HEALTH CARE TECHNOLOGIES IN CREATING OPTIMAL WORKING CONDITIONS IN HIGHER EDUCATION INSTITUTIONS

Abstrakt

Neck-shoulder syndrome is a real problem in general clinical practice, manifested by pain, reflex myotonic symptoms in the cervical spine and upper limbs. The goal of our research was a comprehensive study of the clinical and instrumental aspects of the neck-shoulder syndrome for the development of a preventive program and rehabilitation tactics. Materials and methods. We examined 103 people aged 18 to 50 years with clinical manifestations of reflex syndromes of cervical osteochondrosis in the form of cervicocranial pains, who underwent outpatient examination on the basis of National University «Yuri Kondratyuk Poltava Polytechnic» and the Skalyansky Clinic. Among them, 84 (78.64%) patients were women, 22 (21.36%) were men. The duration of having the neck-shoulder syndrome was from 1 to 10 years. The analysis of the obtained data revealed a mixed (musculovascular) mechanism of cervicocranial pain, which is a clinical manifestation of reflex syndromes of cervical osteochondrosis in young people. In this regard, it is advisable to include anti-inflammatory drugs (xefokam, denebol, olfen, nimesil, sigan, etc.), muscle relaxants (midokalm, sirdalud), vascular and venotonics (L-lysine escinat, troxevasin, actovegin) in the complex treatment of this category of patients , nicotinic acid preparations, etc.), vegetotropic drugs, as well as drugs that reduce irritative-paroxysmal phenomena and affect the pain syndrome (gabantine, lamotrine), antidepressants (amitriptyline, fluoxetine, etc.), physiotherapeutic methods and physical therapy. Conclusions. Modern diagnostics and a rational approach to treatment will further lead to early rehabilitation of patients and increase the working capacity of young patients with cervicocranial pain on the background of osteochondrosis of the cervical spine.