使用自身免疫参数评价骨科矫正的结果:初步研究

A. Ikhlef, Y. Potekhina, E. Tregubova, O. I. Kurbatov, A. Pukhalenko
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摘要

介绍。骨科矫正(OC)旨在消除躯体功能障碍,这是可逆的组织活动的结构和功能障碍。本研究的目的是探讨使用功能性(而非病原学)自身免疫指标来评估骨科矫正效果的基本可能性。材料和方法。这项前瞻性研究是在2020-2021年在梅奇尼科夫国立医科大学骨病科和圣彼得堡骨病研究所的基础上进行的。对10名20 ~ 52岁的中青年进行了调查。患者接受2-3次整骨矫正。根据骨科诊断算法对患者进行检查;采用elisa -脏器测试-24方法,测定小鼠在OC课程前后对24种自身抗原抗体滴度的比值。主要结缔组织蛋白胶原的自身抗体相对含量显著(p=0,037)从中位数6% (Q1-Q3 2 - 9%)增加到11% (Q1-Q3 2 - 22%)。其他自身免疫指标在不同方向上存在差异。OC可能触发了结缔组织的重组过程,这反映在胶原蛋白的auto-AT指标的增加。其他自身免疫指标的变化需要对更大样本进行更详细的研究。
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The use of autoimmunological parameters to evaluate the results of osteopathic correction: pilot study
Introduction. Osteopathic correction (OC) is aimed to eliminate somatic dysfunctions, which are reversible structural and functional disorders of tissue mobility. Adaptation mechanisms of the organism imply structural The aim of the study is to investigate the fundamental possibility of using functional (not nosological) autoimmunological indicators to evaluate the results of osteopathic correction.Materials and methods. The prospective study was conducted on the basis of the Department of Osteopathy of the Mechnikov NWSMU and the Institute of Osteopathy (Saint-Petersburg) in 2020–2021. 10 young and middle-aged people (20–52 years old) were examined. Patients underwent osteopathic correction in the amount of 2–3 sessions. Patients were examined according to the algorithms of osteopathic diagnostics; the ratio of antibody titers to 24 autoantigens of various body tissues and organs was evaluated using the ELI-Viscero-Test-24 method before and after the OC courses.Results. The relative content of autoantibodies to the main connective tissue protein collagen significantly (p=0,037) increased from a median value of 6 % (Q1–Q3 2–9 %) to 11 % (Q1–Q3 2–22 %). The other autoimmunological indicators varied in different directions.Conclusion. It is likely that OC triggers the processes of connective tissue restructuring, which are reflected in an increase in the indicators of auto-AT to collagen. Changes in other autoimmunological indicators require more detailed studies on a larger sample.
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