THE USE OF ANALGESICS TO MANAGE BACK PAIN IN PREHOSPITAL, IN-HOSPITAL AND OUTPATIENT CARE. CONTINUITY AND CONTROL
https://doi.org/10.24884/2072-6716-2019-20-2-31-38
Abstract
Ketoprofen («Ketonal») proved to be significantly efficient in pre-hospital care when administered intramuscularly at a dose of 100 mg to treat pain in the neck (n=31), thoracic spine (n=53), and lower back (n=50), according to a visual analogue scale (VAS). During the in-hospital and outpatient care (n=33), a continued use of Ketoprofen in multiple therapy (muscle relaxants and chondroprotective agents) for lower back pain significantly improved the quality of life (Roland–Morris questionnaire) and reduced the pain twice according to VAS. At the end of the 3-week treatment, the maximum deep body temperature (measured by microwave radiothermometry) decreased in the lower back but did not return to normal. High correlation coefficients between the deep and skin temperature did not return to normal after treatment. Stabilometric parameters remained ‘rigid’, except for patient’s overall equilibrium (R) that became reliably normal in all directions. The control methods used indicate the need for a longer therapy.
About the Authors
A. A. Tarakanov
Rostov State Medical University
Russian Federation
Russian Federation
Aleksandr A. Tarakanov
Rostov-on-Don
A. V. Tarakanov
Rostov State Medical University
Russian Federation
Russian Federation
Aleksandr V. Taraka
Rostov-on-Don
V. V. Efremov
Rostov State Medical University
Russian Federation
Russian Federation
Valerij V. Efremov
Rostov-on-Don
References
1. Tarakanov A. A., Еfremov V. V., Tarakanov A. V. Taktika vracha i fel’dshera skoroj pomoshchi pri vyzove k pacientu s ostroj bol’yu v spine. Skoraya medicinskaya pomoshch’: sbornik tezisov. St. Petersburg, 2014, рр. 156–157 (in Russ.).
2. Barancevich Е. R. Vertebrogennyj bolevoj sindrom. Skoraya medicinskaya pomoshch’: nacional’noe rukovodstvo / pod red. S. F. Bagnenko, M. Sh. Hubutiya, A. G. Miroshnichenko, I. P. Minnullina. Moscow: GEOTAR-Media, 2015, рр. 291–295 (in Russ.).
3. Tarakanov A. A., Tarakanov A. V., Еfremov V. V. Kriterii vybora metoda anal’gezii na dogospital’nom etape pri bolyah v nizhnej chasti spiny. Skoraya medicinskaya pomoshch’, 2015, No 4, рр. 28–33. (in Russ.).
4. Konsensus po vedeniyu pacientov s bol’yu v spine dlya terapevtov i vrachej obshchej praktiki poliklinik / A. L. Vertkin, A. Е. Karateev, M. L. Kukushkin et al. Moscow, 2017, 15 р. (in Russ.).
5. Parfenov V. A., Ivanova M. A. Vedenie bol’nyh s bol’yu v spine. Medicinskij sovet, 2018, No 1, рр. 112–117. (in Russ.).
6. Roland M.O., Morris R. W. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain // Spine. 1983. Vol. 8. P. 141–144.
7. Vajsblat A. V. Radiotermografiya kak metod diagnostiki v medicine. Moscow, 2003, 67 р. (in Russ.).
8. Sliva A. S., Vojnov I. D., Sliva S. S. Razvitie metodov i sredstv komp’yuternoj stabilografii. Izvestiya YUFU. Tekhnicheskie nauki. Tematicheskij vypusk. № 9. Taganrog: Izdatel’stvo TTI YUFU, 2010, рр. 158–164. (in Russ.).
9. Skvorcov D. V. Stabilometrichesk oe issledovanie. Moscow: Izdatel’stvo Maska, 2010. 176 р. (in Russ.).
10. Usachev V. I. Sposob kachestvennoj ocenki funkcii ravnovesiya / Patent na izobretenie № 2175851. Moscow, 2001. (in Russ.).
11. Kotova O. V. Lechenie boli v spine. Russkij medicinskij zhurnal, 2012, No 8, рр. 414–416. (in Russ.).
12. Shor Yu. M. Bolevoj sindrom u pacienta s kompressionnoj radikulopatiej. Rossijskij zhurnal boli. 2013, No 4, рр. 30–32. (in Russ.).
13. Vasemazov S. N. Komp’yuternaya stabilometriya v diagnostike nevrologicheskih proyavlenij poyasnichnogo osteohondroza. Aspirantskij vestnik Povolzh’ya, 2009, No 7–8, рр. 8–12 (in Russ.).
14. Еsin R. G., Еsin O. R., Gorobec Е. A. et al. Bol’ v shee, bol’ v spine: bazovye principy diagnostiki i terapii / рod obshch. red. R. G. Еsina. Kazan’: Izd-vo Kazan. un-ta, 2016, 400 р. (in Russ.).
15. Pikovskij V. Yu., Kulik A. I., Sil’vestrov V.D. et al. Primenenie nesteroidnogo protivovospalitel’nogo preparata ketonal (ketoprofen) v usloviyah dogospital’nogo etapa. Medicina neotlozhnyh sostoyanij, 2006, No 3 (4), рр. 71–72. (in Russ.).
16. Arja H.-S. et al. Risk of upper gastrointestinal events with the use of various NSAIDs: A case control study in a general population // Scandinavian Journal of Gastroenterology. 2007. Vol. 42, No 8. Р. 923–932.
17. Lazebnik L.B., Kotsiubinskaia O. B., Konev Iu.V., Drozdov V. N. Non-steroidal anti-inflammatory drugs and tramadol in the treatment of osteoarthrosis deformans in patients with arterial hypertension // Klin. Med. (Mosk). 2004. Vol. 82 (10). Р. 56–61.
18. Melero L., Burillo T., Marcet Z. Comparative incidence of upper gastrointestinal bleeding associated with individual non-steroidal anti-inflammatory drugs // Rev. Esp. Enferm. Dig. 2002. Vol. 94. Р. 7–18.
Review
For citations:
Tarakanov A.A., Tarakanov A.V., Efremov V.V. THE USE OF ANALGESICS TO MANAGE BACK PAIN IN PREHOSPITAL, IN-HOSPITAL AND OUTPATIENT CARE. CONTINUITY AND CONTROL. EMERGENCY MEDICAL CARE. 2019;20(2):31-38. (In Russ.) https://doi.org/10.24884/2072-6716-2019-20-2-31-38
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