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循证临床指南

阅读有关骨关节炎的临床指南
骨关节炎管理有许多临床实践指南:

  • National Institute for Health Care and Excellence (NICE)6 – OA 2014
  • American College of Rheumatology13 – hip, knee & hand OA 2019
  • European League against Rheumatism (EULAR)14 – hip & knee OA 2013
  • Osteoarthritis Research Society International (OARSI)15 – knee OA 2019
  • Royal Australian College of GP’s16 – hip & knee OA 2018
  • 中国骨关节炎诊疗指南 (2021年版)30

所有的指南都一致推荐:

  • 患者教育/建议/信息;运动锻炼;和减重(如适用):是【所有】OA患者的【一线】治疗手段
  • 药理学策略(如镇痛药和抗炎药);临床医生提供的被动疗法;辅助工具和设备:可以根据情况提供给【部分】OA患者
  • 仅当经过合适疗程的非手术策略不成功时,才对【少数】OA患者进行手术干预

Infographic showing the guideline recommendations. 有一个三层的大三角形。顶部,最小的层包含手术:推荐给少数人。中间层包含药物、临床医生提供的被动疗法、辅助工具和设备:推荐给某些人。最大的底层包含教育建议和信息、锻炼(力量和身体活动)和减肥(如果适用):推荐给所有人。(Adapted from: Dieppe et al, 2005)17

OA管理方式应该从金字塔的底部开始,如果需要的话,再向上选取

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膝关节骨性关节炎的物理治疗运动和身体活动(PEAK-中文版)

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