Особливості проведення фізичної реабілітації при часто рецидивуючому типу перебігу виразкової хвороби

Abstract

The article deals with the results of single-stage and multi-stage rehabilitation treatment of patients with often recurrent peptic ulcer disease. The aim of the investigation: to study and improve a comprehensive physical rehabilitation program for people who are actively involved in sports with recurrent peptic ulcer disease of the stomach and duodenum. Material and methods. The study involved 42 patients with peptic ulcer of the stomach and duodenum with often recurrent type (age 18–28). The results of the study: The first experimental group was recommended treatment at all stages of rehabilitation (inpatient, outpatient and sanatorium). During 9 months, each patient received treatment in a hospital (day hospital), clinic and sanatorium. The second control group underwent rehabilitation measures only at the inpatient or outpatient stage. Diet therapy, phytotherapy, medical physical training, physiotherapy were used at all stages of rehabilitation treatment.The effectiveness of treatment and rehabilitation was assessed by the following indicators: the dynamics of subjective and objective manifestations of the disease, the condition of the mucous membrane of the stomach and duodenum and the frequency of recurrences during the year. In the period between treatments, treatment methods were recommended to perform them at home (diet therapy, kinesitherapy, etc.). After rehabilitation and staged treatment, observation of patients lasted 12 months. Analysis of the disease course indicates that the prolonged treatment of peptic ulcer disease with the use of various rehabilitation measures in the inpatient, outpatient and sanatorium, reduced the number of exacerbations during the year and the number of hospitalizations compared to cases where patients underwent only one stage of rehabilitation.The greater efficiency of multi-stage treatment indicates the data obtained during the examination of the state of acid formation in the stomach. Conclusion: Rehabilitation should be carried out continuously, including all stages of rehabilitation and continue until maximum recovery is achieved.