nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2018-2-33-37nnp-882Research ArticleORIGINAL INVESTIGATIONSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ И МЕТОДИКИInterventional medicine techniques in the treatment of nonspecific low back pain caused by sacroiliac joint dysfunctionЛечение неспецифической люмбалгии, обусловленной дисфункцией крестцово-подвздошного сочленения, методами интервенционной медициныКавелинаА. В.KavelinaA. V.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery 

11, Rossolimo St., Moscow 119021

ИсайкинА. И.IsaikinA. I.

Кафедра нервных болезней и нейрохирургии

Контакты: Алексей Иванович Исайкин

119021, Москва, ул. Россолимо, 11

Contact: Aleksey Ivanovich Isaikin 

Department of Nervous System Diseases and Neurosurgery 

11, Rossolimo St., Moscow 119021

alexisa68@mail.ruИвановаМ. А.IvanovaM. A.

Кафедра нервных болезней и нейрохирургии 

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery 

11, Rossolimo St., Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)» Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation2018240620181023337Copyright © Kavelina A.V., Isaikin A.I., Ivanova M.A., 20182018Кавелина А.В., Исайкин А.И., Иванова М.А.Kavelina A.V., Isaikin A.I., Ivanova M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/882Objective

Objective: to investigate the efficiency and safety of therapeutic blockades with anesthetics and GCs, or SIJ RFD in the combination therapy of chronic low back pain due to SIJ injury.

Patients and methods

Patients and methods. The investigation enrolled 51 patients (36 women and 15 men) aged 32 to 75 years (mean age, 56.4±2.1 years). Group 1 included 32 patients (mean age, 51.75±2.65 years) who used periarticular blockades with local anesthetics and GCs; Group 2 consisted of 19 patients (mean age, 64.1±2.8 years) who underwent SIJ RFD.

Results and discussion

Results and discussion. These treatments showed high efficiency and safety. Three months after a treatment cycle, there were reductions in the intensity of pain (by an average of 47%; p<0.0001) and in the degree of disability and improvements in the physical and psychological parameters of quality of life. There were no substantial differences in the health status of patients in the two groups treated with blockades with anesthetics and GCs or SIJ RFD.

Conclusion

Conclusion. It has been shown that the incorporation of blockades with anesthetics and GCs or SIJ RFD into the treatment of patients with chronic low back pain can improve the results of therapy. 

Неспецифическая люмбалгия часто вызвана дисфункцией крестцово-подвздошного сочленения (КПС), при ее лечении обсуждается эффективность лечебных блокад с анестетиками и глюкокортикоидами (ГК), радиочастотной денервации (РЧД) КПС.

Цель исследования – изучение эффективности и безопасности лечебных блокад с анестетиками и ГК, РЧД КПС в комплексной терапии хронической люмбалгии вследствие поражения КПС.

Пациенты и методы

Пациенты и методы. В исследование включен 51 пациент (36 женщин и 15 мужчин) в возрасте от 32 до 75 лет (средний возраст – 56,4±2,1 года). В 1-ю группу вошли 32 пациента (средний возраст – 51,75±2,65 года), у которых использовались околосуставные блокады с местными анестетиками и ГК, во 2-ю группу – 19 пациентов (средний возраст – 64,1±2,8 года), которым назначали РЧД КПС.

Результаты и обсуждение

Результаты и обсуждение. Отмечены высокая эффективность и безопасность этих методов лечения. Через 3 мес после курса лечения уменьшились интенсивность боли (в среднем на 47%; p<0,0001), а также степень нетрудоспособности пациентов, улучшились физические и психологические параметры качества жизни. Не выявлено существенных различий в состоянии больных двух групп, получавших лечение блокадами с анестетиками и ГК, а также РЧД КПС.

Заключение

Заключение. Показано, что включение блокад с анестетиками и ГК или РЧД КПС в комплексное лечение пациентов с хронической люмбалгией позволяет улучшить результаты терапии.

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