medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2016-8-38-43medsovet-1303Research ArticleТЕРАПИЯ БОЛИPAIN THERAPYВедение пациентов с острой люмбалгией и люмбоишиалгией в амбулаторной практикеManagement of patients with acute lumbodynia and lumbar ischialgia in outpatient settingsПарфеновВ. А.ParfyonovV. A.noemail@neicon.ruАнтоненкоЛ. М.AntonenkoL. M.noemail@neicon.ruЛебедеваН. В.LebedevaN. V.noemail@neicon.ruПервый Московский государственный медицинский университет им. И.М. СеченоваРоссияFirst MSMU named after I.M. SechenovRussian Federation201630122016083843Copyright © Парфенов В.А., Антоненко Л.М., Лебедева Н.В., 20162016Парфенов В.А., Антоненко Л.М., Лебедева Н.В.Parfyonov V.A., Antonenko L.M., Lebedeva N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1303

Представлен собственный опыт ведения 50 пациентов (22 мужчины и 28 женщин) в возрасте от 19 до 76 лет с острой неспецифической люмбалгией или люмбоишиалгией. Для обезболивания пациенты получали эторикоксиб (Аркоксиа) по 60 мг/сут и миорелаксанты (мидокалм по 150-300 мг/сут или сирдалуд 2-6 мг/сут). Пациенты были информированы о благоприятном прогнозе заболевания, получили рекомендации по двигательной активности. Длительность лечения колебалась от 14 до 28 дней и составила в среднем 20,0 ± 7,9 дня. На фоне лечения интенсивность боли по визуально-аналоговой шкале снизилась с 6,68 ± 5,23 до 1,10 ± 1,24 балла, инвалидность по шкале Роланда - Морриса - с 8,70 ± 6,21 до 1,44 ± 1,98 балла; не наблюдалось нежелательных явлений. Представлено наблюдение пациентки, у которой быстрый положительный эффект был достигнут быстрее, чем в период предыдущего обострения, при котором проводилось хирургическое лечение (дискэктомия). Результаты наблюдения показывают эффективность и безопасность Аркоксиа при терапии острой люмбалгии и люмбоишиалгии.

Own experience of managing 50 patients (22 men and 28 women) aged 19 to 76 years with acute nonspecific lumbodynia or lumbar ischialgia is described. As anesthesia, patients received etoricoxib (Arcoxia) 60 mg daily and muscle relaxants (Mydocalmum 150--300 mg daily or sirdalud 2--6 mg daily). Patients were informed of the favorable prognosis of the disease and received advice regarding physical activity. The duration of treatment ranged from 14 to 28 days and averaged 20,0 ± 7,9 days. Against the background of treatment, the intensity of pain based on visual analog scale decreased from 6,68 ± 5,23 to 1,10 ± 1,24 points, and disability based on the Roland Morris Disability Questionnaire - from 8,70 ± 6,21 to 1,44 ± 1.98 points; adverse events were not observed. A patient case is described in which positive effect was achieved more quickly than in the previous period of exacerbation after surgical treatment (discectomy). The results demonstrate Arcoxia efficacy and safety in the treatment of acute lumbodynia and lumbar ischialgia.

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The authors declare that there are no conflicts of interest present.