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Современная ревматология

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«Малая ревматология»: несистемная ревматическая патология околосуставных мягких тканей верхней конечности. Часть 2. Медикаментозные и немедикаментозные методы лечения

https://doi.org/10.14412/1996-7012-2015-3-33-42

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Аннотация

Лечение ревматической патологии околосуставных мягких тканей (РПОМТ) верхней конечности (тендинит ротаторов плеча, эпикондилит, синдром де Кервена, «щелкающий палец», синдром запястного канала) основывается на комплексном применении медикаментозных и немедикаментозных методов. Основными препаратами, эффективность которых доказана при этой патологии, являются нестероидные противовоспалительные препараты (НПВП) и глюкокортикоиды (ГК). В статье рассмотрены наиболее крупные и известные исследования, составляющие «доказательную базу» целесообразности использования при РПОМТ таких средств, как НПВП, локальное ведение ГК, гиалуроновой кислоты и обогащенной тромбоцитами плазмы, а также различных немедикаментозных методов. Немедикаментозные методы (физиотерапия, упражнения и программы реабилитации) должны рассматриваться как необходимая составная часть терапевтического процесса у пациентов с хронической болью, связанной с РПОМТ. Сохранение выраженной боли и нарушения функции, несмотря на консервативную терапию, следует считать показанием для хирургического лечения.

Об авторах

Андрей Евгеньевич Каратеев
ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия
115522, Москва, Каширское шоссе, 34А


Д. Е. Каратеев
ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия
115522, Москва, Каширское шоссе, 34А


Ю. А. Ермакова
ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия
115522, Москва, Каширское шоссе, 34А


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Для цитирования:


Каратеев А.Е., Каратеев Д.Е., Ермакова Ю.А. «Малая ревматология»: несистемная ревматическая патология околосуставных мягких тканей верхней конечности. Часть 2. Медикаментозные и немедикаментозные методы лечения. Современная ревматология. 2015;9(3):33-42. https://doi.org/10.14412/1996-7012-2015-3-33-42

For citation:


Karateev A.E., Karateev D.E., Ermakova Y.A. Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the upper extremity. Part 2. Drug and non-drug treatments. Modern Rheumatology Journal. 2015;9(3):33-42. (In Russ.) https://doi.org/10.14412/1996-7012-2015-3-33-42

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