Advantages，Key Issues and Research Strategies of Traditional Chinese Medicine in the Prevention and Treatment of Bone and Joint Degenerative Diseases

doi:10.12114/j.issn.1007-9572.2021.01.032

Abstract

Abstract: The treatment of bone and joint degenerative diseases represented by cervical spondylosis，lumbar degenerative diseases，and knee osteoarthritis is mainly non-surgical treatment，which aredominant diseases of Traditional Chinese Medicine orthopedics. Traditional Chinese Medicine，manipulation，acupuncture，and traditional functional exercises are characteristic therapies commonly used in Chinese Medicine，which can significantly improve the clinical symptoms and signs of patients and prevent disease recurrence. At present，the prevention and treatment of bone and joint degenerative diseases with traditional Chinese Medicine still have many problems such as insufficient clinical efficacy evaluation，insufficient application of clinical Biobanks，insufficient research and development of key traditional Chinese Medicine technology and equipment，lack of multidisciplinary collaborative innovation. In order to solve these problems，it is suggested that traditional Chinese Medicine should follow the principle of “evidence-oriented，Chinese and Western medicine consensus” to carry out clinical research，standardize the collection of Chinese Medicine diagnosis and treatment information，build a clinical biological sample library，integrate modern science and technology to develop key Chinese Medicine technical equipment，integrate advantageous resources to achieve a collaborative research organization model，improve the research evidence of traditional Chinese Medicine in the prevention and treatment of bone and joint degenerative diseases，and further improve the level of clinical diagnosis and treatment.

Key words: Osteoarthritis, Bone and joint degenerative diseases, Intervertebral disc degeneration, TCM therapy, Advantage, Key issue, Strategy

摘要：

以颈椎病、腰椎退行性疾病、膝骨关节炎为代表的骨与关节退行性疾病治疗以非手术治疗为主，是骨伤科临床治疗优势病种。中药、手法、针灸、传统功能锻炼等是中医常用的特色疗法，能够显著改善患者的临床症状、体征，预防疾病复发。目前，中医药防治骨与关节退行性疾病存在临床疗效评价欠规范、临床生物样本库应用不够、中医关键技术装备研发不足、多学科交叉协同创新匮乏等问题。针对上述问题，建议中医药防治该类疾病应遵循“证据为重、中西共识”的原则开展临床研究，规范中医诊疗信息采集并构建临床生物样本库，融合现代科学技术研发中医关键技术装备，整合优势资源实现协同攻关组织模式，完善中医药防治骨与关节退行性疾病的研究证据，进一步提升临床诊疗水平。

关键词: 骨关节炎, 骨与关节退行性疾病, 椎间盘退行性变, 中医疗法, 优势, 关键问题, 策略

WEI Xu,HAN Tao,SUN Kai, et al. Advantages，Key Issues and Research Strategies of Traditional Chinese Medicine in the Prevention and Treatment of Bone and Joint Degenerative Diseases　[J]. Chinese General Practice, 2021, 24(35): 4421-4426. DOI: 10.12114/j.issn.1007-9572.2021.01.032.
魏戌,韩涛,孙凯等. 中医药防治骨与关节退行性疾病的优势、关键问题及研究策略[J]. 中国全科医学, 2021, 24(35): 4421-4426. DOI: 10.12114/j.issn.1007-9572.2021.01.032.

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