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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2021-22-25-30</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-2233</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Трудности и пути их преодоления при подборе терапии болевых синдромов у больных сахарным диабетом</article-title><trans-title-group xml:lang="en"><trans-title>Diffculties and ways to overcome them in selection of therapy for pain syndromes in patients with diabetes mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2140-0033</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Махинов</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Makhinov</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Махинов Константин Алексеевич, врач-невролог</p><p>Москва</p></bio><bio xml:lang="en"><p> Makhinov Konstantin A., neurologist </p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6747-3476</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Камчатнов</surname><given-names>П. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kamchatnov</surname><given-names>P. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Камчатнов Павел Рудольфович, д.м.н., проф. кафедры неврологии, нейрохирургии и медицинской генетики</p><p>Москва</p></bio><bio xml:lang="en"><p> Kamchatnov Pavel R., DM Sci, prof. Department Neurology, Neurosurgery and Medical Genetics </p><p>Moscow</p></bio><email xlink:type="simple">pavkam7@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>АО «Европейский медицинский центр»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>JC ″European Medical Centre″</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава&#13;
России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2021</year></pub-date><volume>0</volume><issue>22</issue><issue-title>Неврология и психиатрия (3)</issue-title><fpage>25</fpage><lpage>30</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Махинов К.А., Камчатнов П.Р., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Махинов К.А., Камчатнов П.Р.</copyright-holder><copyright-holder xml:lang="en">Makhinov K.A., Kamchatnov P.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/2233">https://www.med-alphabet.com/jour/article/view/2233</self-uri><abstract><p>Сахарный диабет (СД) вызывает повреждение различных систем организма, в том числе, периферической нервной системы. Рассматриваются основные варианты поражения периферических нервов при СД. Приводятся сведения о развитии такого рода поражения, в частности, о формировании нейропатического болевого синдрома. Анализируются терапевтические возможности препаратов из различных фармакологических групп для лечения пациентов с неврологическими осложнениями СД.</p></abstract><trans-abstract xml:lang="en"><p>Diabetes mellitus (DM) causes damage to various body systems, including the peripheral nervous system. The main variants of peripheral nerve damage in diabetes mellitus are considered. Information on the development of this kind of lesion, in particular, on the formation of neuropathic pain syndrome, is given. The therapeutic possibilities of drugs from various pharmacological groups for the treatment of patients with neurological complications of diabetes are analyzed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>диабетическая полинейропатия</kwd><kwd>нейропатический болевой синдром</kwd><kwd>лечение</kwd><kwd>антидепрессанты</kwd><kwd>противоэпилептические</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>diabetic polyneuropathy</kwd><kwd>neuropathic pain syndrome</kwd><kwd>treatment</kwd><kwd>antidepressants</kwd><kwd>antiepileptic drugs</kwd><kwd>effcacy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Шестакова М.В., Викулова О.К. Эпидемиология сахарного диабета в Российской Федерации: клинико-статистический анализ по данным Федерального регистра сахарного диабета. Сахарный диабет. 2017; 20 (1): 13–41. 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