New approaches to medical rehabilitation of patients with chronic pancreatitis at hospital stage

Abstract

The research objective is to study therapeutic effectiveness of the medical rehabilitation program of patients suffering from chronic pancreatitis at the stationary stage with combined use of physical therapeutic factors against the background of standard pharmacotherapy.

Materials and methods. In the therapeutic department of City Clinical Hospital No. 1 in Krasnodar there have been examined and treated 159 patients with acute chronic pancreatitis. By simple randomization, 4 groups were formed: the main group (39 people) received a standard drug therapy; the 1st group of comparison (38 people) additionally received physical therapy; the 2nd group of comparison (40 people) got drinking mineral water “Slavyanovskaya” in addition to the treatment in the 1st group of comparison; in the main group (42 people) the patients received preformed peloido-therapy (PPT) on the cervical collar zone in addition to the treatment in the 2nd group of comparison. All the patients before and after medical rehabilitation underwent clinical and laboratory research, the assessment of quality of life).

Results. In the main group leveling of clinical symptoms occurred by 78.2% (p < 0.01) on average, in the 1st group of comparison by 71.5% (р < 0,01), in the 2nd group of comparison by 62.3% (p < 0.01), in the control group by 57.2%. Decrease in anxiety intensity with patients suffering from chronic pancreatitis in case of complex medical rehabilitation (main group) occurred by 47.6% (p < 0.01) compared with the data before medical rehabilitation; after additional inclusion physical therapy and drinking mineral water in the treatment complex by 42.6% (p < 0.01); in the main group after inclusion complex pharmacotherapy and physical therapy by 34% (p < 0.01) and in the control group by 30.7% (p < 0.01) after using only standard pharmacotherapy. Positive dynamics of clinical and laboratory indicators was accompanied by significant improvement of quality of life at combined medical rehabilitation.

Conclusion. The inclusion of physical therapeutic factors in the programs of the inpatient stage of medical rehabilitation of patients with chronic pancreatitis contributes to levelling of clinical manifestations (abdominal pain, dyspepsia, and diarrhoea), significant improvement of excretory function of pancreas, which results in the improvement of quality of life of this category of patients.

Keywords

chronic pancreatitis / 2nd stage of medical rehabilitation / mineral waters / preformed peloidotherapy / physical therapy

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