关键词:

膝骨关节炎, 中西医结合, 临床实践, 指南

Abstract:

Knee osteoarthritis（KOA）is one of the most commonfrequent chronic diseases today，and it has a significant impact on a patient′s physical，mental，and social well ⁃being. Treatment combining Traditional Chinese Medication（TCM）and western medicine has undeniably proven to be beneficial in the overall manage⁃ ment of KOA. The KOA instruction in TCM and western medicine clinical practice is extremely important，as it was written on the basis of Evidence⁃based Medicine. It aids in the standardization and improvement of diagnostic and treatment practices in both Chinese and Western medicine. The instruction was created in accordance with the clinical practice guideline′ s standards.It excludes standards such as range，words，definitions，epidemic characteristics， diagnosis，treatment，effect evaluation，and other components of the KOA diagnostic and treatment process in TCM and western medicine.The instruction was created in accordance with the clinical practice guideline′ s stan⁃ dards. It excludes standards such as range，words，definitions，epidemic characteristics，diagnosis，treatment， effect evaluation，and other components of the KOA diagnostic and treatment process in TCM and western medicine. In terms of disease differentiation and syndrome differentiation of TCM，this instruction highlights the influence of territorial characteristic on KOA occurrence，development，and distribution of different syndrome types in TCM. With regards to the aspect of treatment，the instruction highlights the exercise and training′ s importance on the whole KOA treatment management. More than that，the instruction provides recommendation on the exercise/train⁃ ing way，method，movement detail，intensity and treatment course. Besides，some techniques applied in non⁃oper⁃ ative KOA treatment are underscored in this instruction，such as acupuncture，small needle⁃knife，acupoint injec⁃ tion，and so on. This training adapts well to clinical practice and is both safe and effective.

Key words:

knee osteoarthritis, integrated traditional chinese and western medicine, clinical prac? tice, guidelines