[Peridural analgesia in the combined treatment of neurologic syndromes in lumbar osteochondrosis].
The authors relate the results of the treatment of 151 patients with the remarkable painful syndrome of long standing associated with lumbar osteochondrosis. In 74 patients of the main group, peridural administration of the synthetic opiates dipidolor and phentanyl provided effective analgesia in the lack of sympathetic denervation, arterial hypotension and tissue deafferentation. The selective action of the synthetic morphine-like opiates did not reduce the activity of the endogenous antinociceptive structures or destroyed the reflex mechanisms of sanogenesis. The economic effect obtained as a result of introduction of peridural injections of dipidolor and phentanyl into multimodality treatment of the neurological syndromes associated with lumbar osteochondrosis has been computed.
Iudel'son
Ia B
IaB
Malkina
D N
DN
Vas'kin
V Z
VZ
D015360:Analgesia, Epidural; D000701:Analgesics, Opioid / Q000008:administration & dosage; D001416:Back Pain / Q000188:drug therapy* / Q000209:etiology; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D007278:Injections, Spinal; D008159:Lumbar Vertebrae / Q000187:drug effects / Q000294:innervation*; D009408:Nerve Compression Syndromes / Q000188:drug therapy* / Q000209:etiology; D010007:Osteochondritis / Q000150:complications*; D010892:Pirinitramide / Q000008:administration & dosage; D012447:Sacrum / Q000187:drug effects / Q000294:innervation*; D012585:Sciatica / Q000188:drug therapy* / Q000209:etiology
D000701:Analgesics, Opioid; D010892:Pirinitramide; D005283:Fentanyl