350 rub
Journal Technologies of Living Systems №4 for 2009 г.
Article in number:
OSTEOGENIC FACTOR IN PATHOGENESIS OF VERTEBROGENIC CARDIALGIA AND INTRAOSTEAL BLOCKADES IN THEIR TREATMENT
Keywords: thoracal osteochondrosis vertebrogenic cardialgia intraosteal blockade paravertebral blockade
Authors:
Ye. L. Sokov, L. Ye. Kornilova, V. A. Filimonov, P. A. Ganzhula
Abstract:
136 patients with clinical presentations of thorax osteochondrosis, with reflex vertebral-cardiac disorders were investigated. 100 patients were with a combination of vertebrogenic cardialgia and ischemic disease and 36 patients were without ischemic disease. Besides traditional therapy, 56 patients with clinical presentations of thorax osteochondrosis and ischemic disease obtained a course of intraosteal blockades. 44 patients with clinical presentations of thorax osteochondrosis and ischemic disease obtained a course of paravetebras blockades additionally to traditional ther-apy. 36 patients with clinical presentations of thorax osteochondrosis without ischemic disease obtained a course of intraosteal blockades. Efficiency of treatment was evaluated according to dy-namics of pain syndrome parameters obtained by using the visual-analog scale data, russified Mc-Gill pain questionnaire, questionaire "body scheme", and change of a cardiac function and va-riability of a heart rate obtained by using ECG Holter monitoring data. Higher levels of therapy ef-ficiency of intraosteal blockades for patients with vertebrogenic cardialgia, both with and without ischemic disease, were observed in comparison with treatment of patients with clinical presenta-tions of thorax osteochondrosis and ischemic disease by using paravetebral blockades. It was concluded that osteogenic factor can be considered as one of important mechanisms of forming vertebrogenic cardialgia.
Pages: 50-58
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