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膝骨关节炎患者伴随抑郁的治疗现状文献分析

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膝关节骨性关节炎(Knee Osteoarthritis,KOA)作为常见的骨科疾病之一,以膝关节弹响、肿胀、疼痛、心理状态不佳等为临床表现.其中,心理状态不佳常表现为抑郁,主要临床特征为显著而持久的心境低落,严重者可出现自杀的念头或行为,这对患者的身心健康造成了极为不利的影响.本文总结了相关文献,介绍了 KOA患者合并抑郁的流行病学,介绍了抑郁与疼痛之间的关系.本文总结了 KOA合并抑郁的治疗现状,分别从运动治疗、认知行为疗法、药物治疗和心理治疗等方面总结了直接治疗抑郁的方法;分别从运动治疗、药物治疗以及其他新型药物治疗等方面总结了间接治疗抑郁的方法.本文发现KOA患者疼痛与抑郁之间存在双向联系和很强的共现关系,无论是直接治疗KOA患者抑郁,还是通过缓解疼痛间接治疗KOA患者的抑郁,都可以有效改善患者心理状态以及疼痛水平,可以有效降低二者之间双向联系的水平,有利于KOA患者身心健康以及功能水平的恢复.
Literature reviewed on the treatment of depression in patients with knee osteoarthritis
Knee osteoarthritis(KO A)is one of the common orthopedic Diseases.The clinical manifestations are snapping,swell-ing,pain,and poor psychological state of the knee joint.Studies have shown that patients with KOA have a poor psychological state and often manifest themselves as depressed.It often presents with depressive mood.The main clinical feature is a marked and persis-tent depression.In severe cases,suicidal thoughts or behaviors may occur.This has a detrimental effect on the physical and mental health of patients.This paper summarizes relevant literature to introduced the epidemiology of KOA patients and comorbid depressive mood and the relationship between depressive mood and pain in patients.This paper reviewed the current status of the treatment of depressive mood in patients with KOA.Firstly,the methods of direct treatment of depression were introduced from the aspects of exer-cise therapy,cognitive behavioral therapy,drug therapy,and psychotherapy.Secondly,the methods of indirect treatment of depression were introduced from the aspects of exercise therapy,drug therapy and other new drug treatments.This paper reveals the idea that there is a two-way link and a strong co-occurrence relationship between pain and depression in patients with KOA.Whether it is the direct treatment of depression in patients with KOA,or the indirect treatment of depression in patients with KOA through pain re-lief.This can effectively improve the patient's psychological state and pain level.Through the above methods,the level of two-way connection between the two can be effectively reduced.This is conducive to the physical and mental health of KOA patients and the recovery of functional levels.

osteoarthritis of the kneedepressionpain

卢羽璠、江海滢、黄志彬、朱健豪、马玉宝

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首都医科大学附属北京康复医院 100144

首都医科大学附属北京康复医院肌肉骨骼康复中心 100144

沈阳体育学院运动健康学院 110115

膝关节骨关节炎 抑郁 疼痛

中国康复医学会科技发展项目首都医科大学附属北京康复医院专项科技发展项目(2023-2025)

KFKT-2023-0372023-24

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(2)
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