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骨关节炎:如何诊断和治疗疼痛关节。

Osteoarthritis: how to diagnose and treat the painful joint.

作者信息

Harris C

机构信息

Rush Presbyterian-St. Luke's Medical Center, Chicago.

出版信息

Geriatrics. 1993 Aug;48(8):39-40, 42-6.

PMID:8305010
Abstract

Osteoarthritis (OA) is the most common form of arthritis in older patients, causing pain that can significantly reduce function and quality of life. OA is classified as either primary or secondary disease, depending on the underlying etiology. Causes of secondary OA include trauma, other joint disease, and metabolic conditions. Diagnosis is based on patient history, physical examination, and radiographic findings. The mainstay of treatment is the use of nonsteroidal anti-inflammatory agents; NSAIDs that can be given once or twice daily increase patient compliance. Other therapeutic measures include exercise programs and--in patients with severe pain and limited function--surgical intervention.

摘要

骨关节炎(OA)是老年患者中最常见的关节炎形式,其所引起的疼痛会显著降低功能和生活质量。根据潜在病因,OA可分为原发性或继发性疾病。继发性OA的病因包括创伤、其他关节疾病和代谢状况。诊断基于患者病史、体格检查和影像学检查结果。治疗的主要方法是使用非甾体抗炎药;每天服用一次或两次的非甾体抗炎药可提高患者的依从性。其他治疗措施包括运动计划,对于疼痛严重且功能受限的患者,还包括手术干预。

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