Ведение пациентов с хронической неспецифической поясничной болью

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Ведение пациентов с хронической неспецифической поясничной болью

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Ведение пациентов с хронической неспецифической поясничной болью

Журнал "Медицинский совет." №1, 2019

DOI: https://doi.org/10.21518/2079-701X-2019-1-40-45

В.А. ПАРФЕНОВ - Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет)

Хронические поясничные боли (ПБ) представляют одну из наиболее частых причин временной нетрудоспособности населения. При обследовании пациентов большое значение имеет как исключение специфических причин боли, так и оценка социальных и психологических факторов поддержания боли. При ведении пациентов с хронической неспецифической ПБ эффективен комплексный мультидисциплинарный подход, который включает рационализацию лекарственной терапии, лечебную гимнастику, коррекцию (при необходимости) рабочего места и двигательной активности, психологические методы и образовательную программу. Из лекарственных средств в период комплексного лечения наиболее часто используются нестероидные противовоспалительные средства (НПВС). Обсуждается применение в качестве НПВС ибупрофена медленного высвобождения при хронической неспецифической ПБ.

Parfenov Vladimir Anatolievich – Dr. of Sci. (Med), Professor, Head of the Department of Nervous Diseases and Neurosurgery of the Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University), Director of the Clinic of Nervous Diseases named after A.Y. Kozhevnikov of the First Moscow State Medical University named after I.M. Sechenov

Chronic lumbar pain (CLP) is one of the most common causes of temporary disability. Both the elimination of specific causes of pain and the assessment of social and psychological factors of pain management are of great importance in the examination of patients. A comprehensive multidisciplinary approach is effective in managing patients with chronic nonspecific LP, which includes rationalization of drug therapy, therapeutic gymnastics, correction (if necessary) of the workplace and motor activity, psychological methods and educational program. Non-steroidal anti-inflammatory drugs (NSAIDs) are the drugs most commonly used during the integrated treatment period. The use of slow release ibuprofen as a NSAID in chronic non-specific LP is discussed.

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