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[早期膝关节骨关节炎诊断与非手术治疗指南(2024年版)]

[Guideline for diagnosis and non-surgical treatment of early-stage knee osteoarthritis (2024 edition)].

出版信息

Zhonghua Yi Xue Za Zhi. 2024 Aug 13;104(31):2895-2909. doi: 10.3760/cma.j.cn112137-20240503-01035.

Abstract

Knee osteoarthritis (KOA) is common in middle-aged and elderly populations, with typical symptoms including knee joint pain, deformity, and restricted movement. The concept of early KOA (EKOA) is ambiguous, and clinical diagnosis and treatment are often overlooked. The diagnosis and effective prevention of EKOA can help delay the progression of the disease and reduce the incidence of mid-to-late stage KOA. To standardize the clinical diagnosis and treatment of EKOA, the Osteoarthrosis Committee of Chinese Aging Well Association has initiated the development of non-operative treatment guidelines for EKOA, selecting key clinical issues of concern to clinicians, including the definition, diagnosis, and non-operative treatment and strategies for EKOA. Ultimately, a total of 13 recommendations were formulated with the aim of raising the level and scientificity of EKOA diagnosis and treatment, thereby delaying the progression of EKOA in patients, improving their quality of life, and reducing the societal burden of the disease.

摘要

膝关节骨关节炎(KOA)在中老年人群中很常见,典型症状包括膝关节疼痛、畸形和活动受限。早期KOA(EKOA)的概念尚不明确,临床诊断和治疗常常被忽视。EKOA的诊断和有效预防有助于延缓疾病进展,降低中晚期KOA的发病率。为规范EKOA的临床诊断和治疗,中国健康老龄化协会骨关节炎委员会已启动制定EKOA非手术治疗指南,选取临床医生关注的关键问题,包括EKOA的定义、诊断、非手术治疗及策略。最终共制定了13条推荐意见,旨在提高EKOA诊断和治疗的水平及科学性,从而延缓患者EKOA的进展,改善其生活质量,减轻该疾病的社会负担。

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