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老年膝骨关节炎的一种替代治疗选择:膝神经脉冲射频

An alternative treatment option in older adults with knee osteoarthritis : Genicular nerve pulsed radiofrequency.

作者信息

Guner Derya, Kocyigit Suleyman Emre

机构信息

Izmir Tepecik Training and Research Hospital, Pain Department , University of Health Sciences, Izmir, Turkey.

Faculty of Medicine, Geriatrics Department, Balıkesir University, Balıkesir, Turkey.

出版信息

Wien Klin Wochenschr. 2023 Nov;135(21-22):651-657. doi: 10.1007/s00508-023-02287-0. Epub 2023 Oct 20.

DOI:10.1007/s00508-023-02287-0
PMID:37861732
Abstract

Osteoarthritis (OA), including knee OA (KOA), is an important cause of morbidity and disability in older adults. Pain management plays a major role in the treatment of KOA for pain relief and knee function improvement. Ultrasound-guided genicular nerve pulsed radiofrequency therapy is an effective, safe, nonradiative, and easily applicable treatment modality in older adults with KOA. It has a positive effect on geriatric syndromes, especially polypharmacy.

摘要

骨关节炎(OA),包括膝骨关节炎(KOA),是老年人发病和致残的重要原因。疼痛管理在KOA治疗中对缓解疼痛和改善膝关节功能起着主要作用。超声引导下膝神经脉冲射频治疗是一种有效、安全、无辐射且易于应用的治疗方式,适用于老年KOA患者。它对老年综合征,尤其是多重用药有积极作用。

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本文引用的文献

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Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review.髋关节和膝关节骨关节炎的诊断与治疗:综述
JAMA. 2021 Feb 9;325(6):568-578. doi: 10.1001/jama.2020.22171.
2
Efficacy and Safety of Ultrasound-Guided Radiofrequency Treatment for Chronic Pain in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis.超声引导下射频治疗膝骨关节炎慢性疼痛的疗效和安全性:系统评价和荟萃分析。
Pain Res Manag. 2020 Sep 19;2020:2537075. doi: 10.1155/2020/2537075. eCollection 2020.
3
The Relationship between Polypharmacy and Physical Activity in Those with or at Risk of Knee Osteoarthritis.
《骨关节炎患者或高危人群中药物滥用与身体活动的关系》
J Am Geriatr Soc. 2020 Sep;68(9):2015-2020. doi: 10.1111/jgs.16501. Epub 2020 May 22.
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Frailty syndrome in rheumatoid arthritis and symptomatic osteoarthritis: an emerging concept in rheumatology.类风湿关节炎和症状性骨关节炎的虚弱综合征:风湿病学中的一个新兴概念。
Acta Biomed. 2020 May 11;91(2):274-296. doi: 10.23750/abm.v91i2.9094.
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Prevalence and Factors Associated with Analgesic Prescribing in Poly-Medicated Elderly Patients.多药治疗的老年患者中镇痛药物处方的流行情况及相关因素。
Drugs Aging. 2020 Apr;37(4):291-300. doi: 10.1007/s40266-019-00742-0.
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Musculoskeletal Factors and Geriatric Syndromes Related to the Absence of Musculoskeletal Degenerative Disease in Elderly People Aged over 70 Years.70 岁以上老年人中与非肌肉骨骼退行性疾病相关的肌肉骨骼因素和老年综合征。
Biomed Res Int. 2019 Nov 18;2019:7097652. doi: 10.1155/2019/7097652. eCollection 2019.
7
Osteoarthritis.骨关节炎。
Lancet. 2019 Apr 27;393(10182):1745-1759. doi: 10.1016/S0140-6736(19)30417-9.
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Age and frailty as risk factors for the development of osteoarthritis.年龄和虚弱是导致骨关节炎发展的风险因素。
Mech Ageing Dev. 2019 Jun;180:21-28. doi: 10.1016/j.mad.2019.03.003. Epub 2019 Mar 18.
9
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