中医适宜技术应用于膝骨关节炎的证据总结-国际中医药研究-CSCIED科技核心评价数据库-手机版

中医适宜技术应用于膝骨关节炎的证据总结

Evidence summary of the application of traditional Chinese medicine appropriate techniques in knee osteoarthritis

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DOI	10.12208/j.ircm.20260013
刊名	国际中医药研究 International Research in Chinese Medicine
年，卷(期)	2026, 6(1)
作者	陈艳君, 胡扬, 盛琴,
作者单位	湖南中医药高等专科学校附属第一医院湖南株洲;
摘要	目的总结中医适宜技术在膝骨关节炎患者中应用的循证医学证据，为临床工作者提供指导。方法系统检索中英文数据库及指南网站中关于膝骨关节炎中医护理的指南、专家共识、证据总结、临床决策、最佳实践、系统评价等。检索时限为数据库建库至2025年12月31日。采用AGREE II对指南、JBI对专家共识和临床决策、AMSTAR 2对系统评价进行评价。采用GRADE证据质量分级和推荐强度系统划分纳入证据的质量等级。结果共纳入27篇文献，包括4篇指南、5篇系统评价和18篇Meta分析。从艾灸、刺络拔罐、隔物灸、雷火灸、穴位注射、药泥灸、中药离子导入、中药熏洗、中药外敷及练功等10个方面总结出40条证据。多数证据显示中医适宜技术在缓解疼痛、改善关节功能与生活质量方面具有积极作用，且安全性较高。结论中医适宜技术对KOA具有较好的临床疗效，兼具操作简便、成本低、适用场景广泛等特点，可作为KOA阶梯化、个体化综合管理的重要组成部分。未来仍需开展更多高质量研究以进一步验证其长期效果与作用机制。
Abstract	Objective To summarize the evidence-based medical evidence of the application of traditional Chinese medicine appropriate techniques in patients with knee osteoarthritis and provide guidance for clinical workers. Methods Systematically search for guidelines, expert consensuses, evidence summaries, clinical decisions, best practices, and systematic reviews on traditional Chinese medicine nursing for knee osteoarthritis in Chinese and English databases and guideline websites. The search period is from the establishment of the database to December 31, 2025. AGREE II was used to evaluate guidelines, JBI for expert consensuses and clinical decisions, and AMSTAR 2 for systematic reviews. The GRADE evidence quality grading and recommendation strength system was used to classify the quality grades of the included evidence. Results A total of 27 articles were included, including 4 guidelines, 5 systematic reviews, and 18 meta-analyses. 40 pieces of evidence were summarized from 10 aspects, including moxibustion, bloodletting cupping, moxibustion with intervening substances, moxibustion with fire, acupoint injection, medicinal mud moxibustion, iontophoresis of traditional Chinese medicine, fumigation and washing with traditional Chinese medicine, external application of traditional Chinese medicine, and exercise. Most of the evidence shows that traditional Chinese medicine appropriate techniques have a positive effect in relieving pain, improving joint function and quality of life, and have high safety. Conclusion Traditional Chinese medicine appropriate techniques have good clinical efficacy for KOA, and have the characteristics of simple operation, low cost, and wide application scenarios. They can be an important part of the stepwise and individualized comprehensive management of KOA. More high-quality studies are still needed in the future to further verify their long-term effects and mechanisms of action.
关键词	膝骨关节炎；中医适宜技术；证据总结；循证医学
KeyWord	Knee osteoarthritis; Traditional chinese medicine appropriate techniques; Evidence summary; Evidence-based medicine
基金项目
页码	55-63

参考文献
相关文献

[1] 冯晓晴, 蔡道章, 余星磊, 等. 基于GBD大数据中国膝骨关节炎疾病负担现状与趋势分析
[J]. 现代预防医学, 2022,49(10):1753-1760.

[2] 施彦龙, 李应福, 谢兴文, 等. 中医药治疗膝骨关节炎研究现状
[J]. 风湿病与关节炎, 2022,11(01):56-59.

[3] 王鹏, 沈劼, 施圣杰, 等. 中医外治法历史源流与现代研究进展
[J]. 南京中医药大学学报, 2022,38(11):990-999.

[4] Alper B S, Haynes R B. EBHC pyramid 5.0 for accessing preappraised evidence and guidance
[J]. Evid Based Med, 2016,21(4):123-125.

[5] 朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成
[J]. 护士进修杂志, 2017,32(21):1991-1994.

[6] 李婷, 龚小强, 白钰, 等. 临床实践指南评价工具的研究进展
[J]. 当代护士(上旬刊), 2025,32(09):22-25.

[7] 周英凤, 顾莺, 胡雁, 等. JBI循证卫生保健中心关于不同类型研究的质量评价工具——干预性研究的质量评价（一）
[J]. 护士进修杂志, 2018,33(01):24-26.

[8] Shea B J, Reeves B C, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both
[J]. BMJ, 2017,358:j4008.

[9] 张薇, 许吉, 邓宏勇. 国际医学证据分级与推荐体系发展及现状
[J]. 中国循证医学杂志, 2019,19(11):1373-1378.

[10] Kolasinski S L, Neogi T, Hochberg M C, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee
[J]. Arthritis Care Res (Hoboken), 2020,72(2):149-162.

[11] Huang Q, Chen J, Jiang Y, et al. Efficacy and safety of thunder-fire moxibustion for patients with knee osteoarthritis: A protocol for systematic review and meta-analysis
[J]. Medicine (Baltimore), 2021,100(14):e25384.

[12] Tao T, Shi M, Zhang X, et al. Effects of different traditional Chinese exercise for knee osteoarthritis patients: A network meta-analysis of randomized controlled trials
[J]. Medicine (Baltimore), 2024,103(38):e39660.

[13] Wang Y, An C, Song S, et al. Cupping Therapy for Knee Osteoarthritis: A Synthesis of Evidence
[J]. Complement Med Res, 2018,25(4):249-255.

[14] Wang H, Sun J, Yu X, et al. Acupoint injection in improving pain and joint function of knee osteoarthritis patients: A protocol for systematic review and meta-analysis
[J]. Medicine (Baltimore), 2021,100(12):e24997.

[15] Kelley G A, Kelley K S, Callahan L F. Clinical relevance of Tai Chi on pain and physical function in adults with knee osteoarthritis: An ancillary meta-analysis of randomized controlled trials
[J]. Sci Prog, 2022,105(2):322058871.

[16] Gao K, Tao J, Liang G, et al. Comparative efficacy of mind-body exercise for pain, function, quality of life in knee osteoarthritis: a systematic review and network meta-analysis
[J]. J Orthop Surg Res, 2025,20(1):384.

[17] 许学猛, 刘文刚, 许树柴, 等. 膝骨关节炎（膝痹）中西医结合临床实践指南
[J]. 实用医学杂志, 2021,37(22): 2827-2833.

[18] 王尚全, 朱立国, 展嘉文, 等. 中医康复临床实践指南·膝骨关节炎
[J]. 康复学报, 2020,30(03):177-182.

[19] Medicine Working Group On Setting. 中医骨伤科临床诊疗指南·膝痹病(膝骨关节炎)
[J]. 康复学报, 2019, 29(03):1-7.

[20] 王国臣, 欧阳文斯, 尹志达, 等. 中药外敷干预骨性关节炎的临床疗效Meta分析及组方用药规律研究
[J]. 世界中西医结合杂志, 2022,17(11):2154-2161.

[21] 王芝怡, 费宇彤, 任书盟, 等. 艾灸治疗膝骨关节炎的系统评价再评价
[J]. 中国中医药信息杂志, 2024,31(03): 56-63.

[22] 马晓蓉, 柴臻, 刘飞燕, 等. 艾灸治疗膝骨关节炎的系统性评价及Meta分析
[J]. 上海中医药杂志, 2017,51(09): 19-23.

[23] 李小贾, 刘攀, 赵丽娜, 等. 艾灸治疗膝骨性关节炎的Meta分析
[J]. 海南医学院学报, 2019,25(22):1723-1730.

[24] 张宇鹏, 董宪传, 杨永菊, 等. 刺络拔罐治疗膝骨关节炎临床疗效系统评价和Meta分析
[J]. 辽宁中医药大学学报, 2022,24(02):171-175.

[25] 张荣洪, 周小莉, 张莹. 隔物灸治疗膝骨关节炎临床疗效与安全性的Meta分析
[J]. 中国中医急症, 2017, 26(05):799-803.

[26] 张宇鹏, 董宪传, 杨永菊, 等. 雷火灸治疗膝骨关节炎临床疗效系统评价和Meta分析
[J]. 辽宁中医药大学学报, 2022,24(03):197-201.

[27] 李晓辰, 时孝晴, 邢润麟, 等. 穴位贴敷疗法治疗膝骨关节炎疗效Meta分析
[J]. 南京中医药大学学报, 2018, 34(04):421-425.

[28] 邓凯烽, 尚鑫阳, 朱圣旺, 等. 穴位注射改善膝骨关节炎患者疼痛及关节功能的Meta分析
[J]. 中国组织工程研究, 2020,24(18):2879-2887.

[29] 王青云, 郭婷, 敬娜, 等. 穴位注射治疗膝骨关节炎临床疗效Meta分析
[J]. 亚太传统医药, 2019,15(08):158-164.

[30] 邓凯烽, 尚鑫阳, 朱英, 等. 穴位注射治疗膝骨关节炎临床疗效和安全性的Meta分析
[J]. 针灸临床杂志, 2021,37(07):48-53.

[31] 董邱, 查振刚, 张荣华, 等. 中药熏洗联合西药治疗膝骨关节炎疗效与安全性的系统评价
[J]. 广州中医药大学学报, 2022,39(05):1208-1214.

[32] 周香德, 蒋运兰, 蒋川, 等. 中药熏蒸治疗膝骨性关节炎临床疗效的meta分析
[J]. 现代临床医学, 2019, 45(03):199-202.

[33] 黄锦, 洪恩豪, 徐莹, 等. 中药熏洗联合玻璃酸钠关节腔内注射治疗膝骨关节炎的有效性Meta分析
[J]. 中国老年保健医学, 2024,22(03):40-46.

[34] 侯伯松, 杨秀峰, 张延辉, 等. 药泥灸治疗膝骨性关节炎的Meta分析
[J]. 中医临床研究, 2023,15(10):91-99.

[35] 马晓林, 杨光静, 杨婵娟. 中药离子导入对膝骨关节炎疗效的Meta分析
[J]. 护理研究, 2018,32(22):3585-3589.

[36] 朱竹青, 张丽娟, 刘靓, 等. 中药离子导入综合疗法与单一疗法对膝骨关节炎有效性的系统评价
[J]. 现代实用医学, 2019,31(09):1193-1195.

引用本文

陈艳君, 胡扬, 盛琴. 中医适宜技术应用于膝骨关节炎的证据总结 [J]. 国际中医药研究. 2026; 6; (1). 55 - 63.

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