“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 Q4 REHABILITATION Acta Balneologica 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
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引用次数: 0

摘要

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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Application of “Polyana Kvasova” Mineral Water in the Complex Therapy of Patients with Gastro-esophageal Reflux Disease and Osteochondrosis of the Spine
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.
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Acta Balneologica
Acta Balneologica REHABILITATION-
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66.70%
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