McColl G
Centre for Rheumatic Diseases, Royal Melbourne Hospital, Parkville, Victoria.
Aust Fam Physician. 1998 Jan-Feb;27(1-2):32-5.
Osteoarthritis is a common cause of disability in our community, particularly in the elderly.
The aim of treatment in those with osteoarthritis should be the relief of pain and maintenance of function with minimal risk of side effects.
Non pharmacological therapy, tailored to the individual, should be the first line treatment of osteoarthritis patients. Paracetamol may be added if necessary. Non steroidal anti-inflammatory drugs should only be used after assessing the patient for the risk of side effects. If the risk is high then alternative therapy should be sought, or measures taken to minimise the risk.
骨关节炎是导致我们社区残疾的常见原因，在老年人中尤为如此。
骨关节炎患者的治疗目标应是缓解疼痛并维持功能，同时使副作用风险降至最低。
针对个体量身定制的非药物治疗应是骨关节炎患者的一线治疗方法。必要时可加用对乙酰氨基酚。非甾体抗炎药仅应在评估患者副作用风险后使用。如果风险较高，则应寻求替代疗法，或采取措施将风险降至最低。
