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骨關節炎診斷準則 - tsim.org.tw

Guideline for the diagnosis and management of osteoarthritis (1)

骨關節炎診斷準則 Guideline for the diagnosis and management of osteoarthritis 國泰醫院 風濕科 高德亨 骨關節炎定義: 引起骨關節炎原因很多,卻有相同的生化及組織病理變化,而且臨床病症進

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Transcription of 骨關節炎診斷準則 - tsim.org.tw

1 Guideline for the diagnosis and management of osteoarthritis (1) (2) 3 4 a.

2 10 2 3 (Spur formation) b. 2 2 (DIP) (Spur formation) c. 3 (MCP) d. 10 94% 87% 10 2 3 (DIP) 2 3 (PIP) (CMP, carp-metacarpal).

3 MCP: Metacarpophalangeal 1. 2. 2 a. (ESR) 20mm/h b. X (acetabulum) (Spur) c. X ( ) 89% 91% 3 1. 5 a.

4 50 b. 30 c. (Crepitus) d. e. (Spur formation) f. g. ESR 40mm/h h. i. 1:40 92% 75% 2. X a. 50 b. 30 c.

5 (Crepitus) X (Spur) 91% 86% 3. 3 a. 50 b. 30 c. (Crepitus) d. (Spur formation) e. f. 95% 69% Acetaminophen

6 (hyaluronic acid) Glucosamine Sulfate 1. (Joint Lavage) 2. (Joint Debridment) 3. (Osteotomy) 4. (Resection of Arthroplasty) 5. 1. 2. 3.

7 4. 5. Nitric oxide synthase inhibitor 1. Brandt : The American College of Rheumatology criteria for classification and reporting of OA of hip Arthritis and Rheum. 1991 34:505-514 2. Atlman :Osteoarthritis definition and criteria Annals of the Rheumatic Disease 1990 49:201 3. Evano : Gene therapy for rheumatic disease Arthritis and Rheum. 1999 42(1):1-16


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