[1]包德明.膝关节骨关节炎的治疗进展[J].中医正骨,2014,26(12):52-55.
点击复制

膝关节骨关节炎的治疗进展()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年12期
页码:
52-55
栏目:
综述
出版日期:
2014-12-30

文章信息/Info

作者:
包德明
郑州大学第一附属医院,河南 郑州 450052
关键词:
骨关节炎膝 综述
摘要:
膝关节骨关节炎是一种因关节软骨进行性破坏和继发性滑膜与骨质增生所导致的慢性非感染性炎性疾病,在中老年人群中 发病率较高。随着我国人口老龄化的发展,该病的发病率呈逐年上升的趋势,严重影响到人们的工作和生活质量。目前治疗该病 的方法较多,总体来说主要分为手术和非手术治疗两大类。目前尚未有一种有效的方法能够根治该病,因此探索出一种行之有效 的疗法或治疗理念将成为今后新的研究方向。本文从非手术疗法、手术疗法和新兴疗法几个方面对膝关节骨关节炎的治疗进展 进行综述,旨在为临床上治疗膝关节骨关节炎提供参考。

参考文献/References:

[1] Bjordal JM,Ljunggren AE,Klovning A.Non-steroidal anti-inflammatory drugs,including cyclo-oxygenase-2 inhibitors,in osteoarthritic knee pain:meta-analysis of randomised placebo controlled trials[J].BMJ,2004,329 (7478):1317.
[2] 胡萍.塞来昔布治疗膝骨关节炎疗效观察[J].中国当代医药,2011,18(22):58-59.
[3] Simon LS,Grierson LM,Naseer Z,et al.Efficacy and safety of topical diclofenac containing dimethyl sulfoxide(DMSO)compared with those of topical placebo,DMSO vehicle and oral diclofenac for knee osteoarthritis [J].Pain,2009,143(3):238-245.
[4] Varadi G,Zhu Z,Blattler T,et al.Randomized clinical trial evaluating transdermal Ibuprofen for moderate to severe knee osteoarthritis[J].Pain Physician,2013,16(6):749-762.
[5] Miki K,Hashimoto R,Shi K,et al.Opioid therapy for knee osteoarthritis and postoperative persistent pain after knee arthroplasty[J].Rheumatology,2014,53(10):1723-1724.
[6] 李化光,刘华,杨新明,等.透明质酸对人骨关节炎软骨细胞保护机制的探讨[J].实用医学杂志,2012,28(7):1040-1042.
[7] Ishijima M,Nakamura T,Shimizu K,et al.Intra-articular hyaluronic acid injection versus oral non-steroidal anti-inflammatory drug for the treatment of knee osteoarthritis:a multi-center,randomized,open-label,non- inferiority trial[J].Arthritis Res Ther,2014,16(1):18.
[8] Douglas RJ.Corticosteroid injection into the osteoarthritic knee: drug selection, dose, and injection frequency[J].Int J Clin Pract,2012,66(7):699-704.
[9] 李勇光,郑婧,高宇,等.臭氧对骨性关节炎实验兔软骨细胞iNOS及MMP-1表达的影响[J].中华物理医学与康复杂志,2012,34 (6):472-473.
[10] 江浪清,胡玉祥.川芎嗪注射液在膝关节骨性关节炎疼痛急性加重治疗中的应用[J].中国中医急症,2013,22(1):139-140.
[11] 黄岚峰,赵劲松,张延哲,等.等长性肌肉收缩股四头肌功能练习治疗膝关节骨性关节炎[J].中华临床医师杂志:电子 版,2012,6(17):5030-5033.
[12] 蒋春国,崔瑞花,李社玲.神经肌肉电刺激结合康复疗法治疗膝关节骨性关节炎的疗效观察[J].中国康复医学杂志,2014,29 (4):354-356.
[13] 卢敏,张波,邹震,等.藤黄健骨片治疗膝关节骨性关节炎肾虚血瘀证的多中心临床观察[J].中国中医骨伤科杂志,2012,20 (7):14-16.
[14] 石瑛,庞坚,王翔,等.口服抗骨质增生合剂治疗膝骨关节炎的临床研究[J].中医正骨,2014,26(7):8-12.
[15] 谢培钧.手法治疗膝关节骨性关节炎28例[J].甘肃中医学院学报,2005,22(2):35-36.
[16] 董翠华.探讨膝关节骨关节炎进行针灸治疗的效果[J].中外健康文摘,2013(44):97-98.
[17] Zhao L,Cheng K,Wang L,et al.Effectiveness of moxibustion treatment as adjunctive therapy in osteoarthritis of the knee:a randomized,double-blinded,placebo-controlled clinical trial[J].Arthritis Res Ther,2014,16(3):133.
[18] Lin M,Li X,Liang W,et al.Needle-knife therapy improves the clinical symptoms of knee osteoarthritis by inhibiting the expression of inflammatory cytokines[J].Exp Ther Med,2014,7(4):835-842.
[19] 孙勤.中药外治膝关节骨性关节炎的体会[J].中外健康文摘,2013,10(11):401-402.
[20] 郑广程,郑海伟,张国辉,等.玻璃酸钠关节腔注射配合小针刀松解治疗膝骨关节炎疗效观察[J].中医正骨,2012,24(1):15- 17.
[21] 原涛,章祖林.透明质酸钠联合补肾活血方药改善膝骨关节炎患者生活质量的调查研究[J].中医正骨,2013,25(5):25-27.
[22] 苏泉,鲁光钱.针刺配合关节腔注射和中药内服治疗膝骨关节炎53例[J].中医正骨,2014,26(5):35-36, 38.
[23] 王予彬,朱文辉.膝关节骨性关节炎关节镜下清理术,Yes or No?[J].中国微创外科杂志,2012,12(1):12-13.
[24] 李瑞,宋德臣,张有磊,等.胫骨高位截骨治疗膝关节骨关节炎并膝内翻[J].实用骨科杂志,2013,19(12):1081-1084.
[25] Stukenborg-Colsman C,Wirth CJ,Lazovic D,et al.High tibial osteotomy versus unicompartmental joint replacement in unicompartmental knee joint osteoarthritis:7-10-year follow-up prospective randomised study [J].Knee,2001,8(3):187-194.
[26] 康凯,高石军,郑晓佐,等.单髁置换术治疗中年膝关节内侧间室骨关节炎的中期疗效[J].中华骨科杂志,2014,34(6):638- 644.
[27] 李其一,林进,邱贵兴,等.髌股关节置换术治疗严重髌股关节炎的中远期疗效[J].中华骨科杂志,2010,30(6):539-543.
[28] Lonner JH,Bloomfield MR.The clinical outcome of patellofemoral arthroplasty[J].Orthop Clin North Am,2013,44(3):271-280.
[29] 徐辉.全膝关节置换在膝关节重建中的应用及技术要求[J].中华损伤与修复杂志:电子版,2013,8(5):458-460.
[30] Gonzalez A.Osteoarthritis year 2013 in review:genetics and genomics[J].Osteoarthritis Cartilage,2013,21 (10):1443-1451.
[31] 胡金玺,曾伟,罗远明,等.纤维连接蛋白降解产物对软骨破坏作用机制研究进展[J].国际骨科学杂志,2008,29(2):81-82, 85.
[32] Abramson SB.Osteoarthritis and nitric oxide[J].Osteoarthritis Cartilage,2008,16 suppl 2,2(2):15-20.
[33] Sondergaard BC,Henriksen K,Wulf H,et al.Relative contribution of matrix metalloprotease and cysteine protease activities to cytokine-stimulated articular cartilage degradation[J].Osteoarthritis Cartilage,2006,14 (8):738-748.
[34] Chevalier X,Conrozier T,Gehrmann M,et al.Tissue inhibitor of metalloprotease-1(TIMP-1)serum level May predict progression of hip osteoarthritis[J].Osteoarthritis Cartilage,2001,9(4):300-307.

相似文献/References:

[1]孟维娜,明立功,王新德,等.关节镜下清理联合腓骨近1/3段截骨治疗膝骨关节炎[J].中医正骨,2015,27(11):40.
[2]明立功,孟维娜,王新德,等.腓骨近端截骨治疗内侧间室膝骨关节炎的近期疗效观察[J].中医正骨,2015,27(10):25.
[3]张杰,王人彦,张玉柱.膝骨关节炎的治疗进展[J].中医正骨,2015,27(10):68.
[4]梁朝,蔡静怡,闫立,等.针刀疗法改善膝骨关节炎早期疼痛症状的疗效评价[J].中医正骨,2015,27(09):9.
 LIANG Zhao,CAI Jingyi,YAN Li,et al.Evaluation of the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):9.
[5]王建武,党建军,李强,等.四联疗法治疗膝骨关节炎[J].中医正骨,2015,27(08):44.
[6]刘红娟,郭会利,郭树农.云克联合中药治疗膝骨关节炎的护理[J].中医正骨,2015,27(08):75.
[7]陈卫衡.探索建立系统的膝骨关节炎中医临床科研范式 和理论体系[J].中医正骨,2015,27(07):1.
[8]郑春松,叶蕻芝,李西海,等.透骨消痛胶囊中补肾柔肝药和活血祛风药治疗 骨关节炎作用方式的计算机模拟比较[J].中医正骨,2015,27(07):6.
 ZHENG Chunsong,YE Hongzhi,LI Xihai,et al.Comparison of the mode of action of Bushen Rougan(补肾柔肝)drugs versus Huoxue Qufeng(活血祛风)drugs contained in Tougu Xiaotong Jiaonang(透骨消痛胶囊)for the treatment of osteoarthritis:A computer simulation study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):6.
[9]帅波,沈霖,杨艳萍,等.加味青娥丸治疗膝骨关节炎的作用机制研究[J].中医正骨,2015,27(07):15.
 SHUAI Bo,SHEN Lin,YANG Yanping,et al.Study on the mechanism of action of Jiawei Qing'e Wan(加味青娥丸)for the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):15.
[10]梅其杰,袁长深,段戡,等.壮药骨痹方烫熨联合运动疗法治疗膝骨关节炎的临床研究[J].中医正骨,2015,27(07):27.
 MEI Qijie,YUAN Changshen,DUAN Kan,et al.Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):27.

更新日期/Last Update: 2014-12-30