Development Of Clinical Diagnosis And Treatment Guidelines For The Treatment Of Humeral Epicondylitis With Ginger-moxibustion And Clinical Study On The Guidelines

Objective The use of modern evidence-based guidelines for the development of the methods,based on the 2012 version of "humeral epicondylitis diagnosis and treatment of Chinese medicine guidelines" developed a scientific norms of Ginger moxibustion treatment of humeral external epicondylitis clinical diagnosis and treatment guidelines ",and the use of clinical trials to verify the guidelines.Method In accordance with the guidelines set by the Chinese Association of Chinese Medicine to amend the relevant requirements of technical and evaluation program.The worker has carried out the literature analysis(evidence-based evidence retrieval,screening,the use of "Chinese literature based on grading standards" for the evaluation of evidence,recommended),Two rounds of expert questionnaires,expert demonstration,solicitation of peer opinions and clinical evaluation(including the consistency of clinical application evaluation and guidance methodological quality evaluation)and so on,and in the project working group on the basis of several systematic analysis,In accordance with the rules of clinical guidelines for the preparation of guidelines,in the original guide "humeral epicondylitis"(2012 version)on the basis of revision and development a new guidelines.In the clinical validation section,28 cases of humeral epicondylitis patients who met the standard and diagnostic criteria were included.The treatment and follow-up were completed strictly according to the guidelines,and the data were analyzed by statistical analysis.Result 1 Developed the traditional Chinese medicine guidelines of "ginger moxibustion treatment of humeral epicondylitis in the clinical diagnosis and treatment " Carry out the collection and screening of evidence,access to the collection of relevant literature,and the use of evidence-based medicine method,the evidence screening and evaluation,and finally the formation of recommendations,according to the contents of the preparation of the first round of the questionnaire.The worker has developed two rounds of expert questionnaire,a two rounds of questionnaire experts positive coefficient were 90% and 97.5%.According to the results of two rounds of survey,to seek the views of traditional Chinese medicine acupuncture and moxibustion,Chinese medicine orthopedic surgeons,the formation of "ginger moxibustion treatment of humeral epicondylitis Chinese medicine clinical treatment guidelines" first draft.To integrate expert advice in expert demonstrations and to discuss in depth the differences,and to revise the guidelines accordingly.AGREE Ⅱ evaluation of the guidelines and clinical application of consistency evaluation,the expert guidance group audit,and extensive public consultation on the Internet,finally,developed the guidelines.2 Clinical trials have validated the effectiveness of this guideline 28 cases of humeral epicondylitis were treated by ginger moxibustion.The curative effect was evaluated after 1 course of treatment and 1 month after the end of treatment.The effective rates were 92.86% and 96.43% respectively,and the pain degree and The correlation scale of the elbow joint function was compared with that before treatment,P<0.01,indicating that the pain relief and the elbow function were significantly improved in the patients with humeral epicondylitis after the end of the treatment and 1 month after the end of the treatment,which fully validated the effectiveness of the guide.Conclusion The project team developed a scientific and standardized "ginger moxibustion treatment of humeral external epicondylitis clinical diagnosis and treatment guidelines",and clinical trials successfully verified the guidelines.