Efimenko N V, Kaĭsinova A S
Vopr Kurortol Fizioter Lech Fiz Kult. 2014 Jul-Aug(4):17-21.
To develop a new medical technology for the spa-and-health resort-based treatment of the patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation.
A total of 100 patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation were available for the examination that included detailed investigations of the clinical picture, characteristics of the immune status, and psychological testing before and after a course of the spa-and-health resort-based treatment. The effectiveness of two therapeutic modalities was evaluated. One of them (control) prescribed to 50 patients consisted of standard antiulcer pharmacotherapy in combination with Essentuki Novaya drinking mineral water and carbon dioxide mineral baths, the other given to 50 patients included radon baths instead of carbon dioxide mineral baths.
The combined application of drinking mineral waters, radon baths, and standard antiulcer pharmacotherapy produced the most conspicuous clinical effect in the framework of spa-and-health resort-based rehabilitation of the patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation as confirmed by positive dynamics of their psychoemotional status in 97.7% of the cases, regression of pain syndrome (91.5%), and improvement of humoral and cellular immunity (94%). An important result of the spa-and-health resort-based rehabilitation is the intensification of the reparative processes in gastroduodenal mucosa responsible for the healing of ulcers and erosions in 94.7% of the patients.
The spa-and-health resort-based rehabilitation is a pathogenetically sound and efficacious approach to the management of the patients presenting with frequently recurring erosive and ulcerative lesions in the oesophagus, stomach, and duodenum in the phase of subsiding exacerbation.
开发一种新的医疗技术，用于在病情缓解期对食管、胃和十二指肠频繁复发糜烂性和溃疡性病变的患者进行温泉疗养和健康度假式治疗。
共有100例在病情缓解期食管、胃和十二指肠频繁复发糜烂性和溃疡性病变的患者接受了检查，包括对临床症状、免疫状态特征进行详细调查，以及在温泉疗养和健康度假式治疗疗程前后进行心理测试。评估了两种治疗方式的有效性。其中50例患者（对照组）采用标准抗溃疡药物治疗，同时饮用叶先图基新矿泉水并进行二氧化碳矿泉浴，另外50例患者则用氡浴代替二氧化碳矿泉浴。
在病情缓解期食管、胃和十二指肠频繁复发糜烂性和溃疡性病变患者的温泉疗养和健康度假式康复治疗中，饮用矿泉水、氡浴和标准抗溃疡药物联合应用产生了最显著的临床效果，97.7%的患者心理情绪状态呈积极变化，疼痛综合征消退（91.5%），体液和细胞免疫得到改善（94%）。温泉疗养和健康度假式康复的一个重要成果是94.7%的患者胃十二指肠黏膜修复过程增强，这有助于溃疡和糜烂的愈合。
对于病情缓解期食管、胃和十二指肠频繁复发糜烂性和溃疡性病变的患者，温泉疗养和健康度假式康复是一种基于发病机制且有效的治疗方法。
