156例骨性关节炎的临床治疗观察

Clinical observation on 156 cases with osteoarthritis

骨性关节炎（OA）又称退行性关节病，骨关节病或肥大性关节炎。是由于关节软骨完整性破坏以及关节边缘软骨下骨板病变，导致关节症状和体征的一组异质性疾病。OA多见于中老年人，女性多于男性。本病在40岁人群的患病率为10%～17%，60岁以上为50%，而在75岁以上人群则高达80%。本病按病因分为原发性OA和继发性OA，前者是指原因不明的OA，与遗传和体质因素有关。后者是指继发关节外伤、先天性或遗传性疾病、内分泌及代谢病、炎性关节病、地方性关节病及其他骨关节病等。本病与中医学的“痹证”相似，可归属于“痹证、瘀证、痰证、骨痹”等范畴。笔者自1995年至2013年在临床中对156例骨性关节炎患者进行治疗观察，取得了满意的效果。

Osteoarthritis （OA）, is also known as degenerative joint disease, osteoarthritis, or hypertrophic arthritis which is a group of heterogeneous disorders of symptoms and signs resulting from the destruction of articular cartilage and the pathology of joint marginal subchondral bone plate. OA is more common in older women than in men. The prevalence of the disease in the 40-year-old group is 10%~17%, in over 60-year-old group 50%, and over the age of 75 up to 80%. According to the etiology of the disease, it is divided into primary and secondary OA. The former one refers to OA with unknown reason,but related to the genetic and physical factors, while the latter one refers to the secondary joint trauma, congenital or hereditary diseases, endocrine and metabolic diseases, inflammatory joint disease, joint disease and other endemic diseases such as osteoarthritis. This disease is similar to Bi syndrome in TCM attributed to the field of Bi syndrome, stasis, phlegm and bone arthralgia. From 995 to 2013, the author treated and observed 156 cases with osteoarthritis and have achieved satisfactory efficacy.