Schutt A H
J Am Geriatr Soc. 1977 Feb;25(2):76-82. doi: 10.1111/j.1532-5415.1977.tb00234.x.
The basic conservative therapy programs for elderly patients with arthritis include adequate physical rest and mental relaxation, analgesics, aspirin, and physical rehabilitation consisting of occupational and physical therapy with a good home therapy program providing appropriate balance between rest and activity. Proper protection from trauma and overuse of the involved joints, and appropriate nutrition can afford optimal improvement in health status and general resistance. Proper orientation of the patient regarding the nature of his disease and treatment program usually is required to obtain his full cooperation. A kind, encouraging, and understanding approach is most helpful in the elderly patient. Physical rehabilitation can help to relieve pain, decrease edema and deformities, improve muscle weakness and incoordination, and increase stamina. Difficulties with gait, transfers, and self-care can be solved or improved. Physical medicine and rehabilitation measures are important components of the challenging treatment of patients of all age groups who are afflicted with severe arthritis. It is most important to tailor these components of the treatment program to the problem presented by geriatric arthritic patients.
老年关节炎患者的基本保守治疗方案包括充足的身体休息和精神放松、使用止痛剂、阿司匹林，以及由职业治疗和物理治疗组成的身体康复，同时要有良好的家庭治疗方案，在休息和活动之间保持适当平衡。避免受累关节受到创伤和过度使用，并保证适当的营养，可使健康状况和总体抵抗力得到最佳改善。通常需要让患者正确了解其疾病的性质和治疗方案，以获得其充分配合。友善、鼓励和理解的态度对老年患者最有帮助。身体康复有助于缓解疼痛、减轻水肿和畸形、改善肌肉无力和不协调状况，并增强耐力。步态、转移和自我护理方面的困难可以得到解决或改善。物理医学和康复措施是所有年龄段重度关节炎患者具有挑战性的治疗中的重要组成部分。根据老年关节炎患者出现的问题调整治疗方案的这些组成部分至关重要。
