Vol 13, No 5 (2014)

The objective of the present study was the comparative evaluation of the effectiveness of application of dry carbon dioxide baths and interference therapy for the combined treatment of the patients presenting with coronary heart disease and the early stages of atherosclerosis (the control group) or coronary syndrome X (the study group). The analysis of the results of 3234 coronary angiograms made it possible to determine the frequency of coronary syndrome X in the patients with stable coronary heart disease which proved to amount to 14.7%. It was shown that the proposed combined physico-pharmacological treatment including amlodipine therapy, dry carbon dioxide baths, and interference therapy decreases the frequency of anginal attacks and the functional class (FC) of all the patients with coronary heart disease, increases satisfaction with the results of treatment in the patients of both groups, i.e. those at the early stages of coronary artery atherosclerosis and with coronary syndrome X. Nevertheless, a more positive dynamics of the health status was documented in the patients of the study group given the combined treatment with amlodipine and the aforementioned preformed factors (p = 0.04; p = 0.0008; p = 0.00040 respectively). This observation confirms a more pronounced pathogenetic action of such treatment on the non-atherosclerotic mechanisms of the development of coronary heart disease. The patients of the two groups were not different in terms of clinical symptoms before the angiographic study was carried out while the differential pathogenetic approach based on the proposed combined physic-pharmacological treatment of the patients with ischemic heart disease and coronary syndrome X revealed their significant difference from the control patients (p = 0.05) and demonstrated well apparent positive dynamics of coronary heart disease in terms of its functional class (p = 0.08).

The present study is based on the results of the clinical and instrumental observations of 487 patients at the age varying from 7 to 10 years (37%) and from 11 to 15 years (56%) presenting with chronic erosive gastroduodenitis (CEG) (n = 128) and ulcer disease (UD) (n = 70). The analysis of life and medical histories of the children demonstrated ineffectiveness of the previous medicament therapy. Esophagogastroduodenoscopy (EGDS) was performed in combination with the study of mucosal biopsies from the antrum of the stomach and the identification of H.pylori by the histobacteriological Giemsa method. Intragastric pH-metry carried out using a Gastroscan-24 apparatus was supplemented by the ultrasound study of the digestive organs. The electric resistance of the skin (ERS) was measured at the active points E-36, MC-6, Tr-5, VC-12. The analysis of the ERS data at the biologically active points (BAP) of the meridians of interest in the patients with CEG and UD has demonstrated that most of them (98.4% and 100% respectively) were not ready for ultrahigh frequency (UHF) therapy and needed to be preliminarily reduced to the normal values with the use of the Self Controlled Energo-Neuro-Adaptive Regulator (SKENAR). All the patients were prescribed eradication therapy following ERS equalization at the biologically active points. The patients were discharged from the hospital in the state of clinical-endoscopic remission and normal results of pH-metry within 6-8 weeks after admission. The repeated examination of 95 patients with CEG and 45 children with UD was undertaken 1-1.5 years after the primary one. It revealed clinical and endoscopic remission as well as normal results of gastric pH-metry in the absence of H. pylori infection. Most BAPs (96.0% and 93.3% respectively) had normal ERS values. Patients presenting with the morphological signs of surface gastritis were prescribed UHF monotherapy. It is concluded that UHF therapy should be recommended after preliminary diagnostics with the use of SKENAR at various stages of the patients’ rehabilitative treatment in order to reduce the medicamental burden and prolong clinical-endoscopic remission in the cases of long-term therapy of the patients suffering from CEG and UD.

The current evidence-based literature considers the treatment of plantar fasciitis with the use of shock wave (SW) therapy of different energy levels and describes the methods for its practical application. However, no reliable data are thus far available to confirm the advantages of this approach over the conservative treatment. The recent publications compare the effectiveness of SW therapy at different energy levels and demonstrate the enhanced effectiveness of radial SW therapy of plantar fasciitis in comparison with placebo and other therapeutic modalities. All the authors emphasize the safety of SW therapy and recommend its further investigation. An indisputable advantage of SW therapy is the possibility of its application once weekly for the convenience of the patients attending the outpatient facilities. We undertook the analysis of the results of the treatment of 92 patients that confirmed the safety of SW therapy and its higher effectiveness compared with other methods for the treatment of plantar fasciitis, such as local cryotherapy and hydrocortisone phonophoresis.

We carried out the comparative study designed to evaluate the influence of applications of therapeutic peloids and naphthalane on the results of clinical-functional and radiological studies in 82 patients presenting with protracted pneumonia in comparison with a group of patients treated without the use of physical factors. The application of naphthalane and therapeutic peloids was shown to produce beneficial effect on the activity of the inflammatory process, the external respiratory function, humoral immunity, physical tolerance, and psychological adaptation of the patients. It is concluded that naphthalane therapy is more efficacious than peloid therapy.

The present study was designed to examine and treat 60 employees engaged in cement production presenting with “dry eye” syndrome (120 eyes) and concomitant dysfunction of meibomian glands. The patients of the study group (n = 35) were given the standard treatment with tear-substituting agents and therapeutic eyelid hygiene in the combination with physiotherapy by the application of the laser speckle field with a wave length of650 nm. The patients of the control group (n = 25) received standard medicamental therapy. The effectiveness of the treatment in either group was evaluated from dynamics of subjective and objective symptoms based on the integral index of subjective discomfort and the results of the functional tests ( time of the tear film rupture, compression test, and parameters of conjunctival and corneal xerosis). The study has demonstrated that the application of the laser speckle field for the treatment of “dry eye” syndrome and concomitant dysfunction of meibomian glands causes the three-fold acceleration of the processes of epithelization and regeneration of the eye tissues. Moreover, it restores the function of meibomian glands, promotes the reduction of subjective discomfort, and improves the results of the functional tests in comparison with the standard treatment.