Диабетическая дистальная полинейропатия. Обзор современных рекомендаций

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В структуре неврологических осложнений сахарного диабета (СД) диабетическая дистальная полинейропатия (ДПН) занимает первое место. Диабетическая полинейропатия гетерогенна по клиническому течению и характеру поражения периферической нервной системы. В большинстве случаев диагноз диабетической полинейропатии основывается на выявлении специфической неврологической симптоматики, результатах обследования неврологического статуса и, при доступности методик, результатах нейрофизиологических исследований. Фармакотерапия болевой ДПН включаетnсредства симптоматичекоого и патогенетического действия. Компенсация сахарного диабета является не только основой снижения риска развития и прогрессии диабетической полинейропатии, но и предиктором эффективности патогенетической и симптоматической терапии. Первичный выбор препарата основывается на особенностях пациента, степени компенсации СД, выраженности болевой симптоматики, наличии значимой сопутствующей патологии стоимости и доступности препаратов.

Об авторах

В. Б. Береговский

ФГБУ «Северо-Западный федеральный медицинский исследовательский центр» Минздрава России

Автор, ответственный за переписку.
Email: Vnkh2009@yandex.ru
Россия, Санкт-Петербург

В. Н. Храмилин

ГБОУ ВПО РНИМУ им. Н.И.Пирогова Минздрава России

Email: Vnkh2009@yandex.ru
Россия, Москва

И. Ю. Демидова

ГБОУ ВПО Первый МГМУ им. И.М. Сеченова

Email: Vnkh2009@yandex.ru
Россия, Москва

И. A. Строков

ФГБУ «Федеральное бюро медико-социальной экспертизы» Минтруда России

Email: Vnkh2009@yandex.ru
Россия, Москва

И. В. Гурьева

ГБОУ ДПО РМАПО Минздрава России

Email: Vnkh2009@yandex.ru
Россия, Москва

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