腕管综合征中西医结合诊疗专家共识

中华医学杂志2023年2月21日第103卷第7期Natl Med」China,February2L,2023.Val.103,Na.7·473··标准与规范·腕管综合征中西医结合诊疗专家共识世界中医药学会联合会骨关节疾病专业委员会通信作者：王拥军，上海中医药大学附属龙华医院，上海中医药大学脊柱病研究所，上海200032，Email:yjwang8888@126.com【摘要】腕管综合征(CS)是最常见的周围神经卡压性疾病。其发病率高，危险因素多，且疾病晚期导致的肌肉菱缩呈不可逆性，因此早期诊断和早期治疗十分必要。目前CTS的治疗方法众多，中医、西医治疗各有利弊，如能中西医结合，优势互补，将更有利于CTS的诊疗。本共识在世界中医药学会联合会骨关节疾病专业委员会的支持下，综合了中西医相关领域专家的意见，形成了CS的中西医结合诊断和治疗的推荐意见，并制作了简要的CTS诊断流程图和治疗流程图，希望能为同道提供参考。【关键词】腕管综合征；中西医结合；辨证诊疗；专家共识基金项目：国家自然科学基金(81930116、81730107)：国家中医药“传承创新团队”计划项目(ZYYCXTD-C-202202):国家重点研发计划(2018YC1704300):上海市促进市级医院临床技能与临床创新三年行动计划重大临床研究项目(SHDC2020CR1010A)Expert consensus on the diagnosis and treatment of carpal tunnel syndrome with integratedChinese and Western medicineProfessional Committee of Bone and Joint Diseases of the World Federation of Chinese MedicineSocietiesCorresponding author:Wang Yongjun,Longhua Hospital,Shanghai University of Traditional ChineseMedicine,Shanghai 200032,China,Email:yjwang8888@126.com[Abstract Carpal tunnel syndrome (CTS)is the most common peripheral nervecompression disease.The early diagnosis and treatment are very necessary due to the highincidence rate,diverse hazard factors and the irreversible muscle atrophy caused by the late disease.Clinically,there are many treatments on CTS,both traditional Chinese medicine (TCM)and Westernmedicine treatment have their advantages and disadvantages.If we can combine them andcomplement each other,it will be more conducive to the diagnosis and treatment of CTS.Under thesupport of Professional Committee of Bone and Joint Diseases of the World Federation of ChineseMedicine Societies,in this consensus,we synthesized the opinions of experts in related fields of TCMand Western medicine and formed the recommendations for the diagnosis and treatment of TCMand western medicine of CTS.The consensus also makes a brief CTS diagnosis and treatment flowchart,hoping to provide reference for academic community.Key words Carpal tunnel syndrome;Combination of Chinese and Western medicine;Dialectical diagnosis and treatment;Expert consensusFund program:National Natural Science Foundation of China(81930116,81730107);NationalTraditional Chinese Medicine "Inheritance and Innovation Team"Program (ZYYCXTD-C-202202);National Key Research and Development Program of China (2018YFC1704300);Major ClinicalResearch Projects of the Three-Year Action Plan of Shanghai to Promote Clinical Skills and ClinicalInnovation in Municipal Hospitals (SHDC2020CR1010A)D0L:10.3760/cmaj.cm112137-20220926-02028收稿日期2022-09-26本文编辑霍永丰引用本文：世界中医药学会联合会骨关节疾病专业委员会.腕管综合征中西医结合诊疗专家共识■中华医学於志，2023.103(7)473-482.D0L:10.3760/cma.j.cm112137-20220926-02028.