摘要
膝骨关节炎(KOA)常见于中老年人群,其典型症状为膝关节疼痛、畸形和活动受限。早期KOA(EKOA)概念模糊,临床诊疗常被忽视。EKOA的诊断和有效防治有助于延缓病情进展,降低中晚期KOA的发生率。为规范EKOA的临床诊疗,中国老年保健协会骨关节分会启动了EKOA非手术诊疗指南的制订工作,遴选出临床医师最为关注的专业问题,包括EKOA的定义、诊断、非手术治疗及策略,最终形成了13条推荐意见,旨在提高EKOA诊疗的水平和科学性,进而延缓EKOA患者病情的进展,提高患者生活质量,减轻社会疾病负担。
Knee osteoarthritis(KOA)is common in middle-aged and elderly populations,with typical symptoms including knee joint pain,deformity,and restricted movement.The concept of early KOA(EKOA)is ambiguous,and clinical diagnosis and treatment are often overlooked.The diagnosis and effective prevention of EKOA can help delay the progression of the disease and reduce the incidence of mid-to-late stage KOA.To standardize the clinical diagnosis and treatment of EKOA,the Osteoarthrosis Committee of Chinese Aging Well Association has initiated the development of non-operative treatment guidelines for EKOA,selecting key clinical issues of concern to clinicians,including the definition,diagnosis,and non-operative treatment and strategies for EKOA.Ultimately,a total of 13 recommendations were formulated with the aim of raising the level and scientificity of EKOA diagnosis and treatment,thereby delaying the progression of EKOA in patients,improving their quality of life,and reducing the societal burden of the disease.
作者
中国老年保健协会骨关节分会
童培建
柴伟
陈国茜
孔祥朋
李睿
吕帅洁
毛金平
Osteoarthrosis Committee of Chinese Aging Well Association;Tong Peijian;Chai Wei(不详;Department of Orthopedics and Traumatology,the First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou 310006,China;Adult Joint Reconstruction and Replacement Department,Senior Department of Orthopedics,PLA General Hospital,Beijing 100048,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2024年第31期2895-2909,共15页
National Medical Journal of China
基金
国家自然科学基金(82274547)
关键词
骨关节炎
膝
早期膝骨关节炎
诊断
非手术治疗
循证医学
指南
Osteoarthritis,knee
Early-stage knee osteoarthritis
Diagnosis
Non-surgical treatment
Evidence-based medicine
Guideline
作者简介
通信作者:童培建,浙江中医药大学附属第一医院骨伤科(浙江省中医院骨伤科),杭州310006,Email:tongpeijian@163.com;通信作者:柴伟,解放军总医院骨科医学部关节外科,北京100048,Email:chaiwei301@163.com
