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Gumenyuk L.N.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Sherengovskaya Yu.V.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Gorlova N.A.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Prokhorov D.V.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Basnaev U.I.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Karakursakov N.E.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Comparison of balneotherapy and balneotherapy combined with magnetic-laser therapy at a sanatorium-resort stage of treatment of patients with eczema

Authors:

Gumenyuk L.N., Sherengovskaya Yu.V., Gorlova N.A., Prokhorov D.V., Basnaev U.I., Karakursakov N.E.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;100(4): 28‑38

DOI: 10.17116/kurort202310004128

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To cite this article:

Gumenyuk LN, Sherengovskaya YuV, Gorlova NA, Prokhorov DV, Basnaev UI, Karakursakov NE. Comparison of balneotherapy and balneotherapy combined with magnetic-laser therapy at a sanatorium-resort stage of treatment of patients with eczema. Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;100(4):28‑38. (In Russ.)
https://doi.org/10.17116/kurort202310004128

Подписка 2025 (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
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The search for new rational ways to improve the effectiveness of treatment and rehabilitation measures of patients with true eczema continues to be one of the pressing issues in modern clinical dermatology.

OBJECTIVE

The comparative analysis of influence of different variants of SCL: balneotherapy and balneotherapy combined with magnetic laser therapy on the dermatological status, IL-4 and IL-13 level, psycho-emotional state and QOL evaluation in patients with true eczema.

MATERIAL AND METHODS

The study involved 112 patients with true eczema undergoing spa treatment (SCR) (54 in the balneotherapy group and 58 in the balneotherapy group combined with magnetic laser therapy. The effectiveness of SCR was assessed using the EASI, HARS and MADRS scales, and the DLQI questionnaire. The dynamics of IL-4 and IL-13 plasma levels were studied. The duration of the study was 6 months and 14 days.

RESULTS

After 14 days of SCR, a statistically significant reduction of the EASI index was more pronounced in the balneotherapy group in combination with MLT compared to the balneotherapy group (p=0.041). Balneotherapy combined with MLT contributed to a statistically significant reduction in the HARS and HDRS scores. The decrease in IL-4 and IL-13 levels was statistically more significant in the balneotherapy group in combination with MLT. The combined use of balneotherapy and MLT in comparison with the balneotherapy group was accompanied by a more pronounced improvement in QOL. The combined use of balneotherapy and MLT in the follow-up phase showed a long-term positive effect: 6 months after completing SCR, the number of patients who had clinical remission was statistically significantly higher than that of the balneotherapy group (87.4% vs 22.5%).

CONCLUSION

The combined use of balneotherapy and MLT compared with balneotherapy in patients with true eczema on SCR was shown to be advantageous. The complex application of balneotherapy and MLT decreases inflammatory biomarker scores, improves dermatological and psychoemotional status, QOL parameters and is well tolerated.

Keywords:

true eczema
spa treatment
balneotherapy
magnetic laser therapy
IL-4
IL-13
anxiety-depressive disorders
quality of life

Authors:

Gumenyuk L.N.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Sherengovskaya Yu.V.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Gorlova N.A.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Prokhorov D.V.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Basnaev U.I.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Karakursakov N.E.

Medical Academy named after S.I. Georgievsky Academic Unit of V.I. Vernadsky Crimean Federal University

Received:

01.11.2022

Accepted:

21.04.2023

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