Russian Journal of Physiotherapy, Balneology and RehabilitationRussian Journal of Physiotherapy, Balneology and Rehabilitation1681-34562413-2969Eco-Vector6274210.17816/1681-3456-2019-18-4-227-230Research ArticleJustifcation for the usage of mineral water of Teberda deposit in the treatment of patients with focal pulmonary tuberculosisGerbekovaDinara Yu.info@kkptd.ruRegional Clinical Anti-Tuberculosis Dispensary150820191842272300603202106032021Copyright © 2019, Eco-Vector2019<p><strong><em>The purpose</em></strong><em> of the research is scientifically substantiate the use of drinking mineral waters (MW) of Teberdinskiy deposit in sanatorium and spa treatment of patients suffering from focal pulmonary tuberculosis (FPT).</em></p>
<p><strong><em>Material and methods. </em></strong><em>The study included 80 patients with FPT in the </em><em><u>resorption</u></em><em> and </em><em><u>carnification</u></em><em> phase. By random sampling, we formed 2 groups: the control group (CG; 40 people) that received inhalations with 1% dioxidin solution and a standard drug anti-tuberculosis chemotherapy; the patients of the group of comparison (GC; 40 people) additionally received drinking MW "Teberda."</em></p>
<p><strong><em>Results. </em></strong><em>The analysis of clinical symptom dynamics did not show any significant differences between the groups: by the end of sanatorium-and-spa treatment the leveling of clinical symptoms in the MG was with 98.3% of the cases, in the CG with 88.8%. The patients of the MG had a normalization of related T-lymphocyte subpopulations, immunoregulatory index decreased by 39.2% (p 0.01), there was a drop in intensity of free radical oxidation by 30.2% (p 0.01), an increase in activity of antioxidant protection system by 17.2% (p 0.05). The CG had only a tendency to improvement of laboratory indicators.</em></p>
<p><strong><em>Conclusion. </em></strong><em>In order to achieve a higher therapeutic effect having FPT in the </em><em><u>resorption</u></em><em> and </em><em><u>carnification</u></em><em> phase, it is advisable to include drinking MW in the treatment program, which expands and complements the possibilities of rehabilitation and rehabilitation assistance to the given group of patients.</em></p>mineral watersfocal pulmonary tuberculosisминеральные водыочаговый туберкулез легких[1 Kaladze NN, Savchenko VM, Dudchenko LSh, Shubina LP. Sanatorium-resort treatment for respiratory diseases in the resorts of Crimea: history and current status. Kurortnye vedomosti. 2015;(2):18-20. (In Russ.)][Grishin MN, Auhadiev NN, Korchagina EO, Zajcev YuA. Values of the sana-torium phase of treatment in the rehabilitation of tuberculosis patients. Vestnik fizioterapii i kurortologii. 2018;24(3):178-179. (In Russ.)][Gerbekova DYu, Morozova TI, Kajsinova AS. Dynamics of quality of life indicators in patients with focal pulmonary tuberculosis during treatment in a resort. Kurortnaya medicina. 2017;(3):79-82. (In Russ.)][Korchazhkina NB. The current state of sanatorium and resort services in the Russian Federation and possible ways of its development. Vestnik vosstanovitel'noj mediciny. 2013;5(57):14-21. (In Russ.)][Babyakin AF, Efimenko NV, Amiyanc VYu, et al. Balneology of the Caucasian Mineral Waters [Kurortologiya Kavkazskih Mineral'nyh Vod. Monografiya]. Pyatigorsk: Pyatigorskij gosudarstvennyj nauchno-issledovatel'skij institut kurortologii Federal'nogo mediko-biologicheskogo agentstv; 2009;1:333. (In Russ.)][Babyakin AF, Efimenko NV, Gluhov AN, et al. Balneology of the Caucasian Mineral Waters [Kurortologiya Kavkazskih Mineral'nyh Vod]. Pyatigorsk: FGU Pyatigorskij gosudarstvennyj NII kurortologii FMBA Rossii; 2011;2:368. (In Russ.)][Oranskij IE, Lihacheva EI, Roslaya NA, et al. Physio-balneotherapy in maintaining the health of the working population of the Urals.Fizioterapiya, bal'neologiya, reabilitaciya. 2006;5:48-55. (In Russ.)][Ujba VV, Kazakov VF, Efimenko NV, et al. Prospects for medical rehabilitation technologies at the spa stage. Kurortnaya medicina. 2017;4:3-10. (In Russ.)][Kajsinova AS. System of medical technologies for sanatorium-resort rehabilitation of patients with erosive-ulcerative esophagogastroduodenal diseases [Sistema medicinskih tekhnologij sanatorno-kurortnoj reabilitacii bol'nyh s erozivno-yazvennymi ezofagogastroduodenal'nymi zabolevaniyami] [dissertation abstract]. Pyatigorsk; 2013. (In Russ.)][Kajsinova AS, Hadzhiev HV, Addaev RD. Correction of metabolic disorders in acid-dependent diseases of the upper gastrointestinal tract. Citokiny i vospalenie. 2012;11(3):71-72. (In Russ.)][Pit'evye mineral'nye vody v lechebno-profilakticheskih i reabilitacionnyh programmah: Klin. rekom. Ed. by M.Yu. Gerasimenko. Moscow; 2015:23. (In Russ.)][Efimenko NV, Osipov YuS, Kajsinova AS. Physical and rehabilitation medicine: national leadership. [Fizicheskaya i reabilitacionnaya medicina: nacional'noe rukovodstvo]. Ed. by G.N. Ponomarenko. Moscow: Geotar-Media; 2020. (In Russ.)][Han MA, Razumov AN, Korchazhkina NB, et al. Fizicheskaya i reabilitacionnaya medicina v pediatrii: monografiya. Moscow; 2018. (In Russ.)][Korchazhkina NB, Gerbekova DYu, Efimenko NV, et al. Primenenie mineral'nyh vod v vosstanovitel'nom lechenii bol'nyh s zabolevaniyami serdechno-sosudistoj sistemy i organov dyhaniya na kurorte Teberda. Metod. posobie. Pyatigorsk; 2011:14. (In Russ.)]