管理关节炎疼痛:药物治疗和生活方式的改变
B Goyal1, S Bishnoi2, S Parveen3
11Department of Allied Healthcare & Sciences, Vivekananda Global University, Jaipur, India.
Georgian medical news
|July 31, 2023
概括
物理治疗 (PT) 和生活方式咨询 (LC) 在膝关节骨关节炎 (OA) 中未得到充分利用,尽管它们是有效的. 止痛药的处方增加,而PT和LC的使用仍然很低,这表明需要更好的治疗策略.
科学领域:
- 整形外科 整形外科 整形外科
- 物理医学 物理医学
- 公共卫生 公共卫生
背景情况:
- 膝关节关节炎 (OA) 是一种普遍的疾病,需要有效的管理策略.
- 目前的治疗指南建议采用多模式治疗方法,包括物理治疗 (PT) 和生活方式咨询 (LC).
- 了解膝关节OA的处方模式对于优化患者的治疗结果至关重要.
研究的目的:
- 分析PT,NSAID和膝关节OA的麻醉剂的三年处方率.
- 为了确定与治疗建议相关的患者,医生和实践特征.
- 评估PT,LC和膝关节OA的药物治疗的比较有效性和利用率.
主要方法:
- 分析国家门诊医疗调查数据.
- 对NSAID,麻醉剂的处方率和PT的转诊率的评估.
- 多变量后勤建模,以确定影响治疗决策的因素.
主要成果:
- 发现PT和LC的处方在膝盖骨关节炎患者中未得到充分使用.
- 在研究期间,NSAID和麻醉剂处方率增加.
- 治疗决策受到非临床因素的影响,例如提供者类型和实践环境.
结论:
- 物理治疗和生活方式咨询在膝关节OA管理中未得到充分利用.
- 有一种趋势是增加了止痛药的处方.
- 膝关节OA的治疗变化受非医学因素的影响,突出了改善临床实践和研究的领域.
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