1、會計學1膝關節骨性關節炎的治療進展與護理膝關節骨性關節炎的治療進展與護理2021-12-112021-12-11Centers for Disease Control and Prevention,MMWR,2001;50:120-125聽力問題聽力問題四肢僵硬四肢僵硬精神情緒問題精神情緒問題視力問題視力問題中風中風 17.516.57.84.74.74.23.73.43.32.8% of All Disabilities關節炎關節炎腰背痛腰背痛心臟病，動脈硬化心臟病，動脈硬化呼吸系統疾病呼吸系統疾病糖尿病糖尿病18歲以上成人致殘的常見原因歲以上成人致殘的常見原因2021-12-11 世界衛生

2、組織決世界衛生組織決定，從定，從2000年起，每年起，每年年10月月12日為日為“世界世界關節炎日關節炎日”。Kofi A. AnnanThe Bone and Joint Decade2021-12-11 衛生部副部長黃潔夫在北京衛生部副部長黃潔夫在北京人民大會堂代表中國政府宣布：人民大會堂代表中國政府宣布：中國正式加入全球中國正式加入全球 “ “ 骨骼與關骨骼與關節健康十年行動節健康十年行動” 2021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-1

3、12021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-11治療目前的治療方法非藥物治療 物理治療、有氧鍛煉、肌肉訓練、延展活動、體重控制、輔助支具 藥物治療 改善癥狀藥物、改善結構藥物 手術治療 關節鏡、關節軟骨修復術、截骨術、人工關節

4、置換2021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-11治療癥狀嚴重、藥物治療無效或失效可考慮外科手術治療2021-12-11治療手術目的 清除關節內炎性組織、骨贅、游離體清除關節內炎性組織、骨贅、游離體和磨損顆

5、粒和磨損顆粒 矯正關節和肢體力線或畸形矯正關節和肢體力線或畸形 增強關節的穩定性增強關節的穩定性 修復關節缺損修復關節缺損 重建毀損關節重建毀損關節2021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-11板切除應慎重。以免加重畸形。2021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-11 雙側雙側 膝關節膝關節OA2021-12-11 全髖關節置換術前全髖關節置換術前 全髖關節置換術全髖關節置換術后后2021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-112021-12-11治療 人口老齡化 未來十年為“骨關節病十年”2021-12-11謝謝關注2021-12-112021-12-112021-12-112021-