[The development of medical technologies for the spa and resort rehabilitation of patients presenting with pathology of the biliary system taking into consideration circumannual biorhythms].

This study included 188 patients presenting with pathology of the biliary system, such as dyskinesia of bile ducts, chronic non-calculous cholecystitis (CCC), and dysfunction of the bile system. The objective of the work was to develop complexes of intensive non-medicamental rehabilitative treatment for the correction of the adaptive potential of the organism in the springtime (March-May). It was shown that the efficacy of therapy during this period can be improved by modulation of the complex structure. New treatment modalities were proposed taking into consideration specific changes of clinical characteristics in different phases of the circumannual cycle and curative effects of various therapeutic factors that increase the adaptive potential of the organism. These complexes allowed both the efficiency and the tolerability of the treatment to be improved. It is concluded that the use of corrected complexes of intensive therapy in springtime (March-May) permits to reduce the duration of therapy by 5-6 days from the usual 21-24 days using the traditional approach.

[Morphological validation of peloidobalneotherapy intensification in patients with duodenal ulcer]. / Morfologicheskie obosnovanie intensifikatsii peloidobal'neoterapii u bol'nykh iazvennoi bolezn'iu dvenadtsatiperstnoi kishki.

AIM: To study effectiveness of short courses of intensive peloidobalneotherapy in duodenal ulcer (DU). MATERIAL AND METHODS: Esophagogastroduodenoscopy and biopsy before and after the treatment course were made in 124 DU patients. Depending on timing of moor applications, pine and pearl baths, the patients were divided into 2 groups. Patients of group 1 received procedures daily with interval 4-5 hours (intensive course), patients of group 2 were treated each other day. RESULTS: 3-4 weeks of the treatment produced a response in both groups but in group 2 there were no signs of active inflammation in gastric and duodenum mucosa. 2 years later, patients of group 1 had histological evidence of chronic inflammation exacerbation. The latter was absent in group 2. CONCLUSION: An intensive course of peloidobalneotherapy results in attenuation of chronic gastroduodenal inflammation in DU patients.

[Effectiveness of an intensive pelobalneotherapy course in the treatment of patients with duodenal ulcer]. / Effektivnost' kursa intensivnoi peloidobal'neoterapii v lechenii bol'nykh iazvennoi bolezn'iu s lokalizatsiei iazvy v dvenadtsatiperstnoi kishke.

Intensification of peloidobalneation pattern results in cicatrization of ulcer in many patients with duodenal ulcer at the stage of partial clinical remission and attenuated exacerbation during 18 days promoting alleviation in chronic inflammation in gastroduodenal zone.