Wang Chenchen
Associate Professor of Medicine, Director of the Center for Complementary and Integrative Medicine, Tufts Medical Center/Tufts University School of Medicine, Boston, MA, USA.
Int J Integr Med. 2013;1. doi: 10.5772/56431. Epub 2013 Mar 22.
Patients with osteoarthritis experience high levels of pain, psychological distress and have limited therapeutic options. Emerging evidence from clinical trials suggests that both acupuncture and Tai Chi mind-body therapies are safe and effective treatments for osteoarthritis. Acupuncture has effects over and above those of 'sham acupuncture' and the most robust evidence to date demonstrates that acupuncture does have short-term benefits and is a reasonable referral option for patients with symptomatic osteoarthritis. Tai Chi is a mind-body exercise that enhances cardiovascular fitness, muscular strength, balance, and physical function. It also appears to be associated with reduced stress and anxiety and depression, as well as improved quality of life. Thus, Tai Chi may be safely recommended to patients with osteoarthritis as a complementary and alternative medical approach to affect patient well-being. Integrative approaches combine the best of conventional medicine and complementary and alternative medicine to ultimately improve patient care. These modalities may lead to the development of better disease modifying strategies that could improve symptoms and decrease the progression of osteoarthritis. This overview synthesizes the current body of knowledge about Chinese mind-body medicine to better inform clinical decision-making for our rheumatic patients.
骨关节炎患者经历着高水平的疼痛、心理困扰，且治疗选择有限。临床试验的新证据表明，针灸和太极拳身心疗法对骨关节炎而言都是安全有效的治疗方法。针灸的效果优于“假针灸”，迄今为止最有力的证据表明，针灸确实有短期益处，对于有症状的骨关节炎患者来说是一个合理的转诊选择。太极拳是一种身心锻炼方式，可增强心血管健康、肌肉力量、平衡能力和身体功能。它似乎还与压力、焦虑和抑郁的减轻以及生活质量的改善有关。因此，太极拳作为一种影响患者幸福感的补充和替代医学方法，可以安全地推荐给骨关节炎患者。综合方法将传统医学与补充和替代医学的优势结合起来，最终改善患者护理。这些方法可能会促成更好的疾病改善策略的发展，从而改善症状并减缓骨关节炎的进展。本综述综合了有关中国身心医学的现有知识，以便为我们的风湿性疾病患者的临床决策提供更好的信息。
