НПВП в лечении пациенток с первичной дисменореей

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Аннотация

Первичная дисменорея является одной из наиболее частых форм нарушения менструального цикла в молодом возрасте. Нередко она приводит к утрате трудоспособности пациенток на несколько дней и требует назначения эффективных и быстродействующих средств. Первой линией терапии при первичной дисменорее признаны нестероидные противовоспалительные препараты (НПВП). При стойком нарушении менструальной функции, приводящем к повторяющимся эпизодам боли, возможно назначение комбинированных гормональных контрацептивов. Эффективность альтернативных методов лечения хотя и подтверждена рядом исследователей, однако уступает традиционным подходам. Согласно последним данным высокую эффективность в лечении первичной дисменореи показал НПВП ибупрофен в дозе 400 мг.

Ключевые слова: первичная дисменорея, НПВП, ибупрофен 400 мг.

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Primary dysmenorrhea is one of the most common forms of menstrual disorders in young age. This often leads to disablement of patients for several days and requires high-speed and efficient preparations. The first line of therapy in primary dysmenorrhea is considered to be the nonsteroidal anti-inflammatory agents (NSAIDs). When persistent menstrual dysfunction occurs, leading to recurrent episodes of pain, perhaps the appointment of combined hormonal contraceptives can be considered as the best method. The effectiveness of alternative treatments, although confirmed by a number of researchers, it lags behind the traditional approaches. According to recent data, the highest efficiency in the treatment of primary dysmenorrhea was shown by NSAID ibuprofen 400 mg.

Key words: primary dysmenorrhea, NSAIDs, ibuprofen 400 mg.

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Авторы

В.В.Коренная

ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России, Москва

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V.V.Korennaya

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