronic acid, chitosan (for injection) with prudent use of glucocorticoid. Chinese herbal medicine and Chinese patent medicine can be taken referring to syndrome differentiation which mainly includes syndromes of qi stagnation and blood stasis, cold dampness, deficiency of Gan (Liver) and Shen (Kidney), deficiency of qi and blood. Western medicine mainly includes analgesic, NSAIDs, diseases modifying drugs. Surgery procedures mainly include joint irrigation, arthroscopic surgery, osteotomy, arthroplasty, etc.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Especialização / Terapêutica / Inquéritos e Questionários / Progressão da Doença / Osteoartrite do Joelho / Consenso / Diagnóstico / Prova Pericial / Medicina Tradicional Chinesa Tipo de estudo: Estudo diagnóstico / Guia de Prática Clínica / Pesquisa qualitativa Limite: Humanos Idioma: Inglês Revista: Chinese journal of integrative medicine Ano de publicação: 2016 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Especialização / Terapêutica / Inquéritos e Questionários / Progressão da Doença / Osteoartrite do Joelho / Consenso / Diagnóstico / Prova Pericial / Medicina Tradicional Chinesa Tipo de estudo: Estudo diagnóstico / Guia de Prática Clínica / Pesquisa qualitativa Limite: Humanos Idioma: Inglês Revista: Chinese journal of integrative medicine Ano de publicação: 2016 Tipo de documento: Artigo