ЗНАЧЕНИЕ КОМПЬЮТЕРНОЙ ТЕРМОГРАФИИ В ОЦЕНКЕ ЭФФЕКТИВНОСТИ ЛЕЧЕНИЯ ВОСПАЛИТЕЛЬНЫХ БОЛЕЙ В СПИНЕ

Аннотация

Medical thermography (thermal imaging): “...a method of recording the natural thermal radiation of the human body in the invisible infrared region of the electromagnetic spectrum of body temperature - one of the most important indicators of human health, based on the fact that any pathological condition locally or generally affects the processes of heat production and heat exchange in the body Thus, during inflammation, the rate of biochemical processes decreases, but the process of uncoupling respiration and phosphorylation intensifies, as a result of which the temperature of the inflamed area will be higher than the temperature of the surrounding tissues” [1]. Key words: cervical dorsalgia, lumbosacral dorsalgia, quality of life. ЗНАЧЕНИЕ КОМПЬЮТЕРНОЙ ТЕРМОГРАФИИ В ОЦЕНКЕ ЭФФЕКТИВНОСТИ ЛЕЧЕНИЯ ВОСПАЛИТЕЛЬНЫХ БОЛЕЙ В СПИНЕ Аннотация. Медицинская термография (тепловизионное изображение): “...метод регистрации естественного теплового излучения человеческого тела в невидимой инфракрасной области электромагнитного спектра температуры тела - один из важнейших показателей здоровья человека, основанный на том факте, что любое патологическое состояние локально или в целом влияет на процессы теплопродукции и теплообмена в организме Таким образом, во время воспаления скорость биохимических процессов снижается, но усиливается процесс разобщения дыхания и фосфорилирования, в результате чего температура воспаленного участка будет выше, чем температура окружающих тканей” [1]. Ключевые слова: шейная дорсалгия, пояснично-крестцовая дорсалгия, качество жизни. Thermography normally has a certain thermal body, and in a healthy individual it practically does not change, but pathology changes it. Thermography is absolutely safe for any duration and duration of use; it is used in pregnant women and children, since it has absolutely no radiation exposure - since it registers human electromagnetic radiation, unlike CT and X-ray studies [1, 2, 4, 6]. It is much cheaper than magnetic resonance imaging, it can be used for long- term monitoring of patients, it has a high speed of obtaining and processing information, easy storage and access to research results [5]. Thermography is a non-contact method that works at a distance, which is not unimportant from the point of view of the epidemiology of contact infectious pathologies [14], it allows “... to examine the entire body at once and within the framework of one patient visit, which is also a significant advantage in the thermography method” [5]. 5 66 International scientific journal ISSN: 2181-3906 «MODERN SCIENCE АND RESEARCH» 2023 VOLUME 2 / ISSUE 11 / UIF:8.2 / MODERNSCIENCE.UZ The basis of dorsalgia is severe pain caused by irritation of the nerve endings of the soft tissues around the spine: “... muscles, ligaments, fascia; facet joints, nerves and spinal ganglia; intervertebral disc, vertebrae, dura mater" [3]. The causes of back pain are varied. Typically, back pain is associated with pathology of the muscles, nerves, bones, joints or other structures of the spine [7]. Lumbar dorsalgia often occurs at the age of 20-50 years, the maximum pain syndrome occurs at 50-64 years; at 20-64 years old, 24% of men and 32% of women report back pain [8, 9]. The most interesting thing is that 12–26% of children and adolescents also report the presence of lower back pain [11, 12]. Up to 67% of women in the population felt pain in the lower back, and the peak of pain is observed at 35–45 years of age [10, 13]. Purpose of the study: to evaluate the role of computed thermography in assessing the effectiveness of treatment for back pain. Material and methods. The study is based on examination data of 175 patients with dorsalgia with inflammatory origin of dorsalgia, of which 52 patients with CD and 123 patients with PCD, aged 21-66 years (36.2±6.7 years). We conducted a comprehensive clinical and neurological examination with active identification of complaints and medical history. Radiological research methods were also used - CT and MRI. All patients received treatment in a physiotherapy private clinic for a minimum of 10 days. Depending on the severity of the disease, duration of the disease, contraindications, a complex of treatment was prescribed: massage of the diseased area No. 10; traction of the cervical or lumbar region immediately after massage No. 10; ultrasound therapy No. 5-10 on the diseased area with indomethacin, laser therapy No. 5-10; electrophoresis No. 5-10, UVT 1-2 units No. 3-5. In addition to shock wave therapy, all physiotherapeutic procedures were carried out regardless of inflammation, at least 4 different procedures per day of treatment. In the presence of an inflammatory process, anti-inflammatory therapy was performed first: For mild inflammation (CRP is 1.5-2 times higher): rheumoxicam 7.5 mg 1 tablet x 1 time in the evening after meals for 10 days, on days 3-4 - UVT For moderate inflammation (CRP higher than 2-3 times, ESR-25-35): xefocam 8.0 mg + Phys. solution