关节置换手术患者的症状管理。
Symptom management for patients awaiting joint replacement surgery.
机构信息
MBBS, BMedSc, FRACS, FAOrthA, Deputy Director, Department of Orthopaedics, Toowoomba Hospital, Qld; Senior Lecturer, School of Medicine, Rural Clinical School, University of Queensland, Qld.
MBBS, BSc, FACRRM, General Practice Liaison Officer, Darling Downs Hospital and Health Service, Qld.
出版信息
Aust J Gen Pract. 2020 Jul;49(7):444-446. doi: 10.31128/AJGP-03-20-5286.
BACKGROUND
Joint replacement surgery is a highly effective treatment option for patients with severe osteoarthritis (OA) of the hip and knee when other treatments have failed. Unfortunately, as a result of the COVID-19 pandemic, a temporary suspension of non-urgent elective surgery was implemented. Thousands of patients currently awaiting hip and knee replacements have been affected. Many of these patients will present to their general practitioners for symptom management during this interim period.
OBJECTIVE
The purpose of this article is to summarise current recommendations for the non-operative management of patients with symptomatic OA.
DISCUSSION
Non-operative treatment modalities for OA include education, lifestyle modification and exercise, mass reduction, physiotherapy, orthoses, psychology, pharmaceuticals and injections. Multimodal therapy is required for patients with severe symptoms. A number of useful online resources are presented, as access to public allied health services may be limited because of the COVID-19 pandemic.
背景
对于其他治疗方法失败的髋膝关节严重骨关节炎（OA）患者，关节置换手术是一种非常有效的治疗选择。不幸的是，由于 COVID-19 大流行，暂时暂停了非紧急选择性手术。目前有数千名等待髋关节和膝关节置换的患者受到影响。在此期间，许多此类患者将向他们的全科医生就诊以进行症状管理。
目的
本文旨在总结目前对有症状 OA 患者的非手术管理建议。
讨论
OA 的非手术治疗方法包括教育、生活方式改变和锻炼、减肥、物理治疗、矫形器、心理学、药物和注射。对于症状严重的患者需要采用多模式治疗。由于 COVID-19 大流行，可能会限制对公共联合健康服务的获取，因此本文还介绍了一些有用的在线资源。
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