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Современная ревматология

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Анальгетическая терапия и проблема коморбидности

https://doi.org/10.14412/1996-7012-2019-3-116-125

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Аннотация

Анальгетическая терапия — необходимый элемент комплексного лечения больных с ревматическими заболеваниями (РЗ). Однако обезболивающие препараты способны вызывать серьезные осложнения. Этот риск особенно велик у пациентов с коморбидными заболеваниями. Поэтому индивидуальный выбор фармакологических средств для контроля острой и хронической боли у конкретного пациента во многом зависит от наличия коморбидной патологии. В настоящем обзоре рассматриваются частота коморбидных заболеваний при различных РЗ, особенности нежелательных реакций на фоне приема основных анальгетиков — парацетамола, опиоидов, нестероидных противовоспалительных препаратов (НПВП), а также вопросы рационального выбора НПВП в реальной клинической практике.

Об авторе

А. Е. Каратеев
Научно-исследовательский институт ревматологии им. В.А. Насоновой
Россия

Каратеев Андрей Евгеньевич.

115522, Москва, Каширское шоссе, 34А.



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Для цитирования:


Каратеев А.Е. Анальгетическая терапия и проблема коморбидности. Современная ревматология. 2019;13(3):116-125. https://doi.org/10.14412/1996-7012-2019-3-116-125

For citation:


Karateev A.E. Analgesic therapy and a problem of comorbidity. Modern Rheumatology Journal. 2019;13(3):116-125. (In Russ.) https://doi.org/10.14412/1996-7012-2019-3-116-125

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