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“随着运动损伤越来越多,运动医学的发展也正受到全世界的关注。然而,国内运动医学发展才刚刚起步。”陈世益教授坦言,不仅国内医疗机构很少有运动医学科,而且相应的运动损伤后的康复治疗也很缺乏。陈世益透露,当前运动损伤的误诊、漏诊比例较高,尤其是软骨断裂,诊断中很难发现。“跑步中的力学非常深奥,造成的损伤类型也极为复杂,并非开刀都能解决疼痛,这也给医生诊断带来了一定难度。”
“除了误诊漏诊,运动康复治疗也是短板,”陈世益坦言,运动康复治疗包括了损伤后的治疗、体能康复、心理康复、运动技能的康复,需要跨学科综合治疗。而现在医院开展的康复治疗多是针对中风、肢体残疾的患者,与理想中的运动康复治疗相去甚远。“随着全民健身运动的开展,相信运动康复也将会成为发展的一项重点。如果可以把竞技体育上很多成熟的技术对全民进行普及,那是很好的事情。”
上海交通大学附属第六人民医院骨科主任张先龙教授在接受科技日报采访时表示,我们讲健康理念是适度运动,其实一般人走八千到一万步就够了,如果一天走十几万步,这样的关节过度活动都会引起关节老化、关节蜕变,关节就容易坏掉,寿命就会减少。“膝关节对于我们人体来讲非常重要的,是我们活动中枢,它的致残率非常的高,关节炎不光是软骨变窄还有肌肉老化、韧带功能不全,还有滑膜增生,滑液的异常改变。滑液下降、粘弹性下降,所以要改变关节滑液也是我们治疗关节炎重要的一个环节。”
众所周知,中国目前有一亿患者正在遭受着关节炎等疾病折磨,但如何康复治疗却缺乏科普。张先龙教授表示,大部分病人所接受的是一些非手术治疗,手术治疗是少数,在手术之前关节液注射、粘弹性补充治疗是一个主要的治疗手段。在粘弹性治疗阶段,欣维可就是一个主要的代表,也可以说是目前唯一一个使用交联技术所生产的代表,同样是从动物关节炎当中提取透明质酸钠,但经过两次交联的过程,提高了分子量,提高了粘弹性,让它更加接近人体自然的生理状态。张先龙强调,及时精准阶梯化治疗是关键。
责任编辑:韩佟 CL1368
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