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2020, vol. 20, br. 2, str. 29-42
Tretman bola u donjem delu leđa u ambulanti hitne medicinske pomoći
aJZU Zavod za hitnu medicinsku pomoć, Podgorica, Crna Gora
bGradski zavod za hitnu medicinsku pomoć, Beograd

e-adresaslavoljubz3@mts.rs
Ključne reči: bol u donjem delu leđa; primarna zdravstvena zaštita; vodiči dobre prakse
Sažetak
Uvod: Lumbalni bol doživi 80% ljudi tokom života. Najčešća vrsta bola u leđima je nespecifični bol u donjem delu leđa, koji čini približno 95% slučajeva na nivou primarne zdravstvene zaštite. U približno 95% slučajeva uzrok bola je nepoznat i nakon kompletne dijagnostike. Recidivi česti ali se najčešće očekuje potpun oporavak. Većina bolesnika sa akutnim lumbalnim bolom se leči kod lekara primarne zravstvene zaštite koji treba da informiše pacijenta o dobroćudnoj prirodi bolesti i dobroj prognozi. Cilj rada: je bio da se pokaže u kojoj meri se u ambulanti Gradskog Zavoda za hitnu medicinsku pomoć Beograd, kod pacijenata sa dijagnozom lumbalnog sindroma, pridržavamo u lečenju domaćeg vodiča dobre kliničke prakse i stranih preporuka. Metod rada: Istraživanje je retrospektivna analiza elektronske medicinske dokumentacije iz ambulante Zavoda u periodu od 01. Januara 2017.do 31 decembra 2018. na 17607 pacijenata. Analizirani su podaci iz elektronske baze rađene u programu ACCES. Traženi su pacijenati sa jednom od dijagnoza iz spektra lumbalnog sindroma. Rezultati: Pronađeno je 246 ili 1,4% pacijenata sa dijagnozom lumbalnog bolnog sindroma. Više je osoba muškog pola. Starosti od 19-81 godina. Od 125 pacijenata sa urađenom Lazarević probom 73 je negativno a 52 pozitivno. Data terapija je najčešće diklofenak 93,9%, kortikosteroidi 47,55% i Diazepam 28,45%, metamizol, kortikosteroidi i to u uglavnom parenteralno. Zaključak: Lumbalni bol se u ovoj ambulanti leči najčešće sa NSAIL i kortikosteroidima datim parenteralno. U najvećem procentu se ne pridržavamo preporuka iz domaćeg vodiča dobre prakse, kao ni stranih preporuka iz literature.
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O članku

jezik rada: srpski
vrsta rada: originalan članak
DOI: 10.5937/abc2002029R
objavljen u SCIndeksu: 26.09.2020.
Creative Commons License 4.0

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