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《中国膝关节骨关节炎临床药物治疗专家共识(2023年版)》

[Consensus on clinical drug therapy for knee osteoarthritis in China (2023)].

出版信息

Zhonghua Nei Ke Za Zhi. 2024 Jun 1;63(6):560-578. doi: 10.3760/cma.j.cn112138-20240402-00215.

Abstract

Osteoarthritis (OA) is a heterogeneous disease that involves structural alterations in the articular cartilage, synovium, ligaments, subchondral bone, and the surrounding bone tissue. Among the various types of OA, knee osteoarthritis (KOA) is the most prevalent, presenting with symptoms such as joint pain, swelling, stiffness, and functional limitations. And its high disability rate places a significant burden on both individuals and society. Pharmacological intervention plays a crucial role in the comprehensive management of KOA. However, the establishment of standardized treatment protocols for the accurate and appropriate selection of medications for patients remain pressing clinical challenges. The Osteoarthritis Group of the Rheumatology and Immunology Physicians Branch of the Chinese Medical Doctor Association has developed this expert consensus by drawing upon current research findings, relevant guidelines, and consensus statements from both domestic and international sources. This consensus adheres to international standards for consensus development and incorporates input from a diverse panel of experts.The consensus encompasses six aspects: disease prevention, treatment goals, clinical typing, therapeutic drugs, follow-up and evaluation, and medication for comorbid populations. A total of 27 recommendations are put forward, aiming to provide clinicians with guidance for the safe and standardized use of drugs, thereby improving the diagnosis and treatment level of KOA and benefiting patients.

摘要

骨关节炎(OA)是一种异质性疾病,涉及关节软骨、滑膜、韧带、软骨下骨及周围骨组织的结构改变。在各种类型的OA中,膝骨关节炎(KOA)最为常见,表现为关节疼痛、肿胀、僵硬和功能受限等症状。其高致残率给个人和社会都带来了沉重负担。药物干预在KOA的综合管理中起着关键作用。然而,制定标准化治疗方案以准确、适当地为患者选择药物仍然是紧迫的临床挑战。中国医师协会风湿免疫科医师分会骨关节炎学组借鉴当前研究成果、相关指南以及国内外共识声明,制定了本专家共识。本共识遵循国际共识制定标准,并纳入了多领域专家的意见。该共识涵盖疾病预防、治疗目标、临床分型、治疗药物、随访与评估以及合并症人群用药六个方面。共提出27条推荐意见,旨在为临床医生安全、规范用药提供指导,从而提高KOA的诊疗水平,使患者受益。

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