专家共识

老年性肩周炎中医全周期康复广东专家共识(2026年版)

Guangdong Expert Consensus on Traditional Chinese Medicine(TCM)Full-Cycle Rehabilitation for Senile Periarthritis of the Shoulder(2026 Edition)

:402-412
 
    因气候与生活习惯影响,广东地区老年性肩周炎临床特点及康复需求具有独特性,亟待制定规范、具有当地特色的康复方案。为制订适合地区差异化的康复方案,广东省中西医结合学会康复专业委员会联合广东省康复医学发展研究会疼痛康复发展研究分会牵头发起,省内多家机构专家学者共同制订《老年性肩周炎中医全周期康复广东专家共识(2026年版)》。该共识以ICF框架为基础,立足肩周炎康复循证医学证据,结合多学科专家产教研实践经验,对肩周炎 ICF评定、中医适宜技术及康复治疗技术运用、阶梯式干预性措施制定和中西医全周期康复协同等方面形成共识性意见。本共识的发布,将为老年性肩周炎中医全周期康复提供规范化、本土化的“广东方案”。
   Due to climatic and lifestyle influences,the clinical characteristics and rehabilitation needs of senile periarthritis of the shoulder in Guangdong region exhibit unique features,necessitating the development of standardized and locally tailored rehabilitation protocols.To formulate regionally differentiated rehabilitation plans,the Rehabilitation Professional Committee of Guangdong Association of Integrative Medicine and the Pain Rehabilitation Development Research Branch of Guangdong Rehabilitation Medicine Development Research Association jointly initiated the development of the “Guangdong Expert Consensus on TCM Full-Cycle Rehabilitation for Senile Periarthritis of the Shoulder(2026 Edition)” through collaboration with multiple provincial institutions and experts.Based on the International Classification of Functioning,Disability and Health(ICF)framework and evidence-based rehabilitation medicine for periarthritis of the shoulder,this consensus integrates multidisciplinary expertise from industry,academia,and research to establish unified guidelines on ICF assessment,application of appropriate TCM techniques and rehabilitation therapies,implementation of stepwise intervention measures,and integrated TCM-Western medicine full-cycle rehabilitation approaches.The publication of this consensus will provide a standardized and localized “Guangdong Solution” for TCM-based full-cycle rehabilitation of senile periarthritis of the shoulder.

中西医结合型公共卫生人才培养模式探究

Exploration of the integrated traditional Chinese and Western medicine public health talent training model

:-
 
中西医结合型公共卫生人才培养是应对复杂公共卫生挑战的重要方向,但国内外普遍存在整合医学与群体健康脱节、实践薄弱及标准缺失等问题。大连医科大学依托其国家重点学科及国家中西医协同“旗舰”医院,探索构建了以问题导向模块化课程、“临床—社区”双轨实践体系及量化评价追踪机制为核心的系统化培养模式。数据显示,新模式培养后学生“治未病”应用认知优秀率从28%提升至65%;社区老年高血压管理项目中,患者血压达标率提高25%;毕业1-3年的学生中93%认为该模式对处理复杂公共卫生问题“至关重要”。该模式直面国内外双重困境,实现了从知识拼接向能力融合、从理论讲授向实践闭环、从主观评价向数据追踪的三大创新,在系统性、实操性和可评估性上形成独特优势,为我国新医科背景下中西医结合型公共卫生人才培养提供了可复制、可量化的范式参考。

登革热的中西医临床研究进展

Advances in Clinical Research on Dengue Fever from Perspectives of Traditional Chinese and Western Medicine

:-
 
登革热是由登革病毒引起、经伊蚊叮咬传播的急性传染病,近年来已在全球热带和亚热带地区广泛流行,严重威胁公共卫生安全。目前临床上尚缺乏特异性抗病毒药物和高效的疫苗,临床治疗主要以中西医结合为主要模式,且两者在发病机制阐释、诊疗策略制定等方面各有侧重且互为补充。本文系统梳理登革热西医领域的流行病学特征、病理基础与发病机制及现代医学治疗现状,同时深入阐述中医对该病的病因病机与病位认知、辨证论治体系及中医药治疗进展,旨在为临床诊疗优化与科研方向拓展提供参考。
Dengue fever is an acute infectious disease caused by the dengue virus. In recent years, it has prevailed widely in tropical and subtropical regions, posing a severe threat to public health security. Given the lack of specific antiviral drugs and high-efficiency vaccines for dengue fever, its clinical treatment is predominantly based on integrated traditional Chinese and Western medicine. The two medical systems exhibit distinct focuses and complementary advantages in the interpretation of pathogenesis and the formulation of diagnosis and treatment strategies. This paper systematically reviews the epidemiological characteristics, pathological basis, pathogenesis and current Western medical treatment status of dengue fever, and further elaborates the etiology, pathogenesis, lesion location, syndrome differentiation and treatment system, as well as research progress of traditional Chinese medicine for this disease. It aims to provide references for the optimization of clinical diagnosis and treatment and the expansion of scientific research directions on dengue fever.
临床诊疗

中西医结合治疗绝经后骨量减少及骨质疏松患者骨代谢指标影响的临床观察

Clinical Observation of Bone Metabolic Index in Post menopause Osteopenia and Osteoporosis Patients Treated by Combination of TCM and WM

:64-65
 
目的 通过比较治疗组服药前、后骨密度及骨代谢指标的变化情况,并将治疗组、对照组分别作对比,观察壮骨颗粒治疗绝经后女性骨量减少及骨质疏松、改善其骨代谢的临床疗效。方法 将研究对象随机分为两组,治疗组服用壮骨颗粒+迪巧,对照组只服用迪巧。结果 壮骨颗粒组治疗后血清中的PINP、β-Crosslaps及N-MID下降(P<0.05);与治疗前相比,腰椎(L2-L4)BMD提高(P<0.05);壮骨颗粒能改善绝经后女性骨代谢及提高骨密度的效果优于迪巧组。结论 壮骨颗粒是治疗绝经后女性骨量减少及骨质疏松、提高骨量、改善骨代谢情况的安全有效药物。
个案分析
综述

耳鸣中西医研究进展

Research progress of tinnitus in traditional Chinese and western medicine

:439-445
 
       耳鸣是一种常见的耳部疾病,它会导致患者感到耳内发出刺耳的嗡嗡声,并且可能会影响听力。这种症状在中老年人中尤其常见,特别是身体虚弱的人。该文从中医、西医两个角度,对耳鸣的治疗进行整理综述,以期为探索耳鸣的中西医结合疗法提供思路。
    Tinnitus is a common ear disease,it can make patients feel screeched ears buzzing,and may affect the hearing.These symptoms in middle-aged and old people are particularly common,especially the weak.In this paper,from two angles of traditional Chinese medicine,western medicine,treatment of tinnitus are summerized,which will provide the new way to find the combine traditional Chinese and western medicine treatment of tinnitus.
综述

浆细胞性乳腺炎的中西医结合治疗进展

Progress of integrated traditional Chinese and Western medicine treatment of plasma cell mastitis

:56-61
 
       近年来浆细胞性乳腺炎的发病率逐渐升高,已占乳腺疾病的4%~5%,该病易反复发作,经久不愈,抗生素、糖皮质激素、抗结核药、他莫昔芬等治疗效果不明显,单纯手术切除如切除范围小极易复发,而切除范围大则乳腺外形变化较大,严重者甚至需要切除乳腺。乳腺外形的缺损改变对患者身心健康造成伤害。随着研究不断深入,采用中西医结合治疗浆细胞性乳腺炎,可取得较好的治疗效果,降低复发率,而且对乳腺外观无影响。该文通过对文献的整理,对中西医结合治疗浆细胞性乳腺炎进行论述。
       In recent years,the incidence of plasma cell mastitis has gradually increased,accounting for 4 % ~ 5 % of breast diseases.The disease is prone to repeated attacks and unhealed for a long time.The treatment effect of antibiotics,glucocorticoids,anti-tuberculosis drugs and tamoxifen is not obvious.Simple surgical  resection is easy to  relapse if the  resection range is small,while the shape of the breast changes greatly,if the resection range is large.And even the breast needs to be removed in severe cases.The defect change of breast shape is harmful to the physical and mental health of patients.With the deepening of research,the combination of traditional Chinese and Western medicine in the treatment of plasma cell mastitis can achieve better therapeutic effect,reduce the recurrence rate,and has no effect on the appearance of breast.This article discusses the treatment of plasma cell mastitis with integrated traditional Chinese and Western medicine by sorting out the literature.
出版者信息








《广州医药》公众号