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Кардиоваскулярная терапия и профилактика

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Эффективность и безопасность фармакотерапии послеоперационной боли в кардиохирургии

https://doi.org/10.15829/1728-8800-2021-2683

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Аннотация

Интраоперационная травматизация анатомических структур с формированием стернотомной раны неизбежно сопровождается появлением послеоперационного болевого синдрома, что оказывает негативное влияние на течение послеоперационного периода и прогноза пациентов. На сегодняшний день болью умеренной и высокой интенсивности страдают не менее половины пациентов в раннем послеоперационном периоде после кардиохирургических вмешательств. Неадекватное обезболивание в раннем послеоперационном периоде может приводить к хронизации болевых ощущений, существенно снижающим качество жизни пациентов. Концепция мультимодальной анальгезии с применением обезболивающих препаратов различных групп является приоритетной, эффективной и безопасной методикой как после кардиохирургических вмешательств, так и в других областях хирургии. Текущая обзорная статья посвящена эффективности и безопасности различных групп лекарственных препаратов для послеоперационного обезболивания в кардиохирургии.

Об авторах

Д. А. Сычев
ФГБОУ ДПО РМАНПО МЗ РФ
Россия
член-корр. РАН, д.м.н., профессор, заведующий кафедрой клинической фармакологии и терапии, ректор ФГБОУ ДПО РМАНПО МЗ РФ


Т. Е. Морозова
ФГАОУ ВО Первый МГМУ имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)
Россия
д-р мед. наук, профессор кафедры клинической фармакологии и пропедевтики внутренних института клинической медицины, заведующая кафедрой общей врачебной практики ИПО ФГАОУ ВО Первый МГМУ им. И.М.Сеченова (Сеченовский Университет)


Д. А. Шацкий
ФГАОУ ВО Первый МГМУ имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)
Россия
Кафедра клинической фармакологии и пропедевтики внутренних болезней института клинической медицины, ФГАОУ ВО Первый МГМУ им. И.М.Сеченова (Сеченовский Университет), аспирант


Е. В. Ших
ФГАОУ ВО Первый МГМУ имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)
Россия
д-р мед. наук, профессор, заведующая кафедрой клинической фармакологии и пропедевтики внутренних болезней института клинической медицины, ФГАОУ ВО Первый МГМУ им. И.М.Сеченова (Сеченовский Университет).


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Для цитирования:


Сычев Д.А., Морозова Т.Е., Шацкий Д.А., Ших Е.В. Эффективность и безопасность фармакотерапии послеоперационной боли в кардиохирургии. Кардиоваскулярная терапия и профилактика. 2021;20. https://doi.org/10.15829/1728-8800-2021-2683

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)