ppharmПедиатрическая фармакологияPediatric pharmacology1727-57762500-3089Издательство «ПедиатрЪ»10.15690/pf.v10i2.648ppharm-238Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESКОНТРОЛЬ ТОЧНОСТИ ИНЪЕКЦИЙ БОТУЛИНИЧЕСКОГО ТОКСИНА ТИПА А ПРИ СПАСТИЧЕСКИХ ФОРМАХ ДЕТСКОГО ЦЕРЕБРАЛЬНОГО ПАРАЛИЧА: ВЫБОР МЕТОДИКИBOTULINUM TOXIN A INJECTION PRECISION CONTROL AT SPASTIC FORMS OF CEREBRAL PALSY: METHODOLOGY CHOICEКлочковаО. А.KlochkovaO. A.

врач-педиатр отделения восстановительного лечения детей с болезнями нервной системы НИИ профилактическойпедиатрии и восстановительного лечения НЦЗД РАМН

Klochkova_oa@nczd.ruКуренковА. Л.KurenkovA. L.klochkova_oa@nczd.ruМамедъяровА. М.Mamed'yarovA. M.klochkova_oa@nczd.ruНамазова-БарановаЛ. С.Namazova-BaranovaL. S.namazova@nczd.ruГеворкянА. К.GevorkyanA. K.klochkova_oa@nczd.ruКаримоваХ. М.KarimovaKh. M.klochkova_oa@nczd.ruНаучный центр здоровья детей РАМН, Москва, Российская ФедерацияРоссияScientific Center of Children’s Health, Moscow, Russian FederationRussian FederationНаучный центр здоровья детей РАМН, Москва, Российская Федерация Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская ФедерацРоссияScientific Center of Children’s Health, Moscow, Russian Federation Pirogov Russian National Research Medical University, Moscow, Russian Federation The First Sechenov Moscow State Medical University, Russian FederationRussian Federation201301042013102Педиатрическая фармакология8086Copyright © Клочкова О.А., Куренков А.Л., Мамедъяров А.М., Намазова-Баранова Л.С., Геворкян А.К., Каримова Х.М., 20132013Клочкова О.А., Куренков А.Л., Мамедъяров А.М., Намазова-Баранова Л.С., Геворкян А.К., Каримова Х.М.Klochkova O.A., Kurenkov A.L., Mamed'yarov A.M., Namazova-Baranova L.S., Gevorkyan A.K., Karimova K.M.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pedpharma.ru/jour/article/view/238

В статье приведены общие сведения об использовании ботулинотерапии в лечении спастических форм детского церебрального паралича; представлен обзор современных способов контроля точности инъекций препаратов ботулинического токсина типа А при спастичности и других патологических состояниях; подробно разбираются преимущества и недостатки каждого метода контроля инъекций. Особое внимание уделено обоснованному выбору метода контроля инъекций в педиатрической практике; описаны мышцы, представляющие наибольшую сложность для ботулинотерапии при спастических формах детского церебрального паралича. Представлены собственные наблюдения и результаты применения ультразвукового контроля инъекций препаратов ботулинического токсина типа А при различных паттернах спастичности у детей.

 

The article provides general information on botulinum therapy in treating spastic forms of cerebral palsy; a review of modern botulinum toxin A drugs’ injection precision control methods at spasticity and other pathologic states is given; advantages and disadvantages of each injection control method are analyzed in detail. Special attention is paid to the substantiated choice of the injection control method in pediatric practice; muscles of the highest degree of complexity for botulinum therapy at spastic forms of cerebral palsy are described. The authors’ observations and results of applying ultrasound botulinum toxin A drugs’ injection control at different spasticity patterns in children are given.

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The authors declare that there are no conflicts of interest present.