Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot30010.32687/0869-866X-2020-28-3-396-399Научная статьяThe social hygienic characteristic of patients with osteochondrosis of spineMotinaA. N.-AstaschenkoYa. A.-MasalevaO. I.masalevs@mail.ruTretyakovaE. E.-The Federal State Budget Educational Institution of Higher Education “The Kursk State Medical University” of Minzdrav of Russia1512202028339639906042021Copyright © 2020,2020The spinal osteochondrosis takes leading role among diseases of the peripheral nervous system, being a serious social problem in many countries. The significant prevalence of this disease among individuals of able-bodied age, high disability rates, large economic losses condition the urgency of this problem, its epidemiological and socio-economic significance. The purpose of study is to analyze the socio-hygienic and clinical features of patients with osteochondrosis in the Kursk Regional Clinical Hospital. The statistical analysis of 250 medical records with diagnosis of osteochondrosis was carried out in the neurological department. The gender and age-specific features of the disease, the frequency of manifestation of osteochondrosis in various parts of the spine, leading syndromes and the nature of patients' labor activity were considered. There are gender differences in patients of the Kursk Regional Hospital with diagnosis of spinal osteochondrosis: females 62.0% and males 38,0%. The most common neurological manifestations of osteochondrosis were found among middle-aged patients (45-54 years). The patients with manifestations of osteochondrosis in the lumbar (65.2%) and cervical (50.8%) parts of the spine are predominated. Among all the syndromes, the pain syndrome was the leading one and was detected in 96.4% of patients. The frequency of disorders of various parts of the spinal column depended on working conditions. Thus, intellectual workers suffered more often from osteochondrosis of the cervical spine, and manual workers - from the lumbar spine. It is necessary to optimize primary and secondary prevention of osteochondrosis, taking into account the age and nature of the patients' labor activity as well as to improve medical care and the rational employment of people suffering from this disease.spinal osteochondrosissocial and hygienic characteristicspreventionwork and rest conditionspain syndromehealth and health careостеохондроз позвоночникасоциально-гигиеническая характеристикапрофилактикарежим труда и отдыхаболевой синдромздоровье и здравоохранение1.Breivik H., Collett B., Ventafridda V., Cohen R., Gallacher D. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. Eur. J. Pain. 2006;10(4):287-7.2.Эрдес Ш. Ф. Боль в нижней части спины в поликлинической практике. Практическая медицина. 2008;1(25):7-10.3.Гайдар Б. В. Практическая нейрохирургия: руководство для врачей. СПб.: Гиппократ; 2002.4.Попелянский Я. Ю. Неврозы и остеохондрозы - самые распространенные мультифакториальные болезни человека. Вертеброневрология. 1992;(2):22-6.5.Ласков В. Б., Третьякова Е. Е., Масалева И. О. Особенности терапии цервикальной радикулопатии у больных с гастроэнтерологической патологией. Врач. 2013;(5):79-83.6.Гуща А. О., Герасимова Е. В., Полторако Е. Н. Болевой синдром при дегенеративно-дистрофических изменениях позвоночника. Анналы клинической и экспериментальной неврологии. 2018;12(4):67-75.7.Епифанов В. А., Епифанов А. В. Остеохондроз позвоночника: диагностика, лечение, профилактика. М.: МЕДпресс-информ; 2004.8.Солодкова С. Ю., Куташов В. А. Трапезникова С. И., Башлакова Т. Ю. Остеохондроз шейного отдела позвоночного столба. Реабилитация. Молодой ученый. 2016;(1):94-6.9.Juniper M., Le T. K., Mladsi D. The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review. Expert Opin. Pharmacother. 2009;10(16):2581-92.10.Hartvigsen J., Hancock M. J., Kongsted A., Louw Q., Ferreira M. L., Genevay S. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356-67.11.Foster N. E., Anema J. R., Cherkin D., Chou R., Cohen S. P., Gross D. P. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018;391(10137):2368-83.12.Stochkendahl M. J., Kjaer P., Hartvigsen J., Kongsted A., Aaboe G., Andersen M. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur. Spine J. 2018;1(27):60-5.