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Health-improving Effect of Engagement in Different Types of Motor Activities for Cadets of Higher Military Educational Institutions 参与不同类型运动活动对军校学员健康的促进作用
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202205119
V. Yahodzinskyi, I. Khlibovych, Yu.G. Babaiev, O. Mykhniuk, D. Barkovskyi, M. Rodionov, O.O. Zimnikov
Aim: To investigate the impact of various sports on the level of physical health of cadets of higher military educational institutions. Materials and Methods: 113 cadets took part in the research, which was conducted in 2017-2021. The cadets of interest attended the sports clubs in various sports: competitive sports (n=27), all-around military sports (n=16), strength sports (n=23), martial arts (n=26), strength endurance (n=21). The level of cadets’ physical health was assessed by morphological (body length, body mass, vital lung capacity, hand dynamometry) and functional (heart rate, blood pressure) indicators. Results: It was found that physical exercises and sports aimed at developing endurance and strength qualities have the greatest health-improving effect. The cadets, who during their training were engaged in all-around military sports, military pentathlon, sports orienteering, kettlebell lifting, crossfit, have the highest level of physical health characterised by 12.11-12.34 points. Conclusions: The conclusions of many scientists were confirmed that motor activities are the main factor of good human health. It was established that rationally organized training sessions in the sports clubs of the military educational institution on various types of sports have a positive health-improving effect on the cadets’ body. This, in turn, will contribute to increasing the resistance of their body to adverse environmental factors, compliance with the standards of a healthy lifestyle and improving their working capacity during the performance of assigned tasks.
目的:探讨各类体育运动对军校学员身体健康水平的影响。材料与方法:113名学员参与了2017-2021年的研究。感兴趣的学员参加的体育项目有:竞技体育27项、军事综合体育16项、力量运动23项、武术26项、力量耐力运动21项。以形态指标(体长、体重、肺活量、手动力)和功能指标(心率、血压)评价学员的身体健康水平。结果:以培养耐力和力量素质为目的的体育锻炼和运动对健康的改善效果最大。参加军事综合体育、军事五项、定向运动、壶铃举、综合健身项目的学员体质健康水平最高,为12.11 ~ 12.34分。结论:许多科学家的结论都证实了运动是人体健康的主要因素。在军事院校体育俱乐部合理组织各类体育项目的训练,对学员的身体健康有积极的促进作用。反过来,这将有助于增强他们的身体对不利环境因素的抵抗力,遵守健康生活方式的标准,并在执行指定任务时提高他们的工作能力。
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引用次数: 0
Assessment of Compliance with Healthy Lifestyle Standards by the Instructional Staff of Higher Educational Institutions 高等院校教学人员遵守健康生活方式标准的情况评估
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202205115
I. Okhrimenko, V.V. Zasenko, Olena V. Chebotaryova, A. Dushka, A. V. Lapin, Nataliia Kvitka, Iryna A. Holovanovа
Aim: To assess the quality of compliance with the standards of a healthy lifestyle by instructors of higher educational institutions with specific learning environment and their attitude to exercise. Materials and Methods: To achieve the aim of the research, we conducted a survey of instructors (n=126) of different age groups according to the questionnaire developed by the authors. The questionnaire is designed to investigate the current state of physical training with instructional staff; to clarify the issues of instructors’ healthy lifestyle; to study ways to improve their physical fitness. Results: It was found that only 10.3% of instructors regularly exercise in the morning; 85.7% get to the place of service by public transport or by car and only 14.3% go on foot. On weekends, 41.3% of instructors prefer passive types of motor activity and recreation; more than 50% smoke, in addition, 30.9% smoke one pack or more a day. On top of that, 46.8% of instructors do not engage in physical training at all; 50.9% of instructors answered that they attend training sessions in order to prepare for the test. Conclusions: It was found that the majority of instructors (67.1%) rarely or almost never follow the standards of a healthy lifestyle. Insufficient efficiency of the current system of physical training of instructional staff was identified and the reasons for insufficient level of physical fitness, health of instructors and systematic absence from physical training sessions were revealed.
目的:了解具有特定学习环境的高校指导员对健康生活方式标准的遵守情况及对运动的态度。材料与方法:为了达到研究目的,我们根据作者编制的问卷对不同年龄段的教师进行了调查(n=126)。采用问卷调查的方法,对教学人员进行体育锻炼的现状进行调查;明确教师健康生活方式问题;研究提高身体素质的方法。结果:仅有10.3%的教官有规律地进行晨间锻炼;85.7%的人乘坐公共交通工具或私家车前往服务地点,只有14.3%的人步行前往。在周末,41.3%的教师更喜欢被动的运动和娱乐;超过50%的人吸烟,此外,30.9%的人每天抽一包或更多。此外,46.8%的教官根本不参加体育锻炼;50.9%的教师回答说,他们参加培训是为了准备考试。结论:绝大多数指导员(67.1%)很少或几乎从未遵循健康生活方式的标准。指出了现行教学人员体能训练体制效率不高的问题,揭示了造成教师体能水平、健康水平不高、缺勤的原因。
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引用次数: 1
Characteristics of the State of Mental Health of the Population of Ukraine as a Consequence of Prolonged Hostilities 长期敌对行动造成的乌克兰人口心理健康状况的特点
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202206114
V. Chorna, S. Khliestova, S. Pashkovskyi, Yuliia Humeniuk, I. Khliestova
The article presents the general characteristics of the mental health of the population of Ukraine, analyzes the incidence of mental disorders in Ukraine during the period 2018-2020, identifies the level of medical staff in Ukraine compared to EU countries, and features of the microclimate on the psychophysiological state the body of patients and medical staff of psychiatric hospitals. The content analysis of scientific literature and the bibliosemantic method was used in the work. In the course of the analysis, the statistical data of the Ministry of Health of Ukraine for the period 2018-2020 were used on the incidence of mental and behavioral disorders and the provision of medical personnel, forms № 18 of the Ministry of Health of Ukraine “Report on the work on the control of environmental factors affecting the health of the population” for the period 2014-2021. It was found that men for the period 2018-2020 were more treated and treated in hospitals from 67,2% to 65,3%, respectively, and treated in day hospitals from 57,3% to 59,4%, respectively. At the same time, women were treated on an outpatient basis from 78,9% to 81,0%, respectively, with less treatment in psychiatric hospitals from 32,8% to 34,7%, respectively. The largest share of noncompliant microclimate was in 2015 – 11,3% and 2016 – 12,9%, and the lowest allowance in 2014 – 3,2%, in 2020 – 4,4%, and 2021 –4,2%. Therefore, there is a need to create conditions for the provision of psychological and psychiatric care in mental health facilities of a new multidisciplinary type by qualified professionals.
本文介绍了乌克兰人口心理健康的总体特征,分析了2018-2020年乌克兰精神障碍的发病率,确定了乌克兰与欧盟国家相比医务人员的水平,以及小气候对精神病院患者和医务人员身体心理生理状态的影响特征。在工作中运用了科学文献的内容分析和文献语义学方法。在分析过程中,使用了乌克兰卫生部2018-2020年期间的统计数据,用于2014-2021年期间乌克兰卫生部“影响人口健康的环境因素控制工作报告”表格第18号,用于精神和行为障碍的发病率和医务人员的提供。研究发现,2018-2020年期间,男性在医院接受治疗和治疗的比例分别从67.2%升至65.3%,在日间医院接受治疗的比例分别从57.3%升至59.4%。与此同时,妇女接受门诊治疗的比例分别从78.9%上升到81.5%,在精神病院接受治疗的比例分别从32.8%下降到34.7%。不合规小气候的最大份额是2015年- 11.3%和2016年- 12.9%,最低限额是2014年- 3.2%,2020年- 4.4%和2021年- 4.2%。因此,有必要创造条件,由合格的专业人员在一种新的多学科类型的精神卫生设施中提供心理和精神护理。
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引用次数: 0
Portable Device use for Arterial Stiffness Determination as a Control Method at the Recovery Stage of Rehabilitation 便携式装置用于动脉硬度测定作为康复恢复阶段的控制方法
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202206112
Nataliya A. Zolotaryova, R. Vastyanov, I. Gunenko
Aim: To create a device for PWPV evaluation which would be cheap and could be easily used not only at the inpatient but also at the restorative outpatient and health-resort stages of rehabilitation. Materials and Methods: The clinical examination included 90 people who were randomized into the group of observation (n=75) with patients of AH various degrees. 15 practically healthy persons were involved into the control group. PWPV was measured using a specially designed device according to the generally accepted carotid-femoral technique. Results: Our results showed that the PWPV of healthy persons measured using original device failed to differ statistically from the literature reference values and indicated the correspondence of the measurements we obtained with the data received using traditional apparatus. Out data of original PWPV measurement obtained from examined and treated patients do not differ from the results obtained in wide range of patients aged from 40 to 70 years with the 1st -2nd stages of AH. Conclusions: We described an efficacy of PWPV determination using an original device. The use of the proposed device does not contradict with the generally accepted method of vascular stiffness measuring and studying. The results obtained on it are comparable with the data of the most used stationary device SphygmoCor for these purposes. The prospects of the device using are without the limitations in patients with vascular diseases at the stage of rehabilitation.
目的:研制一种既可用于住院又可用于恢复性门诊和疗养康复阶段的价格低廉、使用方便的PWPV评估装置。材料与方法:临床检查90例,随机分为不同程度AH患者观察组(n=75)。15名实际健康的人作为对照组。根据普遍接受的颈-股技术,使用专门设计的装置测量PWPV。结果:我们的研究结果表明,使用原始装置测量的健康人的PWPV与文献参考值没有统计学差异,并且表明我们获得的测量结果与使用传统仪器接收的数据一致。我们从检查和治疗的患者中获得的原始PWPV测量数据与从40至70岁的1 -2期AH患者中获得的结果没有差异。结论:我们描述了使用原始设备测定PWPV的有效性。所提出的装置的使用与普遍接受的血管刚度测量和研究方法并不矛盾。所得到的结果与用于这些目的的最常用的固定装置sphygmoor的数据可比较。该装置在血管疾病患者康复阶段的应用前景是没有限制的。
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引用次数: 0
Particularities of Multidisciplinary Approach in Physical Therapy 多学科方法在物理治疗中的特殊性
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202201116
Dmytro Voropaiev, Iryna Brizhata, O. Stepanenko, N. Petrenko
Aim: The aim of the work was to reveal the peculiarities of implemetation of a multidisciplinary approach in a system of physical therapy. Materials and Methods: Theoretical analysis and systematization of data of scientific-methodical literature, data of Internet network. Conclusions: Implementation of the rehabilitation program is defined as a comprehensive task that requires participation of a team of specialists, where everyone has a list of specific and interchangeable functions. Each of the specialists in the multidisciplinary team is responsible for the patient. At the same time, building of the rehabilitation program, choosing of strategies and means are subordinated to the commonly developed goal.
目的:这项工作的目的是揭示在物理治疗系统中实施多学科方法的特点。资料与方法:对科学方法文献资料、互联网网络资料进行理论分析和整理。结论:康复方案的实施被定义为一项综合任务,需要一个专家团队的参与,每个人都有一个特定的和可互换的功能列表。多学科小组的每一位专家都对病人负责。同时,康复方案的构建、策略和手段的选择都服从于共同发展的目标。
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引用次数: 0
Analysis of Rehabilitation Inefficiency in Persons with Disabilities After Musculoskeletal Injuries 残疾人肌肉骨骼损伤后康复效率分析
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202201111
O. Detsyk, Halyna Y Yukish, O. Burak, I. Stovban, Zhanna M Zolotarova, Nataliia B. Fedorkiv, Ihor M. Karpinets
Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards.
目的:分析残疾人肌肉骨骼损伤后康复效率低的原因。材料与方法:对102例续证后永久残疾的患者进行回顾性研究。结果:仅31.4%的人减轻了残疾的严重程度。其余的保持不变(67.6%)或恶化(1.0%)。肌肉骨骼损伤后永久性残疾的典型人群为男性(86.3%)、村民(74.5%)、工作年龄(99.0%),其中37.5%为40岁以下男性。近一半人(45.1%)的复试次数超过3次;52.0%的人受伤后4年及以上;9.8%的病例认为继续康复无望。康复措施实施中存在的缺陷包括:过度使用有效性证据不足的药物(85.3-88.2%),物理治疗和职业治疗覆盖率不足(56.4%),个体康复计划(IRP)形成的正式方法,特别是在康复潜力评估(100.0%),运动限制程度(20.6%),社会和劳动康复(36.3%)。大部分被调查对象(86.3%)被认为有工作能力,但得到合理就业建议的只有63.7%,其中78.4%的人没有工作。结论:提高康复效果需要国家层面的综合解决方案,改变残疾程度评估方法,形成和实施以现代国际标准为基础的IRP。
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引用次数: 1
Comparative Analysis of 1470 nm and 1940 nm Wavelengths in Endovenous Laser Ablation of Large Diameter Great Saphenous Vein 1470 nm与1940 nm激光消融大直径大隐静脉的对比分析
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202202108
V. Mishura, Y. Melekhovets, O. Melekhovets, E. L. Kovalenko, Lufunyo E. Lihweuli, M. Lуndіn
Aim: To compare pathomorphological changes in the venous wall of large diameter great saphenous veins (GSV) after endovenous laser ablation (EVLA) using wavelengths of 1470 nm and 1940 nm. Materials and Methods: We studied 120 specimens of great saphenous veins from 30 patients with chronic venous disease with large-diameter (>1 cm). Patients were randomly divided into two groups. The 1st group received EVLA using wavelengths of 1470 nm, the 2nd group received EVLA using wavelengths of 1940 nm. Four specimens were taken at the level of the lower third of the thigh after laser coagulation in each patient. Vein specimens were processed for histological studies. Both qualitative and quantitative analyses were performed to assess the degree of wall changes. Results: The share of satisfactory results when using 1470 nm laser wavelengths is 83.3%, while when using 1940 nm laser wavelengths this result is 93.3%. When using both wavelengths of laser irradiation with a GSV diameter of more than 1 cm, no unsatisfactory results are observed. Conclusions: Obtained in our study data confirmed efficacy of the 1470 and 1940 nm endovenous laser ablation in the treatment of the large size GSV (more than 10 mm). Histological exams show preferability in the 1940 nm EVLA versa 1470 nm, considering the excellent result in the uniformity of distribution and safety in the deepness of the thermal injury.
目的:比较1470 nm和1940 nm激光消融(EVLA)后大直径大隐静脉(GSV)静脉壁的病理形态学变化。材料与方法:对30例大直径(bbb10 ~ 1cm)慢性静脉疾病患者120例大隐静脉标本进行研究。患者随机分为两组。第一组接受1470 nm波长的EVLA,第二组接受1940 nm波长的EVLA。每个患者在激光凝固后的大腿下三分之一处取4个标本。对静脉标本进行组织学研究。进行定性和定量分析以评估壁的变化程度。结果:激光波长为1470 nm时满意率为83.3%,激光波长为1940 nm时满意率为93.3%。当GSV直径大于1 cm时,使用两种波长的激光照射,没有观察到令人不满意的结果。结论:我们的研究数据证实了1470 nm和1940 nm静脉内激光消融治疗大尺寸GSV(大于10 mm)的疗效。组织学检查显示1940 nm的EVLA优于1470 nm,考虑到热损伤分布均匀性和深度安全性的优异结果。
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引用次数: 0
Application of “Polyana Kvasova” Mineral Water in the Complex Therapy of Patients with Gastro-esophageal Reflux Disease and Osteochondrosis of the Spine “克瓦索娃”矿泉水在胃食管反流病和脊柱骨软骨病综合治疗中的应用
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202204104
Y. Sirchak, Y. Filak, V. Barani, O. I. Hetsko, Y. Mykhalko, N. Bedey, I. Borisova, Andriy V. Ilko
Aim: To investigate the effectiveness of complex therapy using “Polyana Kvasova” mineral water in patients with GERD and osteochondrosis (OH) of the cervical and thoracic spine. Materials and Methods: The examined patients included 56 Helicobacter pylori (HP)-positive patients with GERD and OH of the cervical and thoracic spine. The examined patients were divided into 2 groups depending on the scheme of complex treatment. All HP-positive patients with GERD and OH underwent standard triple anti-helicobacter therapy and itopride hydrochloride. Group I patients (n=26) received only the above-mentioned regimen. Patients of the II group (n=30) were additionally prescribed 100-150 ml of “Polyana Kvasova” carbonated bicarbonate-sodium mineral water (MW) as a natural antacid, warm, still 4 times a day (1.5 hours before meals and after 45 minutes after – both in the morning and evening) within 1 month. Results: The complex therapy carried out had a positive effect on the endoscopic picture of GERD in patients with cervical and thoracic OH. The decrease in the severity of RE was accompanied by an increase in the number of GERD patients in whom the erosive form of reflux esophagitis was not detected during repeated fibroesophagogastroduodenoscopy (FEGDS) (mainly in the II group of examined patients – 10.0% of patients, p<0.05). The additional prescription of “Polyana Kvasova” MW to the complex treatment increased the frequency of eradication of HP infection by 9.2% – p<0.05 at the background of more pronounced normalization of clinical and endoscopic signs of GERD. Conclusions: 1. GERD is often manifested by atypical extraesophageal symptoms (up to 25.0-27.3% of cases) in patients with OH of the cervical and thoracic spine. 2. The use of standard triple AHT in combination with itopride hydrochloride is an effective method of correcting esophageal and extraesophageal clinical manifestations of GERD in patients with cervical and thoracic spine OH. 3. The additional prescription of “Polyana Kvasova” MW as part of the complex therapy of patients with GERD and OH of the cervical and thoracic regions is a safe, effective method for reducing clinical symptoms, the severity of esophageal lesions with repeated FEGD, and also contributes to increasing the frequency of HP infection eradication in the data patients.
目的:探讨“宝丽娜”矿泉水联合治疗胃食管反流合并颈胸椎骨性软骨病(OH)的疗效。材料与方法:研究对象为56例幽门螺杆菌(HP)阳性的颈胸椎GERD和OH患者。根据综合治疗方案将患者分为两组。所有hp阳性的GERD和OH患者均接受标准的三联抗幽门螺杆菌治疗和盐酸依托必利。I组患者(n=26)仅接受上述方案。II组患者(n=30)在1个月内额外使用100-150毫升“Polyana Kvasova”碳酸碳酸氢钠矿泉水(MW)作为天然抗酸剂,每天温饮4次(饭前1.5小时和饭后45分钟-早晚均可)。结果:综合治疗对颈胸双侧OH患者胃食管反流的内镜图像有积极影响。在RE严重程度降低的同时,反复纤维食管胃十二指肠镜检查(FEGDS)中未检测到糜烂型反流性食管炎的GERD患者数量增加(主要是II组,占10.0%,p<0.05)。在胃食管反流的临床和内镜症状更加明显的背景下,在综合治疗的基础上加用“Polyana Kvasova”MW使HP感染根除的频率提高了9.2%——p<0.05。结论:1。在颈胸椎OH患者中,胃食管反流常表现为不典型的食管外症状(占25.0-27.3%)。2. 标准三联AHT联合盐酸依托必利是纠正颈胸椎OH患者食管及食管外GERD临床表现的有效方法。3.在对颈胸椎部位的胃食管反流和OH患者的综合治疗中,加用“Polyana Kvasova”MW是一种安全有效的方法,可以减轻临床症状和反复FEGD的食管病变严重程度,也有助于提高资料患者HP感染根除的频率。
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引用次数: 0
Individual Rate of Motor Activity as a Criterion for Assessment of Students’ Physical Health 个体运动活动率作为评价学生身体健康的标准
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202203109
Nataliia A Liakhova, Cheng Peng, S. M. Kotov, Andrii V. Afanasiev, Vladyslav H. Sirenko, Hryhorii V. Vasylchuk, Tetiana V. Samolenko
Aim: To develop a methodology for determining the individual rate of motor activity of students in the process of physical education on the basis of indicators of their physical well-being. Materials and Methods: The research involved 82 first year students aged from 17 to 19 (38 – male students, 44 – female students). Research methods: analysis and generalization of literature, modelling, anthropometry and physiometry, pedagogical testing, experiment, methods of mathematical statistics. Results: Low existing level of physical development and physical fitness of students both male and female was revealed due to their low motor activity and passive lifestyle. The relationship between the indicators of students’ physical well-being and their motor activity were established, the closest connection of motor activity was revealed with the indicators of the Rufier index. Regression equations were developed, which are the content of the methodology for determining the individual rate of motor activity of students in the process of their physical education. Conclusions: The obtained results testify to the need for wide introduction of the methodology for determining the individual rate of motor activity of students on the basis of indicators of their physical well-being in the process of physical education. This will allow students to receive information about the appropriate level of physical well-being in accordance with their indicators of physical development, physical fitness and daily motor activity.
目的:建立一种基于学生身体健康指标的体育教学过程中个体运动活动率测定方法。材料与方法:研究对象为82名17 ~ 19岁的大一学生(男38名,女44名)。研究方法:文献分析与归纳、建模、人体测量与物理测量、教学测试、实验、数理统计方法。结果:由于运动活动少,生活方式被动,男女学生的身体发育水平和体质水平均较低。建立了学生身体幸福感指标与运动活动的关系,发现运动活动与Rufier指数指标的联系最为密切。建立了回归方程,这是确定学生在体育教育过程中个体运动活动率的方法的内容。结论:本研究结果表明,在体育教学过程中,有必要广泛推广基于学生身体健康指标的个体运动活动率测定方法。这将使学生能够根据他们的身体发育、身体健康和日常运动指标获得适当的身体健康水平的信息。
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引用次数: 0
Acupressure as a Method of Rehabilitation and Treatment of Patients with Gastroduodenal Pathology 穴位按压作为胃十二指肠病变患者康复治疗的一种方法
IF 0.3 Pub Date : 2022-01-01 DOI: 10.36740/abal202204112
Olga O. Hutsalenko, I. Katerenchuk, U. А. Kostrikova, Iryna V. Tsyganenko, T. I. Yarmola, L. Tkachenko, Lyudmila K. Ovcharenko
Aim: To assess the effectiveness and safety of acupressure in the complex rehabilitation and treatment of patients with gastroduodenal pathology. Materials and Methods: A retrospective analysis of the results of examination and treatment of 40 patients with gastroduodenal pathology was carried out. For treatment, the author’s protocol of acupressure (AP) was used based on the recommendations of F.M. Houston. Statistical processing of the results was carried out according to the qualitative data analysis algorithm using the MedCalc 2022 software package. The frequency of occurrence of qualitative binary variables was analyzed with the calculation of 95% CI. To determine the effect of AP on the change in the frequency of clinical syndromes, the McNemar test for related groups was used. The assessment of the risk of side effects of AP was carried out on the basis of determining the significance level of 95% CI for the share, taking into account the binomial distribution of the characteristic. Formulated null and alternative statistical hypotheses. Results: After two weeks of treatment with the using of AP against the background of the disappearance of endoscopic signs of gastroduodenal pathology, statistically significant changes in the frequency of manifestations of all clinical syndromes were detected. AP not only relieves pain, but also shortens the duration of the illness, eliminates functional disorders of the motility of the upper parts of the digestive tract, allows to achieve clinical and endoscopic recovery and provides stable and long-term remission. Tolerability of AP was good. No side effects were registered. It has been proven with a probability of 95% that the risk of a side effect does not exceed 9%. Conclusions: Using of AP is effective, safe, which corresponds to the alternative statistical hypothesis.
目的:评价穴位按压在胃十二指肠病变患者复杂康复治疗中的有效性和安全性。材料与方法:对40例胃十二指肠病变患者的检查与治疗结果进行回顾性分析。治疗方面,根据休斯敦医生的建议,采用指压疗法(AP)。采用MedCalc 2022软件包,根据定性数据分析算法对结果进行统计处理。分析定性二元变量的出现频率,计算95% CI。为确定AP对相关组临床证候频率变化的影响,采用McNemar试验。考虑到特征的二项分布,在确定份额的95% CI显著性水平的基础上对AP的副作用风险进行评估。制定零和备选统计假设。结果:在胃十二指肠病理内镜征象消失的背景下,应用AP治疗2周后,各临床证候表现频次变化均有统计学意义。AP不仅可以缓解疼痛,还可以缩短病程,消除消化道上半部分运动功能障碍,使临床和内镜下恢复,并提供稳定和长期的缓解。AP耐受性良好。未发现任何副作用。有95%的可能性证明副作用的风险不超过9%结论:AP治疗有效、安全,符合统计学假设。
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Acta Balneologica
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