[中国膝关节骨性关节炎临床药物治疗共识(2023年)》。]

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摘要

骨关节炎(OA)是一种涉及关节软骨、滑膜、韧带、软骨下骨和周围骨组织结构改变的异质性疾病。在各种类型的 OA 中,膝关节骨关节炎(KOA)最为常见,表现为关节疼痛、肿胀、僵硬和功能受限等症状。它的高致残率给个人和社会都带来了沉重的负担。药物干预在 KOA 的综合治疗中起着至关重要的作用。然而,如何建立标准化的治疗方案,为患者准确、恰当地选择药物,仍然是临床上亟待解决的难题。中国医师协会风湿免疫科医师分会骨关节炎学组借鉴国内外最新研究成果、相关指南和共识声明,制定了本专家共识。本共识遵照国际共识制定标准,采纳了来自不同专家小组的意见。共识包括六个方面:疾病预防、治疗目标、临床分型、治疗药物、随访与评估、合并症人群用药。共提出了 27 项建议,旨在为临床医生安全、规范用药提供指导,从而提高 KOA 的诊断和治疗水平,造福患者。
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[Consensus on clinical drug therapy for knee osteoarthritis in China (2023)].

Osteoarthritis (OA) is a heterogeneous disease that involves structural alterations in the articular cartilage, synovium, ligaments, subchondral bone, and the surrounding bone tissue. Among the various types of OA, knee osteoarthritis (KOA) is the most prevalent, presenting with symptoms such as joint pain, swelling, stiffness, and functional limitations. And its high disability rate places a significant burden on both individuals and society. Pharmacological intervention plays a crucial role in the comprehensive management of KOA. However, the establishment of standardized treatment protocols for the accurate and appropriate selection of medications for patients remain pressing clinical challenges. The Osteoarthritis Group of the Rheumatology and Immunology Physicians Branch of the Chinese Medical Doctor Association has developed this expert consensus by drawing upon current research findings, relevant guidelines, and consensus statements from both domestic and international sources. This consensus adheres to international standards for consensus development and incorporates input from a diverse panel of experts.The consensus encompasses six aspects: disease prevention, treatment goals, clinical typing, therapeutic drugs, follow-up and evaluation, and medication for comorbid populations. A total of 27 recommendations are put forward, aiming to provide clinicians with guidance for the safe and standardized use of drugs, thereby improving the diagnosis and treatment level of KOA and benefiting patients.

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