中国骨关节炎诊疗指南(2024版)  

Chinese guidelines for diagnosis and treatment of osteoarthritis(2024 edition)

作　　者：中国骨关节炎诊疗指南专家组 中国老年保健协会疼痛病学分会 黄东[2] 冯泽国 胡蓉[2] 李艳华[4] 梁立双[5] 刘庆 刘堂华 马柯[8] 王林 王锁良[10] 杨晓秋[11] 张小梅[12] 张英 刘延青[13] Expert Group of Chinese Guidelines for Diagnosis and Treatment of Osteoarthritis;The Pain Disease Branch of the Chinese Aging Well Association;Huang Dong;Feng Zeguo;Hu Rong;Li Yanhua;Liang Lishuang;Liu Qing;Liu Tanghua;Ma Ke;Wang Lin;Wang Suoliang;Yang Xiaoqiu;Zhang Xiaomei;Zhang Ying;Liu Yanqing(不详;Department of Painology,Xiangya Third Hospital of Central South University,Changsha City,Hunan Province 410000,China;Department of Painology,The First Medical Center of Chinese People's Liberation Army General Hospital,Beijing City 100853,China;Department of Painology,The First People's Hospital of Yunnan Province,Kunming City,Yunnan Province 650034,China;Department of Painology,Qilu Hospital of Shandong University,Jinan City,Shandong Province 250012,China;Department of Painology,The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Luzhou City,Sichuan Province 646000,China;Pain Disease Research Institute,Zhongguancun Sino US Precision Medicine Technology Research Institute,Beijing City 100080,China;Department of Pain,Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai City 200092,China;Department of Painology,The Afiliated Hospital of Guizhou Medical University,Guiyang City,Guizhou Province 550004,China;Department of Painology,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an City,Shaanxi Province 71006l,China;Department of Painology,The First Affliated Hospital of Chongqing Medical University,Chongqing City 400042,China;Department of Painology,The First Affiliated Hospital of Kunming Medical University,Kunming City,Yunnan Province 650032,China;Department of Painology,Beijing Tiantan Hospital,Capital Medical University,Beijing City 100070,China)

机构地区：[1]不详 [2]中南大学湘雅三医院疼痛科,长沙市410000 [3]中国人民解放军总医院第一医学中心疼痛科,北京100853 [4]云南省第一人民医院疼痛科,昆明市650034 [5]山东大学齐鲁医院疼痛科,济南市250012 [6]西南医科大学附属中医医院疼痛科,四川省泸州市646000 [7]中关村中美精准医学科技研究院疼痛病研究所,北京100080 [8]上海交通大学医学院附属新华医院疼痛科,上海市200092 [9]贵州医科大学附属医院疼痛科,贵阳市550004 [10]西安交通大学医学院第一附属医院疼痛科,西安市7710061 [11]重庆医科大学附属第一医院疼痛科,重庆市400042 [12]昆明医科大学第一附属医院疼痛科,昆明市650032 [13]首都医科大学附属北京天坛医院疼痛科,北京100070

出　　处：《中华疼痛学杂志》2024年第3期323-338,共16页Chinese Journal Of Painology

摘　　要：骨关节炎(OA)是常见的慢性疼痛疾病之一,其特征是慢性疼痛和活动能力丧失,极大影响人民群众生活质量。随着我国人口老龄化程度的不断加剧,OA的患病率有逐渐上升的趋势。为规范OA的诊断及治疗,中国老年保健协会疼痛病学分会牵头组织相关专家,在中华医学会骨科学分会关节外科学组的《中国骨关节炎指南(2018、2021年版)》基础上,参考最新文献和大量高质量证据,结合我国疼痛医学和传统医学的诊疗经验,提出“依据OA的临床分期指导治疗”,并对“OA阶梯化治疗”等级进行优化。经多次讨论、审稿以及专家匿名投票,制定了《中国骨关节炎诊疗指南(2024版)》,以期为OA的诊疗提供最新的规范化方案,实现“防治慢性疼痛疾病,保障人民群众健康”的目标。Osteoarthritis(OA)is one of the common chronic pain diseases,with chronic pain and loss of mobility,and greatly affects people's quality of life.With the increasing of aging population in China,the incidence of OA rises gradually.To standardize the diagnosis and treatment of OA,the Pain Disease Branch of the Chinese Aging Well Association organized relevant experts,based on the"Chinese Osteoarthritis Guidelines(2018,2021 editions)"published by the Joint Surgery Group of the Orthopedic Branch of the Chinese Medical Association,and further referring to the latest literature and a vast array of high-quality evidence,combined with the diagnosis and treatment experience of pain medicine and traditional medicine in China,the panel advocated the perspective centered on"treating osteoarthritis according to its clinical staging".Through optimizing the framework of the"OA ladder treatment",ensuring the most up-to-date understanding of the disease and its management,following extensive discussions,reviews,and anonymous expert voting,the experts compiled the"Chinese Osteoarthritis Diagnosis and Treatment Guidelines(2024 edition)",to provide the most up-to-date,standardized approach for diagnosing and treating OA,and to achieve the goals of"prevent and manage chronic pain diseases,safeguarding the health of the population".

关 键 词：骨关节炎 慢性疼痛 诊断 治疗 指南 

分 类 号：R684.3[医药卫生—骨科学]