Email this article Pharmacological potential strengthening of drug therapy in treating patients with chronic pancreatitis by using therapeutic physical factors
- Authors: Mallaeva R.M.1, Makhinko A.N.2, Uzdenov M.B.3
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Affiliations:
- State Budget Educational Institution Dagestan State Medical Academy
- City Clinical Hospital № 1
- Medical Institute of North Caucasian State Academy
- Issue: Vol 19, No 5 (2020)
- Pages: 293-298
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/71696
- DOI: https://doi.org/10.17816/681-3456-2020-19-5-3
- ID: 71696
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Abstract
Background. The steady increase in the incidence of chronic pancreatitis, its aggressive course in recent years, as well as the insufficient therapeutic effect of standard techniques determine the relevance of the search for new approaches to the treatment and medical rehabilitation of this category of patients.
Aims. To improve rehabilitation treatment of patients with chronic pancreatitis (CP) at inpatient stage by strengthening pharmacological potential of drug therapy due to inclusion of therapeutic physical factors (TPF) in therapeutic programs.
Materials and methods. 159 patients with acute CP were observed. By simple randomization, 4 groups were formed: the control group (MG; n=39) received standard drug therapy; 1st comparison group (GC1; n=38) additionally received TPF; (GC2, n=40) in addition to treatment in GC1 had drinking mineral water "Slavyanovskaya"; in main group (n=42) in addition to the treatment in GC2 got preformed peloidotherapy on the cervical-collar zone. All the patients underwent the evaluation of clinical score and quality of life before and after medical rehabilitation.
Results. In MG, clinical symptomatology leveling was by 78.2% (р <0.01), in GC1 — by 71.5% (р <0.01), GC2 — by 62.3% (р <0.01), CG — by 57.2% (р <0.01) on average immediately after the treatment, which was in a clear correlation with indicators of quality of life. In the long term (in 6 and 12 months), the advantage of combination therapy was noted with the same validity, the preservation of the achieved positive result was mostly noted in the MG: after 6 months the improvement in physical health compared to the initial values was noted by 34.4% (р <0.01), after 12 months — by 24.0% (р <0.05); mental — by 32.3% (р <0.01) and 22.5% (р <0.05), respectively. In both comparison groups, positive dynamics was 10–12% lower, and in the control group, after 6 months, there was only a tendency to improve quality of life indicators.
Conclusion. The inclusion of TPF in the programs of the inpatient stage of medical rehabilitation of patients with chronic pancreatitis by strengthening the pharmacological potential of drug therapy contributes to the leveling of clinical manifestations (abdominal pain, dyspepsia and diarrhea), the result of which is an improvement in the quality of life of this category of patients.
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##article.viewOnOriginalSite##About the authors
Raziyat M. Mallaeva
State Budget Educational Institution Dagestan State Medical Academy
Author for correspondence.
Email: mallaeva1964@mail.ru
ORCID iD: 0000-0002-7296-9844
Cand. Sci. (Med.), Assistant Professor
Russian Federation, MakhachkalaAnna N. Makhinko
City Clinical Hospital № 1
Email: mallaeva1964@mail.ru
ORCID iD: 0000-0001-5168-5001
Russian Federation, Krasnodar
Marat B. Uzdenov
Medical Institute of North Caucasian State Academy
Email: mallaeva1964@mail.ru
ORCID iD: 0000-0002-0077-9013
SPIN-code: 7692-5669
Cand. Sci. (Med.)
Russian Federation, CherkesskReferences
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