早期骨性关节炎的临床诊断与治疗VIP专享VIP免费

第1页共6页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第1页共6页中西结合治疗早期骨性关节炎文海全医师【中文摘要】随着社会人口年龄老化，早期骨性关节炎发病率逐年上升的趋势，迫切需要为本病提供理想的治疗方法，认清本病的病因及发病机制是有效治疗的基础，特别对预防本病的发生可以进行预测和指导，做到“未病先防，既病早治”。中医认为本病属本虚标实，主要从肝肾亏虚、脾虚痰湿、气血瘀滞及风寒湿痹等方面辨证论治，应用针灸推拿，中药内服外用等多种方法，整体与局部并治，在预防和早、中期治疗上具有明显优势，但远期效果不理想，仍有复发可能。现代医学则通过分析理化特性的改变，依据关节病变程度不同给予不同的治疗，病变早期以药物治疗为主，晚期则通过手术来改善生活质量，但手术也只能作为一种补救措施，也不可能真正替代复杂的人体关节结构。因此，结合中西医两方面的优势，探索本病的中西病因病理，针对性地制定出一套系统化、规范化、合理化的治疗方案，应该是目前乃至以后的一个研究与努力的方向。【关键词】骨性关节炎、早期骨性关节炎、诊断、治疗ClinicalDiagnosisandTreatmentofInitialStageOsteoarthritis【Abstract】Therehasbeenanincreaseinthediagnosisofinitialstageosteoarthritisasthesocietyfacesanagingpopulation.Thus,itisimportanttograspthebasicknowledgeofthediseasebyunderstandingthecauses,signsandsymptoms,anditsmechanismssoastoprovidetheidealtreatment.Asthesayinggoes,“Preventionisbetterthancure”,itiscrucialtoknowtheappropriatepreventivemeasurestohelpuscurbtheailmentearly.Osteoarthritishasbeenacommondegenerativedisease.TraditionalChineseMedicineclaimsthecauseofthisdiseaseasdeficiencyinoriginand/orexcessinsuperficiality.Symptomsofthediseasemayincludedeficiencyoftheliverandkidney,phlegm“dampness”duetohypofunctionofthespleen,stagnationofqiandblood,arthralgiaduetowind-cold-dampness.TreatmentofosteoarthritiscanbevariedasAcupuncture,tuina,oralandtopicalmedicationsarecommonlyemployedtotreatthisdisease.Acombinationoflocalizedandholistictreatmentsishelpfulintheinitialandintermediatestagesoftreatmentandprevention.However,duetothecomplicatednatureofosteoarthritis,long-termtreatmentsmaynotbehelpfulandoneislikelytofacearelapse.Withthechangesmadeinthethesisofmodernmedical-sciencetechnology,thetreatmentsforosteoarthritisarecustomizedduetothedifferentprogressofindividualdiseasestatus.Intheinitialstages,itisrecommendedthatpatientsundergopharmacologicaltherapyandiftheconditionreachesthelaterstages,patientsmayneedtogothroughanoperation.However,surgeryonlyhelptoenhancethepatient’squalityoflifebutitcannotreplacethecomplicatedhumanstructuresentirely,inthiscasethejoints.Thus,itisimportanttogathertheessentialknowledgeandstrengthsofbothtraditionalandwesternmedicinetohelpuscomeoutwiththebesttreatmentforosteoarthritis.Withthat,thecurrentaswellasthefuturegoalswouldbetoestablishauniquesystemforstandardizingandformularizingthetreatmentprocess.【Keywords】osteoarthritis、Initialstageosteoarthritis/pre-osteoarthritis、diagnosis、treatment前言随着社会人口年龄老化，早期骨性关节炎发病率逐年上升的趋势，迫切需要为本病提供理想的治疗方法，认清本病的病因及发病机制是有效治疗的基础，特别对预防本病的发生可以进行预测和指导，做到“未病先防，既病早治”。因此，结合中西医两方面的优势，探索本病的中西病因病理，针对性地制定出一套系统化、规范化、合理化的治疗方案，应该是目前乃至以后的一个第2页共6页第1页共6页编号：时间：2021年x月x日书山有路勤为径，学海无涯苦作舟页码：第2页共6页研究与努力的方向。骨性关节炎是中老年人常见的骨和软骨代谢异常所致的慢性、进行性骨...