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膝骨关节炎糖皮质激素注射应用专家共识

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膝骨关节炎(knee osteoarthritis,KOA)是一种退行性疾病,不仅致使患者身体机能下降、生活质量降低,而且给家庭、医疗体系和社会带来沉重负担。阶梯化治疗是KOA治疗的基本原则,其中,注射糖皮质激素(glucocorticoids,GCs)可快速有效缓解疼痛,已广泛应用于临床。然而,目前缺乏对GCs进行详细推荐的指南或专家共识,导致临床实践中存在使用不规范的问题。为此,国内KOA领域相关专家基于当前循证医学证据,结合我国具体临床实践编写本共识,经专家组反复讨论后共形成了 23条推荐意见,涉及GCs的选择、使用时机、注射频次、操作方法、注意事项和禁忌证等,以期为临床注射GCs治疗KOA提供科学、规范的指导。
Expert Consensus on Glucocorticoids Injection for Knee Osteoarthritis
Knee osteoarthritis(KO A)is an aging-related disease.It impairs the physical function and reduces the quality of life,and causes a severe burden on families,healthcare systems,and society.Stepwise treatment is the basic principle of KOA treatment,in which injection of glucocorticoids(GCs)can relieve pain quickly and effectively,and has been widely used.However,there is a lack of guidelines or consensus providing the detailed recommendations for GCs,leading to non-standard use in clinical practice.Therefore,the experts in the field of KOA in China compile this consensus,based on current medical evidence and combined with the specific situation of clinical practice in China.After discussions of the expert group,a total of 23 recommendations were formed,involving the selection of GCs,timing of GCs use,frequency of injection,operation methods,attentions and contraindications.It is hoped to provide scientific and standardized guidance for clinical injection of GCs in the treatment of KOA.

knee osteoarthritisstepwise treatmentinjectionglucocorticoidspain relief

中国老年保健协会骨关节保护与健康分会、国家骨科医学中心北京积水潭医院保膝联盟、黄野、刘培来

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膝骨关节炎 阶梯化治疗 注射 糖皮质激素 疼痛缓解

2024

实用骨科杂志
中华医学会山西分会,北京大学第三医院

实用骨科杂志

CSTPCD
影响因子:1.239
ISSN:1008-5572
年,卷(期):2024.30(10)