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制订我国基层骨关节炎诊治方案的思考与探索

Exploration on developing the diagnosis and treatment guidelines for osteoarthritis in primary care of China

摘要:

目前,国内外多个学术团体针对骨关节炎的诊断与治疗发表了多部临床实践指南.虽然在一些问题上存在矛盾,但多部指南共同推荐了核心治疗方法,即教育、减重和运动治疗.基层骨关节炎的诊治工作应该关注上述三项确定有效的治疗措施.根据我国骨关节炎的患病特征、疾病负担、患者的健康素养、基层骨关节炎诊治临床决策及我国基层医疗现状,未来不仅要完善基层骨关节炎的诊疗工作,还要制订我国基层骨关节炎诊治指南来规范基层诊疗方案.

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abstracts:

At present,several clinical practice guidelines for osteoarthritis have been developed.Although contradictions about some recommendations are still in dispute,large number of clinical practice guidelines recommended core treatments,namely education,weight loss and exercise therapy.Thus,the diagnosis and treatment of primary osteoarthritis should focus on the above three treatments.However,we have to develop the clinical practice guidelines for osteoarthritis in primary hospital,based on the characteristics of osteoarthritis in China,the burden of disease,the health literacy of patients and the clinical decision-making of diagnosis and treatment of primary osteoarthritis in primary medical care.We suggest to formulate guidelines for the diagnosis and treatment of osteoarthritis in primary medical care to regulate primary interventions.

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