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Способ лечения корешкового болевого синдрома поясничного отдела позвоночника (варианты)
专利权人:
Гнездилов Александр Владимирович (RU)
发明人:
Гнездилов Александр Владимирович (RU),Долбнева Елена Львовна (RU),Крюков Сергей Петрович (RU),Загорулько Олег Иванович (RU)
申请号:
RU2015110898
公开号:
RU2015110898A
申请日:
2015.03.27
申请国别(地区):
RU
年份:
2016
代理人:
摘要:
1.Sposob treatment of radicular pain of the lumbar spine in the outpatient setting, including diagnosis by neuroorthopedic patient examination, magnetic resonance imaging of the lumbar spine and evaluation of the intensity of pain by the visual analogue scale and the treatment involves the use of at least one of traditional acupuncture methods and pharmacotherapy, characterized in that during the initial visit during the acute phase component intensity NOSTA pain obtained by visual analog scale, further refined by determining the functional activity of the patient, the treatment is carried out in view of its somatic of ASA classification status thus carried bolus epidural mixture of local anesthetics, doses for spinal anesthesia in dilution to the required volume for the kind of the access, and changes the level of the intervertebral disc and corticosteroids with high glucocorticoid activity by caudal access position in stomach, followed by turning on the patient side by side to defeat 15-20 min and a return to the initial position for 10-15 minutes, then repeat visits, which prescribe 2-3 days, evaluated the intensity of pain, as described above, and depending of the result is carried further treatment including pharmacopuncture until complete disappearance of pain sindroma.2. The method of claim. 1, characterized in that if there are changes in the intervertebral disc between L1-L2, L2-L3, L3-L4, then immediately after the patients return to the original posture further comprising administering
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