妈，穿不穿秋裤跟老寒腿真没关系！
<section class="js_darkmode__3" style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;margin-left: 70px;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(62, 62, 62);font-variant-numeric: normal;font-variant-east-asian: normal;font-family: 微软雅黑;font-size: 16px;line-height: 25.6px;letter-spacing: 1px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(33, 33, 34);font-weight: bolder;white-space-collapse: preserve;visibility: visible;font-size: 15px;">小年说：<br style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"/></span></section><p><br/></p><section class="js_darkmode__5" style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;margin-left: 70px;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(62, 62, 62);font-variant-numeric: normal;font-variant-east-asian: normal;font-family: 微软雅黑;font-size: 16px;line-height: 25.6px;letter-spacing: 1px;visibility: visible;"><span style="font-size: 15px;color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;">“有种冷叫你妈觉得你冷”。冬天来了，又到了家长们催着穿秋裤的季节。</span></section><section class="js_darkmode__5" style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;margin-left: 70px;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(62, 62, 62);font-variant-numeric: normal;font-variant-east-asian: normal;font-family: 微软雅黑;font-size: 16px;line-height: 25.6px;letter-spacing: 1px;visibility: visible;"><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-size: 15px;"><br/></span></section><section style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;margin-left: 70px;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(62, 62, 62);font-variant-numeric: normal;font-variant-east-asian: normal;font-family: 微软雅黑;font-size: 16px;line-height: 25.6px;letter-spacing: 1px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;color: rgb(136, 136, 136);visibility: visible;font-size: 15px;">“记得穿秋裤，不然以后老了会得老寒腿”。到底什么是老寒腿？不穿秋裤真的会得老寒腿吗？</span></section><section class="js_darkmode__5" style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;margin-left: 70px;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(62, 62, 62);font-variant-numeric: normal;font-variant-east-asian: normal;font-family: 微软雅黑;font-size: 16px;line-height: 25.6px;letter-spacing: 1px;visibility: visible;"><br/></section><section class="js_darkmode__5" style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;margin-left: 70px;outline: 0px;background-color: rgb(255, 255, 255);color: rgb(62, 62, 62);font-variant-numeric: normal;font-variant-east-asian: normal;font-family: 微软雅黑;font-size: 16px;line-height: 25.6px;letter-spacing: 1px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;color: rgb(136, 136, 136);visibility: visible;font-size: 15px;">推荐给你，静夜思。</span></section><p><br/></p><p style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;outline: 0px;font-family: PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 15px;color: rgb(136, 136, 136);visibility: visible;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"/></span></p><p><br/></p><section style="-webkit-tap-highlight-color: transparent;margin-bottom: 0px;outline: 0px;font-family: PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;visibility: visible;"><section powered-by="xiumi.us" style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><section powered-by="xiumi.us" style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;"><strong style="color: rgb(0, 122, 170);letter-spacing: 0.578px;font-size: var(--articleFontsize);-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 15px;visibility: visible;">妈，穿不穿秋裤跟老寒腿真没关系！</span></strong></section><p style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;text-align: center;visibility: visible;"><span style="color: rgb(136, 136, 136);font-size: 15px;letter-spacing: 0.578px;">作者：邓婷 长沙市第三医院骨科 主治医师</span></p><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px; text-align: center; visibility: visible; margin-bottom: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(136, 136, 136);font-size: 15px;visibility: visible;">审核：纪刚</span></section><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px; text-align: center; visibility: visible; margin-bottom: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(136, 136, 136);font-size: 15px;visibility: visible;">河北医科大学第一医院骨科副主任医师</span></section><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px; text-align: center; visibility: visible; margin-bottom: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(136, 136, 136);font-size: 15px;visibility: visible;"><br/></span></section></section></section></section><section><section><section style="margin-bottom: 24px;text-align: center;"><span style="color: rgb(0, 122, 170);"><strong><span style="font-size: 15px;">什么是“老寒腿”？</span></strong></span></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">我们常说的“老寒腿”其实是膝关节骨性关节炎，是一种膝关节的退行性疾病。主要临床表现为膝关节疼痛、肿胀及活动受限，主要病理表现为膝关节软骨的纤维化、磨损、剥脱等伴发滑膜充血水肿及骨赘增生等。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">据不完全统计，我国 60 岁以上人群发病率为 50%，75 岁以上人群高达 80%，全国大概有 1.2 亿人遭受膝关节骨性关节炎疼痛的困扰。研究显示膝关节骨性关节炎患者中，近 20% 会伴随焦虑及抑郁症状，是导致全世界中老年人生活质量降低和经济负担加重的重要原因。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">一旦得了膝骨关节炎，膝关节可能会出现以下症状：</span></section><section><section><section><section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">1.长期反复疼痛，运动后加重，休息后减轻；</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">2.行走不便，下蹲困难或者蹲下去后站起来很费劲，上、下楼梯疼痛明显或突然活动发生刺痛；</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">3.部分患者还会有所谓的“晨僵”的现象，每天早上起来，腿脚总是活动不开，这种情况还出现在久坐、久站之后，但是一般不会超过半小时；</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">4.活动关节的时候老是有“咔咔响”声音，甚至有走路“打软腿”的情况。在受凉、天气变化或湿度增加或是有寒冷刺激的时候这些症状会明显加重，这也就是老寒腿说法的来源；</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">5.严重的会出现下肢肌肉萎缩，还可因关节积液并发滑膜炎出现关节肿胀。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">6.当关节炎进展到后期就会逐渐出现膝关节伸不直也弯不了的情况，部分患者还会出现明显的“罗圈腿”或者“X 型腿”。</span></section></section></section></section></section><section><section><section style="margin-bottom: 24px;text-align: center;"><span style="color: rgb(0, 122, 170);"><strong><span style="font-size: 15px;">为什么会得“老寒腿”？</span></strong></span></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">“老寒腿”也就是膝关节炎的发生主要与以下几个因素相关：</span></section><section><section><section><section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">1.年龄因素：膝关节骨性关节炎发病率随着年龄的增长而增加，关节软骨修复能力逐渐降低。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">2.体重因素：体重的增加会导致膝关节受力不均，关节负荷大，易变形。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">3.职业因素：某些特殊职业人员也容易患膝关节骨性关节炎，如体力劳动者，职业运动员等。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">4.合并疾病：如骨质疏松、糖尿病、痛风等。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">5.外伤因素：由于外伤、手术或其他因素导致的软骨破坏或关节结构改变。</span></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">虽然骨关节炎的发病因素有这么多，但是不穿秋裤与关节炎没有直接的关系。</span></section><section><section><section style="margin-bottom: 24px;text-align: center;"><span style="color: rgb(0, 122, 170);"><strong><span style="font-size: 15px;">怎么预防“老寒腿”？</span></strong></span></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">虽然目前尚不能完全预防骨性关节炎的发生，但是通过一些措施，可以减少或延缓骨性关节炎的发生。</span></section><section><section><section><section><section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">1</span></strong></p></section></section></section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">避免久站、久坐</span></strong></p><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);"><br/></span></strong></p></section></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">久坐久站，这个习惯会造成腰椎、髋关节、膝关节的慢性劳损。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">因为膝关节是通过挤压作用将关节滑液里的营养物质送进软骨细胞内，一直坐着不动，关节虽然没有负重，但关节软骨也没有像海绵吸水般的挤压-松弛的过程，自然吸收不到营养，同理，无论什么姿势，维持时间过长，都会对膝关节产生同样的效果。建议维持同一个姿势不超过 40 分钟。</span></section><section><section><section><section><section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">2</span></strong></p></section></section></section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">适当的功能锻炼</span></strong></p><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);"><br/></span></strong></p></section></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">膝关节功能锻炼的原则是以主动不负重的活动为主，练习关节活动，增强肌肉力量。功能锻炼可促进局部血液循环，保护、增强软组织的弹性及韧性，减少发病机率，延长疾病发作间隙时间。如各方向直腿抬高、蚌式开合运动、游泳、骑行等。</span></section><section><section><section><section><section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">3</span></strong></p></section></section></section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">伤膝盖的动作一定要少做</span></strong></p><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);"><br/></span></strong></p></section></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">比如爬高楼、爬坡、登山等。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">过多的、反复的负重屈伸膝的动作，会加速关节的磨损，像爬楼、爬山时膝关节要负担体重 3 至 4 倍的重量，所以能走平路尽量不要爬坡，能坐电梯尽量不要走楼梯。</span></section><section style="margin-bottom: 0px;text-align: center;"><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><span style="color: rgb(171, 25, 66);"><strong><span style="font-size: 15px;">4</span></strong></span></section></section></section><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><section style="margin-bottom: 0px;"><span style="color: rgb(171, 25, 66);"><strong><span style="font-size: 15px;">减轻体重</span></strong></span></section><section style="margin-bottom: 0px;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);"><br/></span></strong></section></section></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">肥胖是关节炎发生的一个不被大众所熟知的诱因。因为肥胖会加重关节面的负担，进而加速关节结构磨损、老化。所以大多数肥胖者都较容易发生膝、脊柱和足部关节的骨性关节炎。适当的健康减肥可以缓解关节炎引发的疼痛和肢体障碍等症状，还对治愈关节炎有着积极的作用。</span></section><section><section><section><section><section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">5</span></strong></p></section></section></section><section><section><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);">注意膝关节保暖</span></strong></p><p style="margin-bottom: 0px;text-align: center;"><strong><span style="font-size: 15px;color: rgb(171, 25, 66);"><br/></span></strong></p></section></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">在运动后或天气炎热，身上出汗很多，这时不能马上进入空调房间，或用电风扇对着吹和洗凉水澡，因为受寒容易引发和加重病情。冬天要注意膝关节的保暖，防止关节受寒湿侵袭。</span></section><section><section><section><section><section><section><section><p style="margin-bottom: 0px;text-align: center;"><span style="color: rgb(171, 25, 66);"><strong><span style="font-size: 15px;">6</span></strong></span></p></section></section></section><section><section><p style="margin-bottom: 0px;text-align: center;"><span style="color: rgb(171, 25, 66);"><strong><span style="font-size: 15px;">给膝关节补充营养</span></strong></span></p><p style="margin-bottom: 0px;text-align: center;"><span style="color: rgb(171, 25, 66);"><strong><span style="font-size: 15px;"><br/></span></strong></span></p></section></section></section></section></section></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">适当服用维生素 A、维生素 C、维生素 E、氨基葡萄糖及补充维生素 B 等对膝关节骨性关节炎有一定的预防作用。</span></section><section style="margin-bottom: 24px;"><span style="font-size: 15px;">如果你已经出现关节炎的症状了，那么切记：虽然不是因为不穿秋裤才得的老寒腿，但是穿上秋裤也可以给我们的“老寒腿”保驾护航，千万不要“忘穿秋裤”。</span></section><section><section data-lazy-bgimg="https://www.fqlook.cn/plugin.php?id=wcn_editor:wx_img&url=https://mmbiz.qpic.cn/mmbiz_png/IZKicxnz4NVib64AMnoLibc7ATfFHicRb1TpyEMvcxPnmibwV0k5lNPiciaJO0Lv0OLZ5sO6QAqMOw2byrFZmSyrc75Ag/640?wx_fmt=png" data-fail="0" style="-webkit-tap-highlight-color: transparent;outline: 0px;"><section data-autoskip="1" style="-webkit-tap-highlight-color: transparent;outline: 0px;"><p class="js_darkmode__16" style="-webkit-tap-highlight-color: transparent;outline: 0px;background-color: rgb(255, 255, 255);letter-spacing: 0.544px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;text-align: center;color: rgb(163, 163, 163) !important;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 15px;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;font-family: 微软雅黑;letter-spacing: 1px;">—THE END—</strong></span></p><section class="js_darkmode__17" style="-webkit-tap-highlight-color: transparent;outline: 0px;background-color: rgb(255, 255, 255);font-size: 15px;letter-spacing: 1px;font-family: 微软雅黑;text-align: center;color: rgb(163, 163, 163) !important;"><br/></section><section style="margin-bottom: 0px;letter-spacing: 0.578px;"><p><span style="color: rgb(136, 136, 136);">参考文献</span></p></section><section style="margin-bottom: 0px;letter-spacing: 0.578px;"><section><p><span style="color: rgb(136, 136, 136);">Uivaraseanu B, Vesa CM, Tit DM, Abid A, Maghiar O, Maghiar TA, Hozan C, Nechifor AC, Behl T, Patrascu JM, Patrascu JM, et al: Therapeutic approaches in the management of knee osteoarthritis (Review). Exp Ther Med 23: 328, 2022.</span></p><p><span style="letter-spacing: 0.034em; color: rgb(136, 136, 136);">郇瑞, 管士坤, 郭蜀新, 刘雪剑, 刘宁. 膝关节单髁置换术治疗高龄膝骨关节炎患者的研究进展. 中国修复重建外科杂志, 2024, 38(8): 1022-1026. doi: 10.7507/1002-1892.202403092</span></p><p><span style="letter-spacing: 0.034em; color: rgb(136, 136, 136);">Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H: Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine. 2020, 29-30:100587. 10.1016/j.eclinm.2020.100587</span></p><p><span style="letter-spacing: 0.034em; color: rgb(136, 136, 136);">中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南 (2018年版) .中华骨科杂志, 2018, 38 (12) :705-715.</span></p></section></section></section></section></section><p><br/></p><p><br/></p><link rel="stylesheet" href="//www.fqlook.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_M5O" id="wcn_editor_css"/> 说的也是事实 理解的误区 多穿点就对了。
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