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[心血管高风险患者非特异性下腰痛的治疗]

[Therapy of nonspecific lower back pain in patients with high cardiovascular risk].

作者信息

Zolotovskaya I A, Davydkin I L, Poverennova I E

机构信息

Samara State Medical University, Samara, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(8):18-23. doi: 10.17116/jnevro201911908118.

Abstract

AIM

To evaluate the possibility of using symptomatic slow acting drugs for osteoarthritis (SYSADOA) in patients with nonspecific lower back pain and high cardiovascular risk.

MATERIAL AND METHODS

The study registered as the observational program 'Possibilities of SYSADOA-therapy in patients with nonspecific lower back pain and high cardiovascular risk' was organized in outpatient clinics with sequential inclusion of patients (n=315) with lower back pain. All patients randomized into 5 main groups by method of envelopes were treated with different SYSADOA. The control group (group 6) included 63 patients without lower back pain syndrome. The duration of follow-up was 9 months. The results of the first 3 months of observation of group 1 treated with chondroitin sulfate (chondroguard) compared to the control group are presented.

RESULTS

On the 21 day of therapy, the pain level decreased by more than 62% in group 1. There were no changes in the plasma hemostasis parameters (thrombin time, prothrombin index, activated partial thromboplastin time) and glomerular filtration rate, which was comparable with the control group.

CONCLUSION

Chondroguard is safe for patients with comorbid osteoarthritis and high cardiovascular risk both in short and repeated long-term treatment.

摘要

目的

评估在非特异性下背痛且心血管风险高的患者中使用骨关节炎症状性缓解药物(SYSADOA)的可能性。

材料与方法

在门诊诊所开展了一项注册为“非特异性下背痛且心血管风险高的患者使用SYSADOA治疗的可能性”的观察性项目,依次纳入下背痛患者(n = 315)。通过信封法将所有患者随机分为5个主要组,给予不同的SYSADOA进行治疗。对照组(第6组)包括63例无下背痛综合征的患者。随访时长为9个月。呈现了硫酸软骨素(chondroguard)治疗的第1组与对照组相比前3个月的观察结果。

结果

在治疗第21天时,第1组的疼痛水平下降超过62%。血浆止血参数(凝血酶时间、凝血酶原指数、活化部分凝血活酶时间)和肾小球滤过率无变化,与对照组相当。

结论

无论是短期还是重复长期治疗,chondroguard对合并骨关节炎且心血管风险高的患者都是安全的。

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