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骨骼肌肉系统疾病和功能障碍的诊断、功能分析以及中医干预:基于ICD-11传统医学分类模块1和ICF的研究

顾忠平 屠东艳

中国康复理论与实践2025,Vol.31Issue(4):391-397,7.
中国康复理论与实践2025,Vol.31Issue(4):391-397,7.DOI:10.3969/j.issn.1006-9771.2025.04.003

骨骼肌肉系统疾病和功能障碍的诊断、功能分析以及中医干预:基于ICD-11传统医学分类模块1和ICF的研究

Diagnosis,functional analysis and traditional Chinese medicine intervention for musculoskeletal diseases and functioning based on ICD-11 Traditional Medicine Module Ⅰ and ICF

顾忠平 1屠东艳2

作者信息

  • 1. 宁波卫生职业技术学院,浙江 宁波市 315100
  • 2. 象山县中医医院医疗健康集团,浙江 宁波市 315700
  • 折叠

摘要

Abstract

Objective To apply the International Classification of Diseases,the 11th Revision(ICD-11)Traditional Medicine 1(TM1)chapter and International Classification of Functioning,Disability,and Health(ICF)in the diagnosis,func-tional analysis and assessment of musculoskeletal diseases and dysfunctions,and propose traditional Chinese medicine(TCM)rehabilitation intervention programs. Methods ICD-11 TM1 and ICF were used for diagnosing musculoskeletal diseases and dysfunctions,as well as for func-tional analysis and assessment.The classification,coding,etiology,pathogenesis,clinical manifestations and di-agnostic criteria of musculoskeletal diseases and dysfunctions in ICD-11 TM1 were examined.ICF classification was employed to analyze and assess relevant functional characteristics,including body functions and activity lim-itations,to clarify assessment content and grading disabilities.TCM rehabilitation intervention programs were de-signed. Results The adoption of ICD-11 TM1 enabled standardized diagnosis and coding of the primary functional impairments of musculoskeletal system diseases in the field of TCM rehabilitation.The physical functional impairments in-volved in musculoskeletal system diseases and functional disorders,including joint range of motion and muscle strength,and the activity limitations involved walking and dressing,etc.The TCM rehabilitation intervention inte-grated a variety of intervention methods such as acupuncture and Tuina,which can significantly improve the body functions and activities of patients. Conclusion The combined application of ICD-11 TM1 and ICF can establish a refined and standardized system for diag-nosis,functional analysis,and assessment,as well as an integrated TCM rehabilitation intervention program in the field of TCM rehabilitation.This approach is not only applicable to clinical rehabilitation practice but also to clinical rehabilitation management and quality control,particularly in TCM electronic medical records and medi-cal record statistics.

关键词

骨骼肌肉系统疾病/功能/《国际疾病分类第十一次修订本》传统医学分类模块1/国际功能、残疾和健康分类/中医

Key words

musculoskeletal diseases/functioning/International Classification of Diseases,the 11th Revision,Traditional Medicine 1/International Classification of Functioning,Disability,and Health/traditional Chinese medicine

分类

临床医学

引用本文复制引用

顾忠平,屠东艳..骨骼肌肉系统疾病和功能障碍的诊断、功能分析以及中医干预:基于ICD-11传统医学分类模块1和ICF的研究[J].中国康复理论与实践,2025,31(4):391-397,7.

中国康复理论与实践

OA北大核心

1006-9771

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