Complex medical rehabilitation of the military with erosive ulcer-bearing area and duodenum

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Abstract

The purpose of the study is to study the possibility and expediency of using methods of endoecological rehabilitation (EER), drinking mineral waters (MW) and dynamic electro-neuro-stimulation (DENS) against the background of standard anti-ulcerous drug therapy for the military suffering from erosive ulcer-bearing area and duodenum.

Material and methods. 154 male military men have been examined. They were under treatment in military hospitals of North Caucasian Federal District (NCFD) concerning recrudescence of gastric ulcer (GU) and duodenum. By simple randomization method 4 treatment groups were formed where the effectiveness of anti-ulcer pharmacotherapy was carried out in comparative aspect. We defined the control group (CG), the 1st group of comparison based on its combination with EER methods (CG1), the 2nd group of comparison (CG2) based on DENS, and the main group (MG) based on a complex of EER and DENS.

Results. In the MG there were significant improvements in clinical laboratory and endoscopic indicators as well as quality of life in 92.9% cases; on application of anti-ulcerous pharmacotherapy and EER methods (GC1) in 81.5%; on application of anti-ulcerous pharmacotherapy and DENS (GC2) in 84.2%; in mono-pharmacotherapy (CG) in 66.8% of cases in total.

Conclusion. The developed method of complex medical rehabilitation of the military with erosive ulcer-bearing area and duodenum using EER and DENS methods against the background of anti-ulcerous pharmacotherapy has higher clinical effectiveness.

About the authors

Natalia V. Efimenko

The Federal State Budgetary Institution Pyatigorsk State Scientific and Research Institute of Balneology of Federal Medical and Biological Agency

Author for correspondence.
Email: pniik.noo@skfmba.ru
ORCID iD: 0000-0001-7005-8927
SPIN-code: 8041-7520

DSc, Prof.

Russian Federation, Pyatigorsk

Dmitry N. Gordienko

Military Unit 6775

Email: pniik.noo@skfmba.ru

подполковник медицинской службы, начальник медицинского пункта медицинской службы центра специального назначения войсковой части 6775

Russian Federation, Grozny

Elena N. Chalaya

The Federal State Budgetary Institution Pyatigorsk State Scientific and Research Institute of Balneology of Federal Medical and Biological Agency

Email: pniik.noo@skfmba.ru
SPIN-code: 1084-2875

PhD, Assoc. Prof.

Russian Federation, Pyatigorsk

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Supplementary files

Supplementary Files
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1. JATS XML
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2. Рис. 1. Динамика показателей клинической симптоматики. ГС — группа сравнения; КГ — контрольная группа; ОГ — основная группа: * — р < 0,05 и ** — р < 0,01 — достоверность различий по сравнению с показателями до лечения; # — р < 0,05 — достоверность различий по сравнению с показателями у здоровых лиц; ″ — р < 0,05 — достоверность различий относительно показателей групп контроля и сравнения.

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3. Рис. 2. Динамика показателей психологического тестирования по М. Люшеру. ГС — группа сравнения; КГ — контрольная группа; ОГ — основная группа: * — р < 0,05 и ** — р < 0,01 — достоверность различий по сравнению с показателями до лечения; # — р < 0,05 — достоверность различий по сравнению с показателями у здоровых лиц; ″ — р < 0,05 — достоверность различий относительно показателей групп контроля и сравнения.

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4. Рис. 3. Динамика показателей КЖ по данным отдаленных наблюдений: * — р < 0,05 и ** — р < 0,01 — достоверность различий по сравнению с показателями до лечения; # — р < 0,05 — достоверность различий по сравнению с показателями у здоровых лиц; ″ — р < 0,05 — достоверность различий относительно показателей групп контроля и сравнения.

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