Guideline-based advances in integrated TCM-western medicine for knee osteoarthritis

WU Dongze; JIANG Mingjun; LIU Peng; WANG Yufeng

doi:10.16025/j.1674-1307.2025.06.031

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Guideline-based advances in integrated TCM-western medicine for knee osteoarthritis

更新时间：2025-08-04

- Guideline-based advances in integrated TCM-western medicine for knee osteoarthritis
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 6, Pages: 810-814(2025)
- 作者机构：
  
  1.长春中医药大学，长春 130117
  2.广州中医药大学深圳医院（福田），深圳 518034
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.06.031
  CLC：
- Received：27 November 2024，
  
  Published：25 June 2025
- 稿件说明：
移动端阅览
武东泽，蒋明君，刘鹏，等.基于指南探讨膝骨关节炎的中西医治疗进展［J］.北京中医药，2025，44（6）：810-814.

WU Dongze,JIANG Mingjun,LIU Peng,et al.Guideline-based advances in integrated TCM-western medicine for knee osteoarthritis[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):810-814.
武东泽，蒋明君，刘鹏，等.基于指南探讨膝骨关节炎的中西医治疗进展［J］.北京中医药，2025，44（6）：810-814. DOI： 10.16025/j.1674-1307.2025.06.031.

WU Dongze,JIANG Mingjun,LIU Peng,et al.Guideline-based advances in integrated TCM-western medicine for knee osteoarthritis[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):810-814. DOI： 10.16025/j.1674-1307.2025.06.031.

摘要

通过检索中国知识资源总库（CNKI）、万方数据知识服务平台、PubMed数据库、医脉通、百度学术以及国际指南制定与收录网站，最终纳入14个指南，分析国内外新版指南中关于膝骨关节炎（KOA）的中、西医治疗依据，得出结论，在干预措施方面，国外指南均强调生活方式干预的重要性，若效果不佳，可以联用西药口服、关节内注射药物等治疗手段；我国相关指南中针对KOA进行中医药特色治疗，如针灸、推拿、方药、传统功法等，充分发挥了中医中药的优势，中西医结合治疗KOA有显著优势。通过对指南内容的整理归纳，发现治疗手段多样，并存在对治疗方式的选择意见不同的现象，未来仍需要进一步提高临床指南的质量，为优化KOA中西医结合治疗提供参考。

Abstract

By searching the China National Knowledge Infrastructure （CNKI）， Wanfang Data， PubMed， Medlive， Baidu Scholar， and international guideline development and repository websites， a total of 14 guidelines were included to analyze the evidence for traditional Chinese medicine （TCM） and western medicine treatments of knee osteoarthritis （KOA） in the latest guidelinesin China and abroad. The analysis concluded that foreign guidelines consistently emphasize the importance of lifestyle interventions， and if these are ineffective， oral western medicines and intra-articular injections can be combined. Chinese guidelines specifically include characteristic TCM treatments for KOA， such as acupuncture， moxibustion，

Tuina

， herbal formulas， and traditional exercises， fully leveraging the advantages of TCM. The integrated TCM-western med

icine treatment of KOA shows significant benefits. Through summarizing the guideline contents， it was found that treatment methods are diverse and that differing opinions exist regarding treatment choices. Therefore， future efforts are needed to further improve the quality of clinical guidelines and provide references for optimizing integrated TCM and western medicine treatment of KOA.

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references

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