Эффективность лечения клинических и параклинических проявлений ревматоидного артрита

Аннотация

In the study of 168 patients with rheumatoid arthritis, neurotic disorders (ND) were found in 65.6% of patients: 22.6% - weak, 31.7% - moderate and 14.9% - severe degree. The most frequently diagnosed asteno-vegetative disorders are 61.3%. In 24.4% of patients, asthenovegetative symptoms were combined with emo-tional symptoms, 14.3% had hypochondriacal symptoms, 9.5% had hysterical symptoms, and 4.8% had obses-sive disorders. With ND of an easy degree, complex treatment was performed with the use of restorative drugs, physiotherapy and physiotherapy procedures, medium degree - with sedatives (novopassit, sedavit, glycin, adaptol), expressed degree - with antidepressants. At the end of treatment (10-21 days) of all patients with ND in 66 (54.1%) was complete, 44 (36.1%) - a significant reduction in symptoms. In 12 (9.8%) patients, the symp-tomatology of ND did not improve. After the course of complex treatment in 11.5% of patients the result was assessed as unsatisfactory, 26.2% - satisfactory and 62.3% - positive. In the control group (46 patients without ND), these results were obtained respectively in 10.8, 37.0 and 52.2% of patients