medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2017-17-63-71medsovet-2150Research ArticleТЕРАПИЯ БОЛИPAIN THERAPYПОСТИНСУЛЬТНЫЕ БОЛЕВЫЕ СИНДРОМЫ: КЛИНИЧЕСКИЕ АСПЕКТЫ, ДИАГНОСТИЧЕСКИЕ КРИТЕРИИ, ОСОБЕННОСТИ ТЕРАПИИ И РЕАБИЛИТАЦИОННЫХ МЕРОПРИЯТИЙPOST-STROKE PAIN SYNDROMES: CLINICAL ASPECTS, DIAGNOSTIC CRITERIA, FEATURES OF THERAPY AND REHABILITATION MEASURESКостенкоЕ. В.KostenkoE. V.

Доктор медицинских наук

MD

Российский национальный исследовательский медицинский университет им. Н.И. Пирогова Минздрава России; Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения г. МосквыРоссияPirogov Russian National Research Medical University; Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare DepartmentRussian Federation2017091120170176371Copyright © Костенко Е.В., 20172017Костенко Е.В.Kostenko E.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2150

Статья посвящена  актуальной проблеме постинсультных болевых синдромов (ПБС). Боль после инсульта ассоциирована  с эмоциональными  нарушениями, когнитивной дисфункцией, нарушением двигательной  функции, ухудшением качества жизни пациента и ограничением возможностей медицинской реабилитации. Представлен обзор клинических аспектов, факторов риска развития ПБС, особенностей терапии и реабилитационных мероприятий наиболее часто встречающихся болевых синдромов после инсульта. Приводятся данные собственного наблюдения 1317 пациентов, перенесших инсульт. Продемонстрирована  эффективность применения лорноксикама в комплексной программе медицинской реабилитации пациентов, перенесших инсульт, с миофасциальным болевым синдромом поясничной локализации и болью в плече. Таким образом, боль является частым осложнением после инсульта, необходимо выявлять пациентов с высоким риском ее развития. Своевременная и адекватная терапия ПБС с включением в реабилитационные программы эффективных и безопасных нестероидных противовоспалительных средств способствует улучшению функциональных исходов после инсульта.

The article is devoted to the topical problem of post-stroke pain syndromes, which are a frequent complication after a stroke. Pain after a stroke is associated with psychoemotional disorders, cognitive dysfunction, dysfunction, impaired quality of life and limited opportunities for medical rehabilitation. The review of clinical aspects, risk factors of development of post-stroke pain, features of therapy and rehabilitation measures of the most common pain syndromes after a stroke is presented. The data of own observation of 1317 patients who have suffered a stroke are given. The effectiveness of lornoxicam in the complex program of medical rehabilitation of stroke patients with myofascial pain syndrome of lumbar localization and pain in the shoulder was demonstrated.

Conclusions: In order to improve the effectiveness of the rehabilitation process, optimize the quality of life and function after a stroke, it must be taken into account that the pain is a frequent complication after a stroke and identify patients at high risk of its development. Timely and adequate therapy of PBS with the inclusion of effective and safe NSAIDs in rehabilitation programs contributes to the improvement of functional outcomes after a cerebral stroke.

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