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Современная ревматология

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Современные представления о формировании механизмов болевого синдрома у пациенто в с о стеоартрозом. Рациональная фармакотерапия

https://doi.org/10.14412/1996-7012-2014-3-66-72

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Аннотация

В статье изложены современные представления о механизмах развития боли при остеоартрозе (ОА). Проблема аналгезии при ОА остается нерешенной, что дает основание для более пристального изучения механизмов развития боли при ОА. Имеется ли повреждение периферических соматосенсорных нервов при ОА, – этот вопрос является предметом пристального изучения и дискуссий. Приведены результаты исследований, посвященных изучению неврогенного компонента боли у пациентов с ОА. Получено достаточно доказательств наличия сенсорных аномалий, сопровождающих боль при ОА. В клинической практике для идентификации центральной сенситизации у пациентов с ОА может оказаться полезным использование опросников для выявления невропатической боли. Представлена характеристика препаратов для симптоматической терапии боли.

Об авторе

Е. В. Иголкина
ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России, Москва, Россия 101000, Москва, ул. Трубецкая, д. 8, стр. 2
Россия


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Для цитирования:


Иголкина Е.В. Современные представления о формировании механизмов болевого синдрома у пациенто в с о стеоартрозом. Рациональная фармакотерапия. Современная ревматология. 2014;8(3):66-72. https://doi.org/10.14412/1996-7012-2014-3-66-72

For citation:


Igolkina E.V. Current views of the development of pain syndrome mechanisms in patients with osteoarthrosis. Rational pharmacotherapy. Modern Rheumatology Journal. 2014;8(3):66-72. (In Russ.) https://doi.org/10.14412/1996-7012-2014-3-66-72

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ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)