"Walking Killer" osteoarthritis spreads to young people! Experts call for: pay attention to the whole course of disease management, protection.

Osteoarthritis has long been known as the "edgy cancer" and the "walking killer" of the elderly.
However, many people mistakenly believe that the "leg and foot disadvantage" of the elderly is a normal phenomenon with age, do not pay attention to the potential harm of osteoarthritis, but also ignore that this is a disease in youth, the onset of long-term accumulation of chronic diseases in old age.
, what exactly is osteoarthritis? Which populations are susceptible to osteoarthritis? At present, osteoarthritis in China what are the treatment dilemmas and treatment methods? How should Osteoarthritis manage the whole course of illness? How to prevent osteoarthritis? ...... To solve these problems, on October 11th, on the occasion of the 24th World Arthritis Day, a study focusing on the current state of bone and joint health in China and the practice of diagnosis and treatment, "Patient-Centered - New Insights into Bone and Joint Health Management" (hereinafter referred to as the "Report"), was officially released in Beijing.
report release site "report" brings together the current epidemiological data of osteoarthritis, diagnosis and treatment guidelines, into the online consultation platform of big data, for the first time a comprehensive presentation of the current situation of osteoarthritis in China and the disease management needs, put forward the "establishment of patient-centered osteoarthritis whole course management" model and direction.
is osteoarthritis? Osteoarthritis is the most common disease among people over 60 years of age 40 among the world's population and the fourth most common disability disease in the world.
professor Ong Xisheng, vice chairman of the orthopaedic branch of the Chinese Medical Association and director of orthopaedics at Beijing Concord Hospital, said that pre-osteoarthritis related to pain and pressure, difficulty climbing stairs, fear of squatting, joint stiffness, wind and other symptoms.
Osteoarthritis is caused by a variety of causes, in addition to age, gender and other factors, occupational influence and bad living habits are also important causes of osteoarthritis, according to Lin Jianhao, director of orthopaedic arthritis at Peking University People's Hospital.
, he points out that excessive or inadequate exercise, long standing or sedentary work habits can all induce osteoarthritis.
and arthritis can affect all weight-carrying joints throughout the body, with knee and bone discomfort most common, followed by cervical and lumbar vertebrae.
report on the incidence of osteoarthritis in China shows that the prevalence of osteoarthritis in China, the number of cases, the number of years of disability loss of life, from the time span has increased significantly.
total number of osteoarthritis patients in China reached 61.2 million in 2017, China is a "superpower" of osteoarthritis.
especially with the aging of the population and the prevalence of obesity, the incidence of osteoarthritis is on the rise in china, even to young people and physically active people.
is considered "geriatric disease", early on on stages of symptoms such as joint discomfort are concentrated in middle age.
The report revealed that the rate of conscious joint discomfort in patients increased with age, with the initial focus on 40-54 years of age, a significant increase in 45-49 years of age, and nearly 20% of the rate of joint discomfort in the under-45 age group.
not only that, but the overall situation of osteoarthritis is characterized by its own.
women had higher rates than men, and the average number of unwell joints was higher than that of men.
from a geographical point of view, the prevalence rate in southwest, northwest, Guangdong and Heilongjiang is high overall, with Sichuan Province becoming the province with the highest incidence of osteoarthritis in China with a ratio of 3.9%.
China's osteoarthritis prevention and treatment dilemma is known to know that the most common problem of osteoarthritis in China is mainly focused on treatment expectations, disease management and treatment costs of the three major aspects, respondents look forward to improving the quality of life, medical burden can be controlled, and willing to learn more about the disease to help themselves or their families better out of the shackles of disease.
And overall, The awareness rate, visit rate and treatment compliance of osteoarthritis in China are still low, in order to improve the level of prevention and treatment of osteoarthritis in China, Beijing Concord Hospital orthopaedics chief physician Professor Ong Xisheng called for: osteoarthritis prevention and treatment should be from the whole society (popular science knowledge, etc.), full staff, the whole process (prevention, consultation, slow disease management, etc.) three aspects of the overall improvement.
need to establish a full course management system osteoarthritis is often referred to as "edic cancer."
Because of the slow progress, nearly 90% of osteoarthritis patients lack understanding of it, and even the end of disability and other diseases lack of understanding or error, so early patients often delayed re-diagnosis, missed the earliest opportunity.
To this end, Professor Ong Xisheng, Chief Orthopaedic Physician, Beijing Concord Hospital, said: "The management of osteoarthritis, a chronic disease, focuses on early diagnosis and treatment, early intervention, the use of step-by-step, personalized treatment strategies."
Therefore, the construction of 'basic treatment - drug therapy - surgical treatment' step-by-step management awareness of the whole course of disease, to guide patients at different stages according to the progress of the disease to adopt targeted treatment methods, should become an important development direction of the current bone and joint health management model.
" at the same time, he called for attention to basic treatment, public education, health policy and osteoarthritis prevention strategy integrated into the formal management of chronic disease diagnosis and treatment, and the implementation of appropriate osteoarthritis prevention and treatment strategy, timely use of sports therapy, physiotherapy, action assistance and other means, the earliest "treatment window" forward, delay the progress of the disease.
addition, for osteoarthritis drug treatment, the report also stressed the need to adopt individual treatment strategies, not only to deal with the disease, but also to deal with people.
symptoms of pain can be significantly reduced by nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain.
joint swelling, in the acute stage of patients, on the basis of disease education, exercise therapy, according to the patient's condition as appropriate to inject a small amount of hormones into the joint cavity to alleviate symptoms, but note that the joint cavity injection within 1 year should not exceed 4 times, at the same time need strict sterile operation to avoid infection.
addition, cartilage protectors such as crystalline sulphate amino glucose can be used as background therapy for long-term use, relieve pain, repair cartilage, and delay disease progression.
, Professor Lin Jianhao, director of orthopaedics at Peking University People's Hospital, said: "Given the irreversible nature of osteoarthritis, patient self-management is critical.
For patients with early and medium-term osteoarthritis, in maintaining the appropriate weight and adjusting their lifestyle, scientific exercise therapy is one of the core means of osteoarthritis disease management, targeted and personalized exercise therapy can effectively help patients to achieve pain relief, improve knee function and quality of life and other purposes.
" is noteworthy, and the Patient-Centric- New Insights into Bone and Joint Health Management report is supported by Healthcare Ecology Platform's Safe Doctors and Mylan, a global pharmaceutical company.
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