Evaluation of the effectiveness of the use of osteоpathic methods of treatment of patients with chronic stone-free cholecystitis

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Background. Osteopathic methods are used in practical medicine, but there is little scientific research in this area, especially in the treatment of somatic diseases.

The purpose of the research is to evaluate the effectiveness of osteopathy in the complex therapy of patients with chronic stone-free cholecystitis from the point of view of evidence-based medicine.

Methods. The study involved 114 patients who were divided into two groups, the control group and the main group, in which osteopathic procedures were applied. The functions of the gallbladder, bile and blood biochemistry, and cholecystokinin secretion were analyzed.

Results. It was found that osteopathic methods significantly increased the effectiveness of standard therapy both in terms of regression of clinical symptoms of the disease and in the functioning of the gallbladder. It is proved that the main group of patients significantly increases the secretion of cholecystokinin, which correlates with an improvement in the biochemistry of bile and its allocation. It was found that the effectiveness of osteopathic treatment methods does not depend on the gender of patients.

Conclusion. The results of the study indicate a fairly pronounced therapeutic effect of osteopathic procedures in the complex therapy of patients with chronic stone-free cholecystitis. The increase in the secretion of cholecystokinin is difficult to explain from the point of view of correction of functional blocks, and this problem remains the subject of further research.

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作者简介

O. Pankov

3-й Центральный военный клинический госпиталь имени А.А. Вишневского – Филиал № 2

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V. Matvienko

3-й Центральный военный клинический госпиталь имени А.А. Вишневского – Филиал № 2

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V. Frolkov

Российский университет дружбы народов

Email: fvk49@mail.ru
ORCID iD: 0000-0002-1277-5183
SPIN 代码: 5873-2280
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V. Zhernov

Российский университет дружбы народов

Email: info@eco-vector.com
ORCID iD: 0000-0002-8406-8381
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M. Zubarkina

Российский университет дружбы народов

Email: info@eco-vector.com
ORCID iD: 0000-0003-1572-7467
SPIN 代码: 4901-2130
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参考

  1. Mohov DE, Mar’yanovich AT. Osteopathy as evidence-based medicine. Russian osteopathic journal. 2013;(1-2):138-154. (In Russ).
  2. Ivanichev GA. Manual’naya meditsina: uchebnoye posobiye dlya sistemy poslevuzovskogo professional’nogo obrazovaniya vrachey. Moscow: Medpress-inform; 2005. 486 р. (In Russ).
  3. Solovey IG. Osteopatiya. Miofastsial’nyye, kraniosakral’nyye, myshechno-energeticheskiye i drugiye tekhniki. Minsk; 2010. 464 р. (In Russ).
  4. Kuz’min VA. Manual’naya terapiya v diagnostike i korrektsii vegetativnykh narusheniy pri disfunktsiyakh zhelchevyvodyashchikh putey v usloviyakh sanatoriya. Moscow; 2005. 130 р. (In Russ).

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