首页|富血小板血浆联合中药治疗早中期膝骨关节炎的研究进展

富血小板血浆联合中药治疗早中期膝骨关节炎的研究进展

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膝骨关节炎(knee osteoarthritis,KOA)是临床常见的退行性疾病,关节软骨破坏、滑膜炎症及骨质增生是该病的主要病理特征.减缓软骨退变、促进软骨修复是缓解疼痛、改善功能的重要途径.富血小板血浆(platelet-rich plasma,PRP)是自体血液多次离心后的血小板浓缩产物,其中含有高浓度的活性因子,可调节微循环,诱导细胞增殖与迁移、维持基质稳态.PRP注射入关节腔中,可调节骨和血管重塑,抑制炎症反应及软骨细胞凋亡,进而修复软骨,减缓KOA发展.中药在治疗KOA方面具有独特的优势,且取得显著临床疗效,基于此,本文就PRP治疗KOA的作用机制和临床研究、PRP治疗KOA的禁忌证以及PRP联合中医药治疗KOA的研究进行综述,旨在为临床诊疗提供新思路、新方法、新手段.
Progress of platelet-rich plasma combined with traditional Chinese medicine in the treatment of early-stage and middle-stage knee osteoarthritis
Knee osteoarthritis(KOA) is a common clinical degenerative disease,and articular cartilage destruction,synovial inflammation and osteosclerosis are the main pathological features of the disease. Slowing cartilage degeneration and promoting cartilage repair are important ways to relieve pain and improve function.Platelet-rich plasma(PRP) is the concentrated product of platelets after centrifugation of autologous blood for several times,containing high concentrations of active factors that can regulate microcirculation,induce cell proliferation and migration,and maintain matrix homeostasis. PRP injected into the joint cavity can regulate bone and vascular remodeling,inhibit inflammation and chondrocyte apoptosis,thus repairing cartilage and slowing down the development of KOA.Traditional Chinese medicine has unique advantages in the treatment of KOA and achieved significant clinical efficacy.Based on this,this article reviewed the mechanism of action and clinical research of PRP in the treatment of KOA,the contraindications to PRP,and the research of PRP combined with TCM in the treatment of KOA,with the aim of providing new ideas,methods,and tools for clinical diagnosis and treatment.

Platelet-rich plasmaTraditional Chinese medicineKnee osteoarthritisCartilage

邱晨、易林、尹石榴、方锐

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新疆医科大学第四临床医学院,新疆乌鲁木齐830054

富血小板血浆 中药 膝骨关节炎 软骨

2025

中国疗养医学
中国煤矿工人北戴河疗养院

中国疗养医学

影响因子:0.584
ISSN:1005-619X
年,卷(期):2025.34(1)