骨质疏松性疼痛中西医结合管理方案专家共识
Expert consensus on the management scheme of osteoporotic pain with integrated traditional Chinese medicine and Western medicine
  
DOI:10.3969/j.issn.1006-7108.2025.09.001
中文关键词:  骨质疏松症  疼痛  中西医结合  管理方案  专家共识
英文关键词:osteoporosis  pain  integrated traditional Chinese medicine and Western medicine  management scheme  expert consensus
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作者单位
黄宏兴1* 晁爱军2 程群3 孔西建4 李盛华5 梁江声6 马勇7 沈霖8 史晓林9 万雷1 王志华10 徐道明11 曾玉红12 张志海1 1.广州中医药大学第三附属医院广东 广州 510378 2.天津医院天津 300211 3.复旦大学附属华东医院上海 200040? 4.河南省洛阳正骨医院(河南省骨科医院)河南 洛阳 471002? 5.甘肃省中医院甘肃 兰州 730050 6.佛山市顺德区第三人民医院广东 佛山 528300 7.南京中医药大学江苏 南京210023 8.华中科技大学同济医学院附属协和医院湖北 武汉 430022 9.浙江中医药大学附属第二医院浙江 杭州 310005 10.昆明医科大学第一附属医院云南 昆明 650032? 11.江苏省中医院江苏 南京210023 12.西安市红会医院陕西 西安 710054 
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中文摘要:
      该共识旨在指导临床医生综合管理骨质疏松性疼痛。结合中西医优势,提出个体化治疗方案,目标是缓解疼痛、改善骨密度、降低骨折风险。共识涵盖诊断、评估方法、治疗、护理康复等内容。推荐中西医结合的综合管理策略,西医以抗骨质疏松药物和镇痛药物为主,中医采用中药、针灸、推拿等疗法,注重调理气血、补肾壮骨。强调长期管理和患者教育的重要性,通过生活方式干预、定期随访和心理支持,提升患者依从性,降低复发风险。中西医结合管理方案为患者提供全面和个性化的治疗选择。
英文摘要:
      This consensus aims to guide clinicians in the comprehensive management of osteoporotic pain. By integrating the strengths of both traditional Chinese medicine (TCM) and Western medicine, it proposes individualized treatment plans with the goals of alleviating pain, improving bone mineral density, and reducing fracture risk. The consensus covers diagnosis, assessment methods, treatment, nursing, and rehabilitation. It recommends an integrated TCM-Western medicine management strategy. Western medicine primarily employs anti-osteoporosis and analgesic drugs. TCM utilizes herbal medicine, acupuncture, tuina (massage), and other therapies, focusing on regulating Qi and blood, tonifying the kidneys, and strengthening bones. The consensus emphasizes the importance of long-term management and patient education, enhancing compliance and reducing recurrence risks through lifestyle interventions, regular follow-ups, and psychological support. The integrated TCM-Western medicine management scheme provides patients with comprehensive and personalized treatment options.
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