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rsp

Научно-практическая ревматология

Rheumatology Science and Practice

1995-44841995-4492

IMA-PRESS, LLC

10.14412/1995-4484-2016-247-265

rsp-2206

Research Article

МЕЖДУНАРОДНЫЕ И РОССИЙСКИЕ РЕКОМЕНДАЦИИ ПО ЛЕЧЕНИЮ РЕВМАТИЧЕСКИХ ЗАБОЛЕВАНИЙ

INTERNATIONAL AND RUSSIAN GUIDELINES FOR THE TREATMENT OF RHEUMATIC DISEASES

Общие принципы лечения скелетно-мышечной боли: междисциплинарный консенсус

GENERAL PRINCIPLES OF TREATMENT FOR MUSCULOSKELETAL PAIN: INTERDISCIPLINARY CONSENSUS

Насонов

Е. Л.

Nasonov

E. L.

директор, президент Общероссийской общественной организации «Ассоциация ревматологов России», 115522 Москва, Каширское шоссе, 34А;

зав. кафедрой ревматологии Института профессионального образования, 119991 Москва, ул. Трубецкая, 8, стр. 2

главный внештатный специалист-ревматолог Минздрава России, докт. мед. наук, профессор

34A, Kashirskoe Shosse, Moscow 115522;

8, Trubetskaya St., Build. 2, Moscow 119991

Яхно

Н. Н.

Yakhno

N. N.

заведующий научно-исследовательским отделом неврологии научно-исследовательского центра, профессор кафедры нервных болезней лечебного факультета, директор научно-образовательного клинического центра неврологии, президент Российского общества по изучению боли, докт. мед. наук, профессор,

119991 Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

Каратеев

А. Е.

Karateev

A. E.

заведующий лабораторией гастро- энтерологических проблем при ревматических заболеваниях, докт. мед. наук,

115522 Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

aekarateev@rambler.ru

Алексеева

Л. И.

Alekseeva

L. I.

заведующая лабораторией остеоартроза, докт. мед. наук, профессор;

115522 Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

Баринов

А. Н.

Barinov

A. N.

старший научный сотрудник клиники нервных болезней ГБОУ ВПО «Первый МГМУ им. И.М. Сеченова», канд. мед. наук, доцент

119991 Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

Барулин

А. Е.

Barulin

A. E.

заведующий курсом неврологии, мануальной терапии, рефлекотерапии, докт. мед. наук, профессор

400131 Волгоград, площадь Павших борцов, 1

3 1, Fallen Fighters Square, Volgograd 400131

Давыдов

О. С.

Davydov

O. S.

ведущий научный сотрудник, канд. мед. наук

115419 Москва, ул. Донская, 43

43, Donskaya St., Moscow 115419

Данилов

А. Б.

Danilov

A. B.

профессор кафедры нервных болезней ИПО, докт. мед. наук, профессор

119991 Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

Журавлева

М. В.

Zhuravleva

M. V.

главный клинический фармаколог Департамента здравоохранения г. Москвы, профессор кафедры клинической фармакологии и пропедевтики внутренних болезней, докт. мед. наук, профессор;

119991 Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

Заводовский

Б. В.

Zavodovsky

B. V.

заведующий лабораторией методов лечения и профилактики заболеваний суставов, докт. мед. наук, профессор

400138 Волгоград, ул. им. Землячки, 76

76, Zemlyachka St., Volgograd 400138

Копенкин

С. С.

Kopenkin

S. S.

доцент кафедры травматологии, ортопедии и военно-полевой хирургии, канд. мед. наук

117997 Москва, ул. Островитянова, 1

1, Ostrovityanov St., Moscow 117997

Кукушкин

М. Л.

Kukishkin

M. L.

руководитель лаборатории фундаментальных и прикладных проблем боли НИИ общей патологии и патофизиологии РАН, ответственный секретарь Российского общества по изучению боли, докт. мед. наук, профессор

125315 Москва, ул. Балтийская, 8

8, Baltiyskaya St., Moscow 125315

Парфенов

В. А.

Parfenov

V. A.

заведующий кафедрой нервных болезней и нейрохирургии лечебного факультета, директор клиники нервных болезней, докт. мед. наук, профессор

119991 Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

Страхов

М. А.

Strakhov

M. A.

доцент кафедры травматологии, ортопедии и военно-полевой хирургии, канд. мед. наук,

117997 Москва, ул. Островитянова, 1

1, Ostrovityanov St., Moscow 117997

Тюрин

В. П.

Tyurin

V. P.

главный терапевт, заместитель заведующего кафедрой внутренних болезней ИУВ, заслуженный врач РФ, докт. мед. наук, профессор

105203 Москва, ул. Нижняя Первомайская, 70

70, Nizhnyaya Pervomayskaya St., Moscow 105203

Чичасова

Н. В.

Chichasova

N. V.

профессор кафедры ревматологии ИПО, докт. мед. наук, профессор

119991 Москва, ул. Трубецкая, 8, стр. 2

8, Trubetskaya St., Build. 2, Moscow 119991

Чорбинская

С. А.

Chorbinskaya

S. A.

заведующая кафедрой семейной медицины и заместитель директора по учебной работе, докт. мед. наук, профессор;

121359 Москва, улица Маршала Тимошенко, 21

21, Marshal Timoshenko St., Moscow 121359

ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой; ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РоссииРоссияV.A. Nasonova Research Institute of Rheumatology; I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaRussian Federation

ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaRussian Federation

ФГБНУ Научно-исследовательский институт ревматологии им. В.А. НасоновойРоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation

ГБОУ ВПО «Волгоградский государственный медицинский университет» Минздрава РоссииРоссияVolgograd State Medical University, Ministry of Health of RussiaRussian Federation

ГБУЗ г. Москвы «Научно-практический психоневрологический центр им. З.П. Соловьева Департамента здравоохранения г. Москвы»РоссияResearch and Practical Center of Psychoneurology, Moscow Healthcare Department, MoscowRussian Federation

ФГБНУ «Научно-исследовательский институт клинической и экспериментальной ревматологии» ФАНО РоссииРоссияResearch Institute of Clinical and Experimental Rheumatology, Federal Agency of Scientific Organizations of RussiaRussian Federation

ГБОУ ВПО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRussian Federation

ФГБНУ «Научно-исследовательский институт общей патологии и патофизиологии» РАНРоссияResearch Institute of General Pathology and Pathophysiology, Russian Academy of SciencesRussian Federation

ФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov National Medical Surgical Center, Ministry of Health of RussiaRussian Federation

ФГБУ «Учебно-научный медицинский центр» Управления делами Президента Российской ФедерацииРоссияTraining and Research Medical Center, Department for Presidential Affairs of the Russian FederationRussian Federation

2016

19072016

543247265

Copyright © Насонов Е.Л., Яхно Н.Н., Каратеев А.Е., Алексеева Л.И., Баринов А.Н., Барулин А.Е., Давыдов О.С., Данилов А.Б., Журавлева М.В., Заводовский Б.В., Копенкин С.С., Кукушкин М.Л., Парфенов В.А., Страхов М.А., Тюрин В.П., Чичасова Н.В., Чорбинская С.А., 2016

2016

Насонов Е.Л., Яхно Н.Н., Каратеев А.Е., Алексеева Л.И., Баринов А.Н., Барулин А.Е., Давыдов О.С., Данилов А.Б., Журавлева М.В., Заводовский Б.В., Копенкин С.С., Кукушкин М.Л., Парфенов В.А., Страхов М.А., Тюрин В.П., Чичасова Н.В., Чорбинская С.А.

Nasonov E.L., Yakhno N.N., Karateev A.E., Alekseeva L.I., Barinov A.N., Barulin A.E., Davydov O.S., Danilov A.B., Zhuravleva M.V., Zavodovsky B.V., Kopenkin S.S., Kukishkin M.L., Parfenov V.A., Strakhov M.A., Tyurin V.P., Chichasova N.V., Chorbinskaya S.A.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://rsp.mediar-press.net/rsp/article/view/2206

Основное проявление заболеваний суставов и позвоночника, таких как остеоартроз, неспецифическая боль в спине, ревматологическая патология околосуставных мягких тканей, – скелетно-мышечная боль (СМБ). Она приводит к значительным страданиям, временной и стойкой потере трудоспособности миллионов жителей нашей страны. Эти люди нуждаются в адекватной медицинской помощи, и прежде всего – в быстром и максимально полном обезболивании. К сожалению, в этой области медицины приходится видеть серьезные проблемы. Отсутствие единого подхода и преемственности в лечебном процессе, недостаточные знания о современной концепции патогенеза СМБ и возможностях ее терапии могут существенно затруднять работу практикующих врачей.

20 июня 2015 г. в Москве состоялось совещание российских экспертов, представляющих различные медицинские специальности и обсудивших вопросы оптимизации тактики лечения СМБ. По итогам совещания были выделены основные положения, касающиеся теоретических и практических аспектов СМБ, а также предложен алгоритм лечения этой патологии. Представляется, что использование этого алгоритма позволит облегчить работу практикующих врачей, повысить эффективность и безопасность анальгетической терапии.

The main manifestation of joint and spine diseases, such as osteoarthritis, nonspecific back pain, and soft tissue rheumatic disorders, is musculoskeletal pain (MSP). It leads to considerable morbidity as well as temporary and permanent disability in millions of people of our country. These people need adequate medical care and most significantly a prompt and maximally complete analgesia. Unfortunately, serious problems are being faced in this field of medicine. The lack of a unified approach or continuity in the therapeutic process, inadequate knowledge of the pathogenesis of MSP and of the possibilities of its therapy may substantially hamper the work of practitioners.

The meeting of Russian experts who were represented in different medical specialties and discussed the optimization of MSP treatment policy was held in Moscow on 20 June 2015. According to the results of the meeting, the authors identified the main points regarding the theoretical and practical aspects of MSP and also proposed an algorithm for the treatment of this pathology. It seems that the use of this algorithm will be able to facilitate the work of practitioners and to enhance the efficiency and safety of analgesic therapy.

скелетно-мышечная больостеоартрознеспецифическая боль в спинеанальгетическая терапиямеждисциплинарный консенсус

musculoskeletal painosteoarthritisnonspecific back painanalgesic therapyinterdisciplinary consensus

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The authors declare that there are no conflicts of interest present.