Issue 4-92, 2019

The place of pelotherapy in the medical rehabilitation of children with chronic pyelonephritis on the background of vesicoureteral reflux

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1 Slobodyan E.I., 1 Kaladze N.N., 1 Govdaluk A.L.

1 V.I. Vernadsky Crimean Federal University, Simferopol, Russia


ABSTRACT

Objective: to evaluate the effectiveness of sanatorium-resort treatment (SRT) using pelotherapy combined with sinusoidalmodulated currents in patients with secondary chronic pyelonephritis (SCP) on the background of vesicoureteral reflux(VUR) in past medical history. The study involved 47 children with SCP on the background of VUR, in a state of clinical laboratory remission. The average age of children was 11.9 ± 3.2 years. Сhildren were divided into 2 treatment groups. Group 1(n=24) on the background of basic SRT (sanatorium and climatic treatments, diet, physiotherapy and sodium chloride bath№ 10) underwent pelotherapy combined with sinusoidal modulated currents to the kidneys area. Alternated with bathsevery other day. Group 2 (n = 23) had only basic SRT. Before SRT in SCP patients with VUR in past medical history, a latentinflammatory process with active fibrogenesis was detected. It was accompanied with subclinical functional abnormalitiesand the discoordination of stress-implementing and stress-limiting systems. Complex SRT in a 1st group allowed to normalizecytokine status, levels of collagen receptors DDR1. Local cytokine status of urine (p<0.05) and tubular kidney functions(p<0.05) were improved. There was a positive dynamics of an adaptation hormone level (p>0.05). The number of CP acutecondition was significantly reduced and clinical and laboratory remission was prolonged (p<0.05). The identified features ofclinical and paraclinical examination indicate the need for refresher course of SRT inclusive of pelotherapy combined withsinusoidal modulated currents on the kidney area No. 10 after 6–9 months in order to ensure long-lasting clinical and laboratoryremission in patients with SCP on the background of VUR.


KEYWORDS: children, secondary chronic pyelonephritis, vesicoureteral reflux, sanatorium-resort treatment, peloidotherapy, sinusoidal modulated currents.


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.