神经尿苷在不同类型周围神经病变中的应用经验

N. Zharkinbekova, Aiganym Khamidulina, Zhazira Barat, Botagoz Rustemova
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摘要

慢性疼痛综合征患者的生活质量仍然是最紧迫的问题之一。如果疼痛持续或复发超过3-6个月,则认为疼痛是慢性的。这会导致残疾、抑郁、睡眠障碍、生活质量差,在这种情况下,重要的是治疗费用。据统计,成人慢性疼痛的平均患病率为20%。世界各地的医生都在寻找缓解疼痛的新方法。研究目的。慢性疼痛综合征患者的生活质量传统上一直是一个热门话题。鉴于疼痛的永久性和其缓解方法的完整性,现代临床医生不断寻找新的治疗方法,以满足循证医学和安全原则。材料和方法。本文报道了30例周围神经病变患者使用neururridine®治疗的结果。30例患者随机接受为期3周的治疗。平均年龄47.5±1.5岁。所有患者均接受标准对症治疗,治疗中加入含b族维生素、叶酸、胆碱、尿苷的口服联合药物,剂量为150mg,每日1次。患者到神经科门诊就诊3次:第1次就诊评估治疗前情况,第2次就诊治疗10天后,第3次就诊治疗20天后。每位患者在每次研究访问时进行两项表现评估:CRS NRS量表的疼痛评估和fps面部量表。结果和讨论。治疗结果分析显示,65.90%的患者疼痛减轻,生活质量改善,32.10%的患者表现迅速恢复,59.90%的患者对镇痛药的需求减少,25.30%的患者症状完全消失。采用HI NRG量表、AZA面部量表和患者第一次、第二次和第三次就诊时使用镇痛药的频率来评估疼痛。结论。神经尿定®用于镇痛目的已显示出减轻周围神经病变患者症状的积极作用。结果证实,这种疗法提供了神经的明显再生,缓解疼痛,并减少神经损伤的疼痛特征。关键词:周围神经病变,Neurouridine®,疼痛评估,生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience of using Neurouridine® in various types of peripheral neuropathy
The quality of life of patients with chronic pain syndrome remains one of the most pressing issues. Pain is considered chronic if it lasts or recurs for more than 3-6 months. This contributes to disability, depression, sleep disorders, poor quality of life, and what is important in this situation, the cost of treatment. According to statistics, the average prevalence of chronic pain in the adult population is 20%. Practitioners everywhere are in search of new methods of pain relief. Purpose of research. The quality of life of patients with chronic pain syndrome has traditionally remained a topical issue. Given the permanent nature of pain and the completeness of approaches to its relief, the modern Clinician is constantly looking for new treatment methods that meet the principles of evidence-based medicine and safety. Material and methods. This paper presents the results of using Neurouridine® in 30 patients with peripheral neuropathy. 30 patients were randomized for a 3-week treatment period. Average age: 47.5±1.5 years. All patients received standard symptomatic therapy, and an oral combination drug containing b vitamins, folic acid, choline, and Uridine was added to the treatment in the 150 mg mode once a day. Patients made three visits to the outpatient neurological office: visit 1-to evaluate pre-treatment, visit 2-after 10 days of treatment, and visit 3-after 20 days of treatment. Each patient was presented with two performance evaluations at each study visit: pain assessment on the CRS NRS scale, and the fps Face scale. Results and discussion. Analysis of the results of the treatment showed improvement in the form of reduced pain, improved quality of life in 65.90%, rapid recovery of performance in 32.10%, reduced need for analgesics in 59.90% and complete disappearance of symptoms in 25.30% of patients. Pain was assessed using the HI NRG scale, the AZA Face scale, and the frequency of analgesics at the patient's first, second, and third visits. Conclusion. The use of Neurouridine® for analgesic purposes has shown a positive effect on reducing symptoms in patients with peripheral neuropathy. The results confirm that this therapy provides a clear regeneration of the nerves, relieving pain, and reducing the soreness characteristic of nerve damage. Keyword: peripheral neuropathy, Neurouridine®, pain assessment, quality of life.
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