Применение ботулинического токсина типа A в симптоматической терапии и медицинской реабилитации пациентов с рассеянным склерозом

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Представлен обзор современного состояния проблемы симптоматической терапии и медицинской реабилитации (МР) пациентов с рассеянным склерозом (РС). Поиск проводился в базах данных Medline, Web of Science, PubMed и Scopus. Приведены сведения о наиболее распространенных симптомах РС, среди которых наибольшее влияние на качество жизни пациентов, их функционирование и независимость в повседневной жизни оказывают сенсорные и моторные нарушения, дисфункция мочевого пузыря, боль. Рассмотрены клинические характеристики синдрома спастичности при РС и его связь с показателями качества жизни. Рассматриваются особенности применения ботулинотерапии (БТ) при РС. Показан высокий уровень эффективности применения БТ при лечении нейрогенной гиперактивности детрузора и нейрогенного мочевого пузыря (уровень убедительности рекомендации A) и спастичности (уровень убедительности рекомендации B). Симптоматическое лечение РС и МР с применением мультидисциплинарных программ способствуют снижению инвалидности, повышению качества жизни пациентов. При выборе симптоматического лечения и методов МР принято ориентироваться на потребности пациентов.

Ключевые слова:

рассеянный склероз

сенсорные нарушения

моторные нарушения

спастичность

дисфункция мочевого пузыря

симптоматическая терапия

медицинская реабилитация

ботулинотерапия

абоботулотоксин A

качество жизни

Авторы:

Костенко Е.В.

ГАУЗ «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины» Департамента здравоохранения Москвы;
ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России

ORCID: 0000-0003-0902-348X

Дата поступления:

14.09.2023

Дата принятия в печать:

15.09.2023

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