Zhou Guanghui, Zhang Xianquan, Gu Zhuoxu, Zhao Jinlong, Luo Minghui, Liu Jun
The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Front Med (Lausanne). 2023 Sep 28;10:1254086. doi: 10.3389/fmed.2023.1254086. eCollection 2023.
Knee osteoarthritis (KOA) is a degenerative disease with synovial inflammation, articular surface cartilage degeneration, meniscus degeneration, ligament and muscle changes, subchondral bone changes, and osteophyte formation around the joint as the main pathological changes. Osteoporosis (OP) is a disease characterized by low bone mass and deterioration of the microstructure of bone tissue. KOA and OP are both geriatric diseases, and the incidence of KOA combined with OP is high, but there is a lack of specific drugs, and the major treatments are limited to drug therapy. Most traditional Chinese medicine (TCM) treatments use plant-based natural products, and they help patients obtain good clinical benefits and at the same time provide researchers with ideas to study the mechanism of disease occurrence and the relationship between the two diseases. This article summarizes the research progress of TCM monomers and TCM compounds that are frequently used to treat KOA combined with OP to provide ideas for future clinical treatments and related basic research.
膝骨关节炎(KOA)是一种以滑膜炎、关节面软骨退变、半月板退变、韧带和肌肉改变、软骨下骨改变以及关节周围骨赘形成为主要病理变化的退行性疾病。骨质疏松症(OP)是一种以骨量降低和骨组织微结构恶化为特征的疾病。KOA和OP均为老年疾病,KOA合并OP的发病率较高,但缺乏特效药物,主要治疗手段局限于药物治疗。大多数中医治疗使用植物源性天然产物,它们帮助患者获得良好的临床疗效,同时为研究疾病发生机制及两种疾病之间的关系为研究者提供思路。本文总结了常用于治疗KOA合并OP的中药单体和中药复方的研究进展,为未来的临床治疗及相关基础研究提供思路。