THE STRUCTURE OF POLYPATHY AND EVALUATION OF THE EFFECTIVENESS OF SYSTEMIC PATHOGENETIC PHYSIOTHERAPY BASED ON RETROSPECTIVE COHORT STUDIES

DOI: https://doi.org/10.29296/25877305-2023-10-17
Issue: 
10
Year: 
2023

U. Nurzhan uulu, Candidate of Medical Sciences; Professor M. Sagimbayev, Academician of the National Academy of Sciences of the Kyrgyz Republic, MD;
K. Rysbayev, Candidate of Medical Sciences
Kyrgyz Research Institute of Balneology and Rehabilitation Treatment, Bishkek, Kyrgyz Republic

Polypathy (PP) significantly changes the tactics of the use of rehabilitation technologies, has a significant impact on the prognosis and outcome of treatment of patients, while the standards and approaches currently available when choosing one or another physiotherapeutic rehabilitation are not clearly differentiated. Objective. To analyze the structure of PP, as well as to characterize the effectiveness potential of systemic pathogenetic physiotherapy (SPPT) in the age aspect based on the principles of evidence-based medicine, in particular retrospective cohort studies. Materials and methods. SPPT was used in 811 patients with PP: men – 322 (39.7%), women – 489 (60.3%). We identified two cohorts of patients: group 1 – 328 (40.4%) patients aged 45–59 years; group 2 – 483 (59.6%) patients aged 60–74 years. The ratio of middle-aged and elderly patients was 1:1.4. The results of symptom-complex physiotherapy were compared in groups of end point – (-), (+). Results. In group 1 there were 2.5 diseases per 1 patient with PP, in group 2 – 3.5 diseases. In group 1, 79.3% of patients with PP had 2 diseases, while in group 2, 60.6% of patients had 2–3 diseases. In group 2, the proportion of patients with ≥4 diseases was higher by 13.6% compared with group 1, with 3 diseases – by 29%. At the same time, the proportion of patients with 2 diseases in group 1 was higher by 42.7% compared to group 2. Conclusion. The Lazebnik index was 3.1 diseases per 1 patient. PP is more common in elderly patients than in middle-aged patients; In elderly patients, the so-called "organotopic" pathology more noticeably exceeded that in middle-aged patients.
Keywords: 
polypathy
systemic pathogenetic physiotherapy
symptom-complex physiotherapy
evidence-based medicine
retrospective cohort studies.

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