vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2022.2.CLIN.2vmireaviz-388Research ArticleКлиническая медицинаClinical medicineО возможности применения инструментальной и проекционной оценки болевого синдромаOn possibility of application of instrumental and projection assessment of pain syndromehttps://orcid.org/0000-0003-4213-5379МорозовА. М.MorozovA. M.

кандидат медицинских наук, доцент кафедры общей хирургии

SPIN-код 6815-9332 

Тверь

Tver

ammorozovv@gmail.comhttps://orcid.org/0000-0002-6443-0793СороковиковаТ. В.SorokovikovaT. V.

кандидат медицинских наук, доцент кафедры неврологии, реабилитации и нейрохирургии

SPIN-код 5501-2061 

Тверь

Tver

ammorozovv@gmail.comhttps://orcid.org/0000-0001-8892-7086ПичуговаА. Н.PichugovaA. N.

студентка 5 курса лечебного факультета

SPIN-код 6917-7060 

Тверь

Tver

ammorozovv@gmail.comhttps://orcid.org/0000-0001-6125-7676БелякМ. А.BelyakM. A.

студентка 4 курса лечебного факультета

SPIN-код 5449-65802 

Тверь

Tver

ammorozovv@gmail.comТверской государственный медицинский университетРоссияTver State Medical UniversityRussian Federation2022110520221224452Copyright © Морозов А.М., Сороковикова Т.В., Пичугова А.Н., Беляк М.А., 20222022Морозов А.М., Сороковикова Т.В., Пичугова А.Н., Беляк М.А.Morozov A.M., Sorokovikova T.V., Pichugova A.N., Belyak M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/388Актуальность

Актуальность. В современной медицинской практике остро стоит вопрос изучения и разработки методов оценки болевого синдрома, что связано не только со сложностью интерпретации данного ощущения, но и с отсутствием единого представления о механизме формирования болевых ощущений. Развитие диагностических возможностей в области медицинской практики и широкого использования современного оборудования позволило по-новому взглянуть на возможность инструментальной и проекционной оценки болевого синдрома.

Целью данного исследования является изучение возможности применения инструментальной и проекционной оценки болевого синдрома в медицинской практике.

Материалы и методы

Материалы и методы. Изучение производилось на основе анализа данных современных отечественных и зарубежных научных источников в области вопроса о возможности применения инструментальной и проекционной оценки болевого синдрома.

Результаты

Результаты. Новейшие методы оценки болевого синдрома направлены на максимально возможную объективизацию болевых ощущений, что позволяет производить наиболее достоверную клиническую оценку состояния пациента. В настоящее время активно внедряются такие методы исследования как нейровизуализация, определение кожной электропроводимости, анальгетического ноцицептивного индекса, хирургического плетизмографического индекса, электроэнцефалография, плетизмография. Описанные выше инструментальные методы являются новейшими способами объективной оценки не только интенсивности болевого синдрома, но и степени ноцицептивной защиты при применении интраоперационных методов анальгезии. Неоднозначность результатов, полученных в ходе проведения клинических испытаний в рамках оценки достоверности данных критериев оценки силы ноцицепции, диктует необходимость продолжать дальнейшие исследования в области данного вопроса.

Заключение

Заключение. В современной медицинской практике по-прежнему остро стоит вопрос о разработке методов, позволяющих обеспечить адекватную, объективную оценку интенсивности болевого синдрома. Преимущественно данный вопрос касается врачей хирургического профиля, т.к. связан с необходимостью обеспечения адекватного анестезиологического пособия в интраоперационном периоде, что позволит избежать развития послеоперационного болевого синдрома. Решение данной проблемы будет способствовать значительному улучшению результатов терапевтических мероприятий и снизить риск развития хронических болей у пациента.

Topicality

Topicality. In modern medical practice, the issue of studying and developing methods for assessing pain syndrome is acute, which is associated not only with the complexity of interpreting this sensation, but also with the lack of a unified idea of the mechanism for forming pain sensations. The development of diagnostic capabilities in the field of medical practice and the possibility of widespread use of modern equipment allowed us to take a new look at the possibility of instrumental and projection assessment of pain syndrome.

The purpose of this study is to study the possibility of using instrumental and projection assessment of pain syndrome in medical practice.

Material and methods

Material and methods. The study was carried out on the basis of a compilation of data from modern domestic and foreign scientific sources in the field of the possibility of using instrumental and projection assessment of pain syndrome.

Results

Results. The latest methods of assessing pain syndrome are aimed at the maximum possible objectification of pain sensations, which allows making the most reliable clinical assessment of the patient's condition. Currently, research methods such as neuroimaging, determination of cutaneous electroconductivity, analgesic nociceptive index, surgical plethysmographic index, electroencephalography, plethysmography are being actively introduced. The instrumental methods described above are the latest methods for objectively assessing not only the intensity of pain syndrome, but also the degree of nociceptive protection when applying intraoperative analgesia methods. The ambiguity of the results obtained during clinical trials as part of the evaluation of the validity of these criteria for assessing the strength of nociception dictates the need to continue further research in the field of this issue.

Conclusion

Conclusion. In modern medical practice, the issue of developing methods to ensure an adequate, objective assessment of the intensity of pain syndrome remains acute. This issue mainly concerns surgical doctors, which is associated with the need to provide an adequate anesthesiological allowance in the intraoperative period, which will avoid the development of postoperative pain syndrome. Solving this problem will contribute to a significant improvement in the results of therapeutic interventions and reduce the risk of developing chronic pain in the patient.

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The authors declare that there are no conflicts of interest present.