Повышение эффективности лечения больных с невралгией тройничного нерва

Abstract

Neuralgia is a sensory disorder, expressed in pain in the zone of innervation of the corresponding nerve. The disease affects people over 40 years of age. Mostly women are ill. In recent years, in the Department of Maxillofacial Surgery at the Bukhara Regional Multidisciplinary Medical Center, some progress has been made in the clinical diagnosis and treatment of trigeminal neuralgia, although much remains unclear in the etiology and pathogenesis of this disease. We studied 280 case histories of patients with idiopathic trigeminal neuralgia over the past 3 years. Of the 280 patients, there were 110 men and 170 women. About half of the patients associate the onset of their disease with a "disease" of the teeth. In this regard, such patients sometimes had 2-3 or more intact teeth removed. We have introduced the treatment of trigeminal neuralgia with the help of hemonocaine blockades. Our observations concern 60 patients aged 25 to 65 years. The greatest number of neuralgia accounted for the age of 40 to 60 years (35 patients). During the observation period after hemonocaine blockades, remission was observed in 13% of patients, after novocaine blockades - 23% over a period of 2 years. Thus, the use of hemonovocaine blockades in the treatment of trigeminal neuralgia in patients with concomitant pathology - hypertension led to very commendable results.