approved
the order of the Ministry of Health and
Social Development of the Russian Federation
on December 24, 2007 № 797
Standards of medical care to patients with lumbago with sciatica, pain in the lower back
patient model.
Age category: adults
Nosological form: lumbago from sciatica, Low back pain
ICD-10 Code: M54.4, M 54.5
Phase: aggravation
Stage: any
Complication: No complications
The condition of providing: outpatient care
1.1. DIAGNOSTICS
The code |
Name |
The frequency of |
Average quantity |
---|---|---|---|
A01.24.001 |
Medical history and complaints in the pathology of the peripheral nervous system |
1 |
2 |
A01.24.002 |
Visual examination of the pathology of the peripheral nervous system |
1 |
2 |
A14.31.014 |
Assessment of pain intensity |
1 |
1 |
A01.24.003 |
Palpation of the pathology of the peripheral nervous system |
1 |
2 |
A01.24.004 |
Investigation of sensitivity and motor areas in the pathology of the peripheral nervous system |
1 |
2 |
A01.02.002 |
Visual examination of the muscles |
1 |
2 |
A12.03.001 |
Biomechanical study of the spine |
1 |
2 |
A01.31.012 |
auscultation obscheterapevticheskoy |
1 |
2 |
A01.31.016 |
percussion obscheterapevticheskoy |
1 |
2 |
A02.12.002 |
Blood pressure measurement on peripheral arteries |
1 |
2 |
A02.31.001 |
thermometry total |
1 |
2 |
A13.30.001 |
patopsihologicheskih survey |
1 |
1 |
V03.016.03 |
Total (clinical) blood test detailed |
1 |
2 |
V03.016.06 |
Urinalysis total |
1 |
2 |
A06.03.017 |
Radiography of the lumbosacral spine |
1 |
1 |
A06.03.019 |
X-ray of the spine, special studies and projections |
0,2 |
1 |
A06.03.030 |
X-ray of the entire basin |
0,05 |
1 |
A06.03.059 |
Computed tomography of the spine |
0,1 |
1 |
A05.03.002 |
Magnetic resonance imaging of the spine |
0,1 |
1 |
A07.03.001 |
bone scintigraphy |
0,05 |
1 |
1.2. TREATMENT OF CALCULATING THE 10 DAYS
The code |
Name |
The frequency of |
Average quantity |
A01.24.001 |
Medical history and complaints in the pathology of the peripheral nervous system |
1 |
10 |
A01.24.002 |
Visual examination of the pathology of the peripheral nervous system |
1 |
10 |
A14.31.014 |
Assessment of pain intensity |
1 |
2 |
A01.24.003 |
Palpation of the pathology of the peripheral nervous system |
1 |
10 |
A01.24.004 |
Investigation of sensitivity and motor areas in the pathology of the peripheral nervous system |
1 |
10 |
A01.31.012 |
auscultation obscheterapevticheskoy |
1 |
10 |
A01.31.016 |
percussion obscheterapevticheskoy |
1 |
10 |
A02.12.002 |
Blood pressure measurement on peripheral arteries |
1 |
10 |
A02.12.002 |
Blood pressure measurement on peripheral arteries |
1 |
10 |
V03.016.03 |
Total (clinical) blood test detailed |
1 |
1 |
V03.016.06 |
Urinalysis total |
1 |
1 |
A25.24.003 |
Appointment of medical health regime in diseases of the peripheral nervous system |
1 |
1 |
A25.24.001 |
Appointment of drug therapy for diseases of the peripheral nervous system |
1 |
10 |
A19.03.002 |
Therapeutic exercises in spinal disorders |
1 |
10 |
A21.03.002 |
Massage the spine diseases |
1 |
10 |
A21.24.001 |
Manual therapy for diseases of the peripheral nervous system |
0,75 |
10 |
A21.24.002 |
Reflex therapy at diseases of the peripheral nervous system |
0,5 |
10 |
A22.04.002 |
Exposure to ultrasound in diseases of the joints |
0,2 |
10 |
A17.31.020.001 |
Exposure to magnetic fields with muscle diseases |
0,2 |
10 |
A13.30.003 |
Psychological adaptation |
1 |
2 |
A11.02.002 |
Intramuscular administration of drugs |
0,5 |
5 |
Pharmacotherapeutic group |
ATX Group * |
International non-proprietary name |
The frequency assignment |
UDM ** |
EDC *** |
---|---|---|---|---|---|
Analgesics, non-steroidal anti-inflammatory drugs for treatment of rheumatic diseases and gout |
1 |
||||
Non-narcotic analgesics and non-steroidal anti-inflammatory agents |
1 |
||||
Diclofenac (*) |
0,2 |
150 mg |
1050 mg |
||
Ketoprofen (*) |
0,2 |
150 mg |
1050 mg |
||
Ibuprofen (*) |
0,1 |
1200 mg |
8400 mg |
||
lornoxicam |
0,1 |
8 mg |
56 mg |
||
Meloxicam (*) |
0,1 |
15 mg |
105 mg |
||
nimesulide |
0,1 |
200 mg |
2000 mg |
||
Celecoxib (*) |
0,1 |
200 mg |
1400 mg |
||
flupirtine |
0,01 |
300 mg |
3000 mg |
||
Paracetamol (*) |
0,1 |
3000 mg |
21000 mg |
||
narcotic analgesics |
0,2 |
||||
Tramadol (*) |
1 |
100 mg |
500 mg |
||
Anesthetics, muscle relaxants |
0,6 |
||||
Muscle relaxants |
0,6 |
||||
Tizanidine (*) |
0,4 |
12 mg |
120 mg |
||
tolperisone |
0,4 |
450 mg |
4500 mg |
||
Baclofen (*) |
0,2 |
30 mg |
300 mg |
||
local anesthetics |
0,4 |
||||
procaine |
0,5 |
250 mg |
750 mg |
||
lidocaine |
0,5 |
250 mg |
750 mg |
||
Hormones and drugs affecting the endocrine system |
0,3 |
||||
Asexual hormones, anti-hormones and synthetic substances |
1 |
1 |
|||
dexamethasone |
0,5 |
4 mg |
16 mg |
||
betamethasone |
0,5 |
7 mg |
7 mg |
||
Drugs affecting the central nervous system |
0,3 |
||||
Antidepressants, and mood stabilizer action |
0,8 |
||||
Amitriptyline (*) |
0,5 |
75 mg |
750 mg |
||
Venlafaxine (*) |
0,25 |
75 mg |
750 mg |
||
duloxetine |
0,25 |
60 mg |
600 mg |
||
Paroxetine (*) |
0,1 |
20 mg |
200 mg |
||
Fluoxetine (*) |
0,1 |
20 mg |
200 mg |
||
Pirlindol |
0,1 |
50 mg |
500 mg |
||
tranquilizers |
0,2 |
||||
Alprazolam (*) |
0,5 |
1 mg |
10 mg |
||
Clonazepam (*) |
0,5 |
1.5 mg |
15 mg |
* - Anatomical Therapeutic Chemical Classification System
** - the approximate daily dose
*** - equivalent course dose
(*) - The drugs are available in the prescribed manner, in accordance with the List of drugs, prescription by prescription (Assistant) with the provision of additional free medical care for certain categories of citizens eligible for state social help.