JUZ ANDREJ ANATOLEVICH,Юз Андрей Анатольевич,MAKIROV SERIK KALIULOVICH,Макиров Серик Калиулович
申请号：
RU2014150324/15
公开号：
RU0002578962C1
申请日:
2014.12.12
申请国别(地区):
RU
年份:
2016
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to treating vertebral pain syndromes. To this end, a set of measures is carried out, including: limiting motor mode of affected segment, and pharmacotherapy. Severity of disease and intensity of pain syndrome is evaluated according to questionnaire patient-specific functional numerical evaluation Scale (PSFS). Affected spine, collar of trench for cervical, which is recommended wear for not more than 5 days, or lumbar corset, which is used during prolonged walking and down within 15 days. Complex drug therapy involves: anti-inflammatory therapy with diclofenac, which is assigned for first 5 days in form of rectal suppositories at 100 mg a day, and starting from 6 days - in form of tablets in a dose of 25 mg 2 times a day, muscle relaxant central action preparation Sirdalud or its analogue in a dose of 2 mg once a day one hour before bedtime vasodepressor Troxerutin by 2 capsules a day Milgamma is injected intramuscularly at 1 ml 1 time in 3 days in amount of 5 injections Gabapentin by oral administration, starting with dose of 300 mg a day with gradual increase up to 900 mg a day until clinical effect. For external application is prescribed Apizatron applied on affected spine 2 times a day. With underlying pharmacotherapy is prescribed therapeutic exercises, including, starting from first day of treatment in acute period, exercises to relaxation of muscles and spinal decompression, nerve root and surrounding vessels in a subacute period with remitting pain syndrome, patient performs isometric exercise, aimed at training of muscles, large gluteal muscles and shoulder girdle muscles at stage of manifested pain syndrome, patient performs exercises to strengthen back muscles and lower extremities. From first day of treatment is carried out by one acupuncture session a day in an amount of 10 sessions. Clinical effectiveness is assessed every 3 days using values of evaluation digital scale. When manifes
