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膝关节炎康复治疗进展:从循证实践到智能融合

吴 金芳, 董 蒋, 苏 欢, 周 建军, 郑 应刚, 刘 志伦, 罗 鹏, 肖 欢

摘要

膝骨关节炎(KOA)作为一种以关节疼痛、僵硬及功能受限为特征的慢性退行性疾病,其高发病率与老龄化趋势密切相
关,给患者心身健康及社会医疗体系都带来了沉重负担。鉴于该病目前尚无根治手段,临床治疗重心正逐步前移至早期
干预。虽然非甾体抗炎药(NSAIDs)及物理康复在缓解症状方面疗效确切,但针对晚期病变,全膝关节置换术(TKA)
仍是主要的外科解决方案,其高昂的经济成本亦不容忽视。随着社会结构变迁与工作形态的多样化,传统康复模式已难
以满足现代患者对便捷性与连续性的需求。本文系统梳理了近年来KOA康复领域的最新进展,指出未来康复策略将突
破单一疗法的局限,转向“以患者为中心”的多模态融合路径。通过深度整合数字化与智能化技术,构建个性化、连续
性的闭环管理体系,不仅能显著改善患者预后,更为慢性病的长期管理提供了创新范式。

关键词

膝关节炎;康复治疗;运动疗法;人工智能;远程康复;中医康复

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