膝关节骨性关节炎的中西医结合治疗进展.docVIP

膝关节骨性关节炎的中西医结合治疗进展 　　[摘要] 膝关节骨性关节炎是临床上非常常见的慢性退行性疾病，长期以来，老年人发病率一直居高不下，其发病进程的不可逆性使得临床上对该疾病的治疗极为困难。我国学者在膝关节骨性关节炎的预防及治疗方面也做出了许多研究和临床实践，依据不同的医学理论基础，临床上主要有中医和西医以及多种方法联合治疗，可分为有创治疗及无创治疗两个大的方面，如内服药物、外用药物、关节注射、关节镜微创手术、外科手术等。本文对我国当前膝关节骨性关节炎的基本治疗情况进行综述，以期为广大临床工作者提供一定的指导作用。 　　[关键词] 西医；中医；膝关节骨性关节炎 　　[中图分类号] R684.3 [文献标识码] A [文章编号] 1673-7210（2018）02（c）-0035-05 　　Advances in the treatment of knee osteoarthritis with integrated traditional Chinese and western medicine 　　WANG Jing1* XIANG Fusheng1* LIU Li1 ZHONG Minlan2 　　1.Department of Orthopedics， Ezhou Central Hospital， Hubei Province， Ezhou 436000， China； 2.Supply Room， Ezhou Central Hospital， Hubei Province， Ezhou 436000， China 　　[Abstract] Knee osteoarthritis is a very common chronic degenerative disease in clinic. For a long time， the morbidity of elderly patients has been kept up， the nonreversibility of disease process make it extremely difficult to treat the disease clinically. The Chinese scholars have made a lot of researches and clinical practice in the prevention and treatment of knee osteoarthritis. According to different fundamentals of medical theory， there are mainly traditional Chinese medicine， western medicine and combined treatment with multiple methods， which can be mainly divided into two aspects of invasive treatment and noninvasive treatment， such as oral medicine， external used medicines， joint injection， arthroscopic minimally invasive surgery， surgical operation， and so on. This paper makes a review of the current basic treatment conditions of knee osteoarthritis， so as to provide certain guiding effects for the majority of clinical workers. 　　[Key words] Western medicine； Traditional Chinese medicine； Knee osteoarthritis 　　膝?P节慢性退行性变临床上多被诊断为膝关节骨性关节炎。当病情发展至晚期时，膝关节周围的肌肉、韧带、滑膜及其他附属结构多伴有病变，其中当关节间隙消失时，病情已经非常严重。膝关节内同时也伴随着新生骨的出现，大量的骨赘增生。当骨性关节炎发生在膝关节处时，疼痛、局部肿胀的发生较为常见，另外膝关节活动受到限制，病情较长者还会出现下肢力线的改变，内外翻畸形是较为突出的解剖学改变，少数患者膝关节活动时还可能出现较为明显的异常响声，中老年人往往是该疾病的高发人群。Kellgren-Lawrence分期[1]即对膝关节骨性关节炎病情的进展做出了较为全面的阐述，其