骨关节炎资料.pptVIP

至今仍没有一种药物证明能阻止、延缓、逆转OA的病理学改变。 ----《临床药物治疗学》 治疗目的：减轻症状、改善关节功能、减少致残。 ----《内科学》 * 2014-3-20 Initial treatment of noninflammatory OA with acetaminophen（ APAP） NSAIDs if APAP is inadequate or inflammatory OA is present Topical NSAIDs or capsaicin as alternative to oral NSAIDs or APAP Intraarticular glucocorticoids if NSAIDs and APAP are insufficient Diagnostic reassessment for recurring joint swelling or inflammation We do not use glucosamine or chondroitin compounds because of insufficient evidence of clinically meaningful benefit. a si