medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2025-195medsovet-9352Research ArticleПУЛЬМОНОЛОГИЯ, ОТОЛАРИНГОЛОГИЯPULMONOLOGY, OTORHINOLARYNGOLOGYКлинический опыт контроля болевого синдрома при инфекционно-воспалительной патологии глоткиClinical experience of pain management in infectious and inflammatory diseases of pharynxhttps://orcid.org/0000-0002-6316-6046ЕгороваО. А.EgorovaO. A.

Егорова Ольга Анатольевна, к.м.н., доцент кафедры оториноларингологии, Смоленский государственный медицинский университет;  заведующая детским оториноларингологическим отделением, Смоленская областная клиническая больница

214018, Смоленск, проспект Гагарина, д. 28; 214018,  Смоленск, проспект Гагарина, д. 27

Olga A. Egorova, Cand. Sci. (Med.), Associate Professor of Department of Otorhinolaryngology; Smolensk State Medical University; Head of Department of Pediatric Otorhinolaryngology, Smolensk Regional Clinical Hospital

28, Gagarin Ave., Smolensk, 214018; 27, Gagarin Ave., Smolensk, 214018

ola-egorova@yandex.ruhttps://orcid.org/0000-0002-3236-2642ТарасовА. А.TarasovA. A.

Тарасов Александр Анатольевич, к.м.н., доцент кафедры оториноларингологии

214018, Смоленск, проспект Гагарина, д. 28

Aleksandr A. Tarasov, Cand. Sci. (Med.), Associate Professor of Department of Otorhinolaryngology

28, Gagarin Ave., Smolensk, 214018

alat71@yandex.ruСмоленский государственный медицинский университет; Смоленская областная клиническая больницаРоссияSmolensk State Medical University; Smolensk Regional Clinical HospitalRussian FederationСмоленский государственный медицинский университетРоссияSmolensk State Medical UniversityRussian Federation2025100920251913108114Copyright © Егорова О.А., Тарасов А.А., 20252025Егорова О.А., Тарасов А.А.Egorova O.A., Tarasov A.A.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/9352

В статье описаны клинические случаи использования кетопрофена в виде раствора для полоскания горла и флурбипрофена в виде таблеток для рассасывания у ребенка с острым вирусным тонзиллофарингитом и 2 взрослых пациентов с перитонзиллярными абсцессами. Показано, что препараты оказывают быстрый и выраженный обезболивающий эффект. Пациенты отмечали значительное уменьшение боли уже через 10–20 мин от момента применения препаратов. Отмечено, что комбинированное применение раствора для полоскания и таблеток для рассасывания дает более быстрый эффект по сравнению с использованием 1 препарата. У пациента с перитонзиллярным абсцессом, получавшего комбинацию препаратов, полное купирование боли в горле наступило на одни сут. раньше, чем у пациента, получавшего в качестве обезболивающей терапии только таблетки для рассасывания. У пациентов не было отмечено нежелательных реакций на прием препаратов. Описанные случаи сопровождаются обзором литературы, в котором представлены сведения об эпидемиологии, причинах и механизмах, методах терапии боли в горле. Чаще всего в практике оториноларинголога встречается ноцицептивная боль, вызываемая инфекционно-воспалительным фактором. Для купирования боли применяется широкий спектр препаратов, относящихся к различным группам (антисептики, антибиотики, местные анестетики и др.), но патогенетическим действием обладает только группа нестероидных противовоспалительных препаратов.

The article presents clinical cases that focus on administration of ketoprofen as a throat wash and flurbiprofen as lozenges in a child with acute viral tonsillopharyngitis and two adult patients with peritonsillar abscesses. The drugs have been shown to provide a rapid and strong analgesic effect. Patients reported a significant reduction in pain within 10–20 minutes after administration of the drugs. It was emphasized that the combined use of a throat wash and lozenges produced a faster effect as compared to the single-drug therapy. The patient with a peritonsillar abscess who received a combination of two drugs demonstrated a complete relief of sore throat a day earlier than a patient who only received lozenges as pain relief therapy. No adverse reactions to the drugs were observed in patients. The presented cases are accompanied by a literature review, which provides information on the epidemiology, causes and mechanisms, as well as methods for treating a sore throat. Otolaryngologists most often see patients with nociceptive pain caused by an infectious and inflammatory factor in their practice. A wide range of drugs from various groups (antiseptics, antibiotics, local anesthetics, etc.) are used to relieve pain, but only a group of non-steroidal anti-inflammatory drugs has a pathogenetic effect.

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