首页|体外冲击波治疗膝关节骨性关节炎的研究进展

体外冲击波治疗膝关节骨性关节炎的研究进展

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膝关节骨关节炎是一种常见的肌肉骨骼疾病,其发病机制复杂,且手术及药物等治疗效果欠佳,因此寻找一种延缓疾病进展、改善关节功能的治疗手段具有重要意义.体外冲击波疗法是一种特殊治疗,主要由气动、电动液压、电磁或压电发电机诱导产生单脉冲瞬态声波,聚焦于需要治疗的区域.它被证实能够有效抑制多种炎症因子释放,改善软骨代谢,促进软骨细胞增殖分化,对于软骨的修复有一定的疗效.因此,作为一项新的治疗手段,在一些动物实验和临床研究中都显示出对骨关节炎的作用;作为一种安全有效的无创疗法,可推荐用于骨关节炎的治疗,但推荐的等级需要在进一步的研究中进行讨论.文章就体外冲击波在膝关节骨性关节炎中的作用机制和应用展开综述.
Progress in Extracorporeal Shock Wave Treatment of Knee Osteoarthritis
Knee osteoarthritis is a common musculoskeletal disease,its pathogenesis is complex,and the effect of surgery and drugs is not good,so it is of great significance to find a treatment to delay the progression of the disease and improve joint function.Extracorporeal shock wave therapy(ESWL)is a special type of acoustic wave,which is mainly induced by pneumatic,electrohydraulic,electromagnetic or piezoelectric generators to generate a single pulse of transient acoustic wave,focusing on the area in need of treatment.It has been confirmed that it can effectively inhibit the release of a variety of inflammatory factors,improve cartilage metabolism,promote the proliferation and differentiation of chondrocytes,and has a certain effect on cartilage repair.Therefore,as a new treatment,it has shown an effect on osteoarthritis in some animal experiments and clinical studies.As a safe and effective non-invasive therapy,it can be recommended for the treatment of osteoarthritis,but the level of recommendation needs to be discussed in further studies.This article reviews the mechanism and application of extracorporeal shock wave therapy in knee osteoarthritis.

knee osteoarthritisextracorporeal shock wave therapysenile bone diseasesconservative treatmentrehabilitation treatmentmechanism

李辉、谷宇、胡国芳、梁日观、华树良

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百色市人民医院关节外科运动医学科,广西百色 533000

膝关节骨性关节炎 体外冲击波疗法 老年骨性疾病 保守治疗 康复治疗 作用机制

百色市科学研究与技术开发计划(2021)

百科20211816

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(7)
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