中国全科医学

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麻木诊治与管理专家共识(2025)

海峡两岸医药卫生交流协会全科医学分会,浙江省医学会全科医学分会,浙江省数理医学学会全科未分化疾病专委会,中国老年医学学会   

  • 收稿日期:2025-12-01 修回日期:2026-02-02 接受日期:2026-03-04
  • 通讯作者: 任菁菁,主任医师/博士生导师;E-mail: 3204092@zju.edu.cn
  • 基金资助:
    国家自然科学基金资助项目(72274169)

Expert Consensus on the Diagnosis, Treatment, and Management of Numbness(2025)

General Practice Branch of Cross-Straits Medicine Exchange Association, General Practice Branch of Zhejiang Medical Association,General Undifferentiated Disease Professional Committee of Zhejiang Society of Mathematical Medicine, Chinese Geriatrics Society   

  • Received:2025-12-01 Revised:2026-02-02 Accepted:2026-03-04
  • Contact: REN Jingjing, Chief physician/Doctoral supervisor; E-mail: 3204092@zju.edu.cn

摘要: 麻木是临床常见问题,病因复杂,且缺乏系统性临床研究数据,不仅影响患者身心健康,也给社会带来较大经济负担。本共识由全科医学、神经病学、老年医学等多学科专家共同撰写,通过梳理与整合近年来麻木领域国内外前沿循证医学研究结果,详细阐述了麻木的定义、分类、流行病学特征、病因与发病机制,全面总结了麻木的诊断方法(包括详细问诊、系统体格检查和辅助检查),具体论述了麻木的个体化治疗原则和治疗措施。本共识同时强调麻木的综合管理,涵盖筛查、随访、综合干预、健康教育、多学科诊疗支持、分级转诊等内容,并从临床实践、教育培训和科研创新等方面提出麻木诊治与管理的未来方向,旨在为规范开展麻木诊治和全程管理提供参考和指导。

关键词: 麻木, 诊断, 治疗, 管理, 多学科诊疗, 分级诊疗, 专家共识

Abstract: Numbness is a common clinical problem with complex etiology and a lack of systematic clinical research data, affecting patients' physical and mental health and imposing an economic burden on society. This consensus was written by multidisciplinary experts including general practice, neurology, and geriatrics. By reviewing and integrating the cutting-edge domestic and international evidence-based medical research results in the field of numbness in recent years, it elaborates in detail on the definition, classification, epidemiology, etiology and pathogenesis, comprehensively summarizes the diagnostic methods of numbness, including detailed consultation, systematic physical examination, and auxiliary examination, and specifically expounds the individualized treatment principles and measures for numbness. The consensus also emphasizes the comprehensive community management of numbness, including screening, follow-up, comprehensive interventions, health education, multidisciplinary diagnostic support, and graded referral systems. Furthermore, it proposes future directions for the diagnosis, treatment, and management of numbness from the perspectives of clinical practice, education and training, and scientific research innovation. The ultimate aim is to provide guidance and support for the standardized diagnosis, treatment, and whole-process care of patients with numbness.

Key words: Numbness, Diagnosis, Therapy, Management, Multidisciplinary diagnosis and treatment, Grading diagnosis and treatment, Expert consensus

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