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非手术治疗的膝关节骨关节炎患者关节功能治疗措施的研究进展

Research progress on treatment measures for joint function in non-surgical patients with knee osteoarthritis.

作者信息

Liu Zhixia, Song Shiyu, Zhang Quanying, Wang Dongqin

机构信息

The First Clinical College of Xinxiang Medical College, China.

The First Affiliated Hospital of Xinxiang Medical University, China.

出版信息

J Orthop. 2024 Nov 25;64:64-67. doi: 10.1016/j.jor.2024.11.023. eCollection 2025 Jun.

DOI:10.1016/j.jor.2024.11.023
PMID:39691640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11648640/
Abstract

As human lifespan increases and the proportion of obese people increases, the prevalence of knee osteoarthritis continues to increase. Its main clinical manifestations include joint pain, snapping, and decreased joint function. Due to the slow progression of the disease in KOA, patients have been troubled by the disease for a long time, affecting their quality of life. Therefore, the main purpose of treatment is to relieve symptoms and restore joint function. At present, most clinical studies focus on the joint function of postoperative KOA patients. However, in real life, there are still KOA patients who do not meet the surgical standards, and there are relatively few studies on this part. Therefore, this article reviews the relevant concepts, influencing factors and intervention measures for joint function in patients with non-surgical knee osteoarthritis in recent years, to provide a theoretical reference for subsequent research on improving joint function in patients with non-surgical knee osteoarthritis, and to improve patient's quality of life.

摘要

随着人类寿命的延长和肥胖人群比例的增加,膝关节骨关节炎的患病率持续上升。其主要临床表现包括关节疼痛、弹响和关节功能下降。由于膝骨关节炎疾病进展缓慢,患者长期受其困扰,影响生活质量。因此,治疗的主要目的是缓解症状并恢复关节功能。目前,大多数临床研究集中在膝骨关节炎术后患者的关节功能方面。然而,在现实生活中,仍有不符合手术标准的膝骨关节炎患者,针对这部分患者的研究相对较少。因此,本文综述了近年来非手术治疗的膝关节骨关节炎患者关节功能的相关概念、影响因素及干预措施,旨在为后续改善非手术治疗的膝关节骨关节炎患者关节功能的研究提供理论参考,进而提高患者生活质量。

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本文引用的文献

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Association of body composition and physical activity with pain and function in knee osteoarthritis patients: a cross-sectional study.体成分和身体活动与膝骨关节炎患者疼痛和功能的关系:一项横断面研究。
BMJ Open. 2024 Jan 17;14(1):e076043. doi: 10.1136/bmjopen-2023-076043.
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EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update.EULAR 推荐的髋和膝骨关节炎非药物核心管理:2023 更新。
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No difference in patient-reported outcomes with cruciate-retaining, anterior-stabilized, and posterior-stabilized total knee arthroplasty designs.在保留交叉韧带、前稳定型和后稳定型全膝关节置换设计中,患者报告的结果没有差异。
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Comparative Efficacy of Intra-Articular Injection, Physical Therapy, and Combined Treatments on Pain, Function, and Sarcopenia Indices in Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials.关节内注射、物理疗法和联合治疗对膝骨关节炎疼痛、功能和肌少症指标的疗效比较:一项随机对照试验的网络荟萃分析。
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Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis.运动训练对膝关节骨关节炎的益处及机制
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