Русский
Current trends in the treatment of chronic recurrent bacterial cystitis
DOI: https://dx.doi.org/10.18565/urology.2020.6.52-57
A.V. Kuzmenko, V.V. Kuzmenko, T.A. Gyaurgiev
Voronezh State Medical University n.a. N.N. Burdenko, Voronezh, Russia
Introduction. Every year, more than 7 million women go to the doctor for chronic cystitis. An important factor is the psychoemotional component of this disease.
Objective: comparative analysis of various options for complex treatment of women with chronic recurrent bacterial cystitis using phototherapy, chronotherapy and correction of psychoemotional disorders with the anxiolytic drug Adaptol.
Materials and methods. 90 women with chronic recurrent bacterial cystitis in the acute stage were examined and divided into 3 groups of 30 people. In group 1, patients received basic therapy with Furamag (furazidin kalium). In group 2, patients received standard therapy in combination with phototherapy in the acrophase of the chronorhythm. In group 3, basic therapy was performed in combination with phototherapy in the acrophase of the chronorhythm and Adaptol. The severity of dysuria and pain, leukocyturia, bacteriuria, chronobiological and psychoemotional status were evaluated.
Results. Initially, all patients showed signs of desynchronosis and psychoemotional disorders. All groups showed signs of exacerbation of chronic cystitis. The results obtained on the 5th day of therapy in groups 2 and 3 were statistically significantly different (p<0.05) from those in group 1. In group 3, the number of nocturnal urination (0.9±0.7), the number of imperative urges per day (0.7±0.5), and the intensity of pain (0.7±0.6) were the closest to normal. By day 10, clinical and laboratory parameters in all three groups reached normal values, which indicates the effectiveness of the therapy in each of the groups.
Conclusion. Thus, the use of Furamag and Adaptol in combination with phototherapy at the maximum peaks of psychoemotional and physiological activity of the body effectively stops the clinical and laboratory manifestations of the disease, corrects the mental status and improves the quality of life of women in a shorter period of treatment.
Objective: comparative analysis of various options for complex treatment of women with chronic recurrent bacterial cystitis using phototherapy, chronotherapy and correction of psychoemotional disorders with the anxiolytic drug Adaptol.
Materials and methods. 90 women with chronic recurrent bacterial cystitis in the acute stage were examined and divided into 3 groups of 30 people. In group 1, patients received basic therapy with Furamag (furazidin kalium). In group 2, patients received standard therapy in combination with phototherapy in the acrophase of the chronorhythm. In group 3, basic therapy was performed in combination with phototherapy in the acrophase of the chronorhythm and Adaptol. The severity of dysuria and pain, leukocyturia, bacteriuria, chronobiological and psychoemotional status were evaluated.
Results. Initially, all patients showed signs of desynchronosis and psychoemotional disorders. All groups showed signs of exacerbation of chronic cystitis. The results obtained on the 5th day of therapy in groups 2 and 3 were statistically significantly different (p<0.05) from those in group 1. In group 3, the number of nocturnal urination (0.9±0.7), the number of imperative urges per day (0.7±0.5), and the intensity of pain (0.7±0.6) were the closest to normal. By day 10, clinical and laboratory parameters in all three groups reached normal values, which indicates the effectiveness of the therapy in each of the groups.
Conclusion. Thus, the use of Furamag and Adaptol in combination with phototherapy at the maximum peaks of psychoemotional and physiological activity of the body effectively stops the clinical and laboratory manifestations of the disease, corrects the mental status and improves the quality of life of women in a shorter period of treatment.
Keywords: lower urinary tract infections (LUTI), chronic cystitis, lower urinary tract symptoms (LUTS), phototherapy, chronotherapy, Furamag, Adaptol
About the Autors
Corresponding author: V.V. Kuzmenko – MD, professor at the Department of Urology of «Voronezh State Medical University named after N.N. Burdenko», Voronezh, Russia; e-mail: kuzmenkovv2003@mail.ru
