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[青年学生鼻窦炎三级预防方案的组织特点]

[The organizational features of three-stage program of prevention of rhinosinusitis in student youth].

作者信息

Tsartsidis E A, Koshel V N, Amlaev K R

机构信息

The State Budget Institution "The Stavropol Kray Clinical Hospital", 355000, Stavropol, Russia,

The State Budget Educational Organization of Higher Education "The Stavropol State Medical University" of Minzdrav of Russia, 355000, Stavropol, Russia.

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2020 Nov;28(6):1339-1343. doi: 10.32687/0869-866X-2020-28-6-1339-1343.

Abstract

The problem of preserving health of students remains an important task due to peculiarities of their studies and life. The otorhinolaryngologic pathology, in particular rhinosinusitis, occupies one of leading positions in the structure of morbidity of students. The purpose of study is to assess morbidity in students and to develop three-stage prevention program with subsequent evaluation of its effectiveness. Materials and methods: analysis of the results of comprehensive medical examination of medical students in 2015-2017, otorhinolaryngologic pathology. The three-stage prevention program was developed and implemented. The program consisted of general strengthening basic program at the first stage, medication and physiotherapy program at the second stage and complex of Strelnikova respiratory gymnastics and with natural mineral water nasal lavage at the third stage. To evaluate effectiveness of the program, sampling of 164 students suffering of rhinosinusitis was randomized at three groups that passed the first, the second, or all 3 stages respectively. Results and conclusions. The analysis of structure of morbidity in students established high prevalence of otorhinolaryngologic pathology, mainly rhinosinusitis. The proposed three-stage prevention program, implemented in the University, decreased rate of common colds and annual hospitalizations and duration of rhinosinusitis.

摘要

由于学生学习和生活的特殊性,保持学生健康的问题仍然是一项重要任务。耳鼻喉科病理学,尤其是鼻窦炎,在学生发病率结构中占据主导地位之一。本研究的目的是评估学生的发病率,并制定三阶段预防计划,随后评估其有效性。材料与方法:分析2015 - 2017年医学生综合体检结果、耳鼻喉科病理学情况。制定并实施了三阶段预防计划。该计划第一阶段包括一般强化基础计划,第二阶段是药物治疗和物理治疗计划,第三阶段是斯特列尔尼科娃呼吸体操与天然矿泉水鼻腔灌洗相结合。为评估该计划的有效性,将164名鼻窦炎学生样本随机分为三组,分别接受第一阶段、第二阶段或所有三个阶段的治疗。结果与结论。对学生发病率结构的分析表明,耳鼻喉科病理学,主要是鼻窦炎的患病率很高。在大学实施的拟议三阶段预防计划降低了感冒和年度住院率以及鼻窦炎的病程。

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