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[ASSESSMENT OF EFFICACY OF NEW METHODS OF SANATORIUM-SPA TREATMENT IN PATIENTS WITH FOCAL PULMONARY TUBERCULOSIS
A Kaisinova1, D Gerbekova2, B Gusova3
11Pyatigorsk Medical and Pharmaceutical Institute - a branch of Volgograd State Medical University of the Ministry of Healthcare of Russia; 2North-Caucasian Federal Scientific and Clinical Center of Federal Medical and Biological Agency, Essentuki; Russia.
Abstract:
The purpose of the study is to estimate the effectiveness of complex treatment of patients with pulmonary tuberculosis in the phase of resorption and carnification at the spa stage with the use of drinking mineral water of medium mineralization and focused pulse magnetic therapy in combination with antituberculous chemotherapy. In order to solve the tasks, the study included 120 patients with focal pulmonary tuberculosis in the phase of resorption and carnification who came to sanatorium "Teberda" to get spa treatment. The patients were distributed into 3 groups by simple randomization: in the comparison group the patients received climatic- and anti-tuberculosis chemotherapy; in the main group 1 the patients were additionally prescribed drinking mineral water "Teberda"; in the main group 2 the patients had a focused magnetic therapy in addition to the treatment of the 1st group. The analysis of immediate and long-term follow-ups (12 and 18 months later) of sanatorium-and-spa treatment of the patients with focal pulmonary tuberculosis in the phase of resorption and carnification showed that the integrated use of climatic-, balneo- and focused magnetic therapy against the background of anti-tuberculosis chemotherapy makes it possible to significantly restore the quality of life: the integral indicator of quality of life in 12 and 18 months after the spa treatment improved in average by 23.5% (p < 0.05) with 91.7% of the patients, in the main group 1 - by 19.8% (p < 0.05) with 81.0%, in the comparison group - by 16.7% with 76.4% of the patients. The inclusion of drinking mineral waters and focused magnetic therapy in the sanatorium-and-spa treatment of patients with focal tuberculosis in the phase of resorption and carnification contributes to the optimization of therapeutic measures.
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