avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2022-12-1-22-34avk-1371Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESПериоперационное ведение пациентов с ревматологическими заболеваниями: рекомендации по применению глюкокортикостероидов, болезнь-модифицирующих антиревматических препаратов, генно-инженерных биологических препаратов, нестероидных противовоспалительных препаратовPerioperative Management of Patients with Rheumatic Diseases: Glucocorticoids, DMARDs, Biological Agents and NSAIDshttps://orcid.org/0000-0002-4262-4060ЛялинаВ. В.LyalinaV. V.

Вера Валерьевна Лялина

Москва

Vera V. Lyalina

Moscow

vera_lyalina@mail.ruhttps://orcid.org/0000-0002-9365-1472БорисовскаяС. В.BorisovskayaS. V.

Москва

Moscow

https://orcid.org/0000-0001-6321-8419СкрипниченкоЭ. А.SkripnichenkoE. A.

Москва

Moscow

https://orcid.org/0000-0002-1237-3731ЭттингерО. А.EttingerO. A.

Москва

Moscow

https://orcid.org/0000-0003-0877-9672ПаджеваТ. М.PadzhevaT. M.

Москва

Moscow

https://orcid.org/0000-0003-1699-0881НикитинИ. Г.NikitinI. G.

Москва

Moscow

Кафедра госпитальной терапии № 2 ЛФ ФГАОУ ВО РНИМУ им. Н. И. Пирогова Минздрава РоссииРоссияPirogov Russian National Research Medical University (Pirogov Medical University)Russian FederationКафедра госпитальной терапии № 2 ЛФ ФГАОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России; ГБУЗ «ГКБ имени В. М. Буянова ДЗМ»РоссияPirogov Russian National Research Medical University (Pirogov Medical University); Buyanov City Clinical HospitalRussian FederationГБУЗ «ГКБ № 40 ДЗМ»РоссияMoscow City Clinical Hospital № 40Russian FederationКафедра госпитальной терапии № 2 ЛФ ФГАОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России; ФГАУ «НМИЦ «ЛРЦ» Минздрава РоссииРоссияPirogov Russian National Research Medical University (Pirogov Medical University); National Medical Research Center of Treatment and RehabilitationRussian Federation2022310120221212234Copyright © Лялина В.В., Борисовская С.В., Скрипниченко Э.А., Эттингер О.А., Паджева Т.М., Никитин И.Г., 20222022Лялина В.В., Борисовская С.В., Скрипниченко Э.А., Эттингер О.А., Паджева Т.М., Никитин И.Г.Lyalina V.V., Borisovskaya S.V., Skripnichenko E.A., Ettinger O.A., Padzheva T.M., Nikitin I.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/1371

Пациенты с ревматологическими заболеваниями характеризуются рядом особенностей, которые необходимо учитывать в процессе периоперационного ведения. В частности, ревматологические заболевания приводят к двигательным ограничениям, нарушению структуры и снижению функции многих органов и систем, необходимости постоянного приёма иммуносупрессивных и других лекарствен ных средств. В связи с этим у пациентов отмечается повышенный риск разнообразных интраоперационных и послеоперационных осложнений. Целью данной публикации является рассмотрение современных рекомендаций по периоперационному ведению пациентов с ревматологическими заболеваниями. В данной публикации рассматривается один из наиболее сложных вопросов — периоперационное применение лекарственных препаратов: глюкокортикостероидов, базисных болезнь-модифицирующих антиревматических препаратов, генно-инженерных биологических препаратов и нестероидных противовоспалительных препаратов.

The rheumatic patients are characterized by various structural and functional changes, caused by chronic disease the necessity of constant medication intake, including anti-inflammatory drugs and immunosuppressants. In this regard, the rheumatic patients have an increased risk of intraoperative and postoperative complications. The purpose of this publication is to review current recommendations on the topic of perioperative management of rheumatic patients. The publication consists of two parts. In the first part we review the issues of perioperative administration of steroids, disease-modifying antirheumatic drugs, biologics and nonsteroidal anti-inflammatory drugs.

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