El'garov A A, Kalmykova M A, El'garova R M, Betuganova L V, El'garov M A
Kh.M. Berbekov Kabardino-Balkarian State University, ul. Chernyshevskogo, 173, Nalchik, Russia 360004.
Vopr Kurortol Fizioter Lech Fiz Kult. 2015 Jan-Feb;92(1):14-18. doi: 10.17116/kurort2015114-18.
To evaluate the effectiveness and the safety of the spa and resort-based health-promoting treatment of the vehicle drivers (VD) presenting with duodenal ulcer disease.
A total of 67 men suffering from duodenal ulcer disease (DUD) were allocated to two groups. The patients of group 1 (n = 35) were given the courses of balneotherapy that included bromine-iodine mineral baths with a temperature of 36-37 degrees C (8-9 procedures 10-15 min long each every second day) in combination with 8-9 peloid applications to the epigastric region (temperature 38-40 degrees C for 10-15 min every second day). The patients of group 2 (n = 32) were given the similar courses of therapy that included nitric thermal mineral baths with a temperature of 36-37 degrees C (8-9 procedures 10-15 min long each every second day) in combination with 8-9 peloid applications to the epigastric region (38-40 degrees C for 10-15 min every second day). The effectiveness and safety of these balenotherapeutic procedures for the treatment of duodenal ulcer disease in the subjects of the study and control (n = 47) groups were evaluated based on the results of the routine clinical and endoscopic examination, psychological and psychophysiological tests, and the comparative analysis of medical aid appeal-ability and disability cases during twelve months.
Dynamics of clinical and instrumental characteristics (subjective, objective, clinical, endoscopic, psychophysiological) suggested the improvement of the health status in 88.6% and 84.4% of the drivers with duodenum ulcer in the two study groups respectively. Some of the patients comprising group 1 showed significant negative dynamics of the operative reaction system while the patients of group 2 demonstrated the marked improvement of the professionally significant functions and properties (PSF&P). The comparative analysis of medical aid appealability, disability cases, frequency of relapses and complications revealed the favorable clinical course of duodenal ulcer disease in both groups of patients who received the spa and resort-based health-promoting treatment.
The spa and resort-based health-promoting treatment in the form of nitric thermal and bromine-iodine mineral baths in combination with peloid applications proved to be highly effective and safe for the vehicle drivers with duodenal ulcer disease, its two modalities (bromine-iodine an nitric-thermal baths) being almost similarly beneficial for the patients (88.6% and 84.4% respectively). At the same time, the former modality resulted in the well apparent deterioration of the driving qualityin certain subjects which suggests the necessity of psychophysiological testing for the evaluation of the performance of the operative reaction system. It is concluded that the spa and resort-based health-promoting treatment of the vehicle drivers suffering from duodenal ulcer disease should be considered as an indispensable component of the rational medical-psychological monitoring system providing a basis for the effective health and workability management.
评估针对患有十二指肠溃疡疾病的职业驾驶员，在温泉浴场和度假胜地进行健康促进治疗的有效性和安全性。
总共67名患有十二指肠溃疡疾病（DUD）的男性被分为两组。第1组（n = 35）的患者接受了浴疗法疗程，包括温度为36 - 37摄氏度的溴碘矿泉浴（每两天进行8 - 9次，每次10 - 15分钟），并结合在中上腹区域进行8 - 9次泥疗（温度为38 - 40摄氏度，每两天10 - 15分钟）。第2组（n = 32）的患者接受了类似的治疗疗程，包括温度为36 - 37摄氏度的硝酸热矿泉浴（每两天进行8 - 9次，每次10 - 15分钟），并结合在中上腹区域进行8 - 9次泥疗（38 - 40摄氏度，每两天10 - 15分钟）。基于常规临床和内镜检查结果、心理和心理生理测试，以及对研究组和对照组（n = 47）在十二个月内医疗救助申请率和残疾病例的比较分析，评估了这些浴疗程序对十二指肠溃疡疾病患者治疗的有效性和安全性。
临床和仪器特征（主观、客观、临床、内镜、心理生理）的动态变化表明，两个研究组中分别有88.6%和84.4%的十二指肠溃疡驾驶员健康状况得到改善。第1组的一些患者显示出手术反应系统的显著负面动态变化，而第2组的患者则表现出职业重要功能和特性（PSF&P）的明显改善。对医疗救助申请率、残疾病例、复发和并发症频率的比较分析显示，接受温泉浴场和度假胜地健康促进治疗的两组患者十二指肠溃疡疾病的临床病程良好。
以硝酸热矿泉浴和溴碘矿泉浴结合泥疗的形式进行的温泉浴场和度假胜地健康促进治疗，被证明对患有十二指肠溃疡疾病的职业驾驶员非常有效且安全，其两种方式（溴碘浴和硝酸热浴）对患者的益处几乎相似（分别为88.6%和84.4%）。同时，前一种方式在某些受试者中导致驾驶质量明显下降，这表明有必要进行心理生理测试以评估手术反应系统的性能。得出结论，对患有十二指肠溃疡疾病的职业驾驶员进行温泉浴场和度假胜地健康促进治疗应被视为合理的医学 - 心理监测系统不可或缺的组成部分，为有效的健康和工作能力管理提供基础。
