The potential of the non-pharmacological methods for the rehabilitation and prophylaxis in the patients suffering from with atopic dermatitis [Vozmozhnosti reabilitatsii bol'nykh atopicheskim dermatitom i profilaktiki obostreniĭ nelekarstvennymi metodami]

This article was designed to discuss the therapeutic potential of various non-pharmacological and physiotherapeutic methods for the treatment and rehabilitation of the patients presenting with atopic dermatitis (AD) during the inter-recurrence period of the disease. The particular emphasis is placed on the physical agents most frequently used for the purpose with special reference to the combined therapy of atopic dermatitis in the adults and children and to their rehabilitation in the inter-exacerbation periods. In addition, the data on the prospects for the use of various medications intended for tissue- and organotherapy of the patients suffering from atopic dermatitis are presented. The main traditional approaches to the management of the patients with atopic dermatitis under conditions of the spa and health resort facilities are considered based on the original experience of the authors including the application of various modes of ozone therapy regarded as a physiotherapeutic procedure for the treatment of atopic dermatitis in the children and adult patients, their rehabilitation, and the prevention of exacerbations of the pathological process based on the external and/or systemic application of the ozone-oxygen gaseous mixture. The selected modalities of ozone therapy used to treat various clinical forms and stages of the atopic dermatitis differing in severity are described in detail. The data on the influence of ozone therapy on a variety of pathogenetic factors of atopic dermatitis are presented as obtained by the investigations into dynamics of the characteristics of immunity, microcirculation, and the levels of free radical metabolites. The results of the study give evidence of the high effectiveness of ozone therapy as a method of physiotherapeutic treatment both in the capacity of a component of combined therapy during the acute phase of atopic dermatitis and as the means of secondary (post-exposure) prophylaxis of the exacerbations and relapses of this condition based at the medical and preventive treatment facilities of various specialization.В статье обсуждаются возможности различных физиотерапевтических методов реабилитации больных атопическим дерматитом в межрецидивный период. Приводятся сведения о физических факторах, наиболее часто используемых при лечении атопического дерматита у взрослых и детей, а также в комплексной реабилитации в межрецидивный период. Также приведены сведения о перспективах применения для лечения больных атопическим дерматитом различных средств тканевой органотерапии. Перечислены основные традиционные подходы к санаторно-курортному лечению пациентов с атопическим дерматитом. Обобщен опыт, в том числе собственный, применения различных методик озонотерапии - физиотерапевтического метода, заключающегося в системном и/или наружном воздействии на организм озонокислородной газовой смесью для лечения и профилактики обострений атопического дерматита у взрослых и детей. Подробно описаны методики озонотерапии, применяемые для лечения разных клинических форм атопического дерматита, а также при различных стадиях и степенях тяжести течения. Приведены данные о влиянии озонотерапии на различные звенья патогенеза атопического дерматита, полученные на основании динамики иммунных, свободнорадикальных и микроциркуляторных показателей. Показана эффективность озонотерапии как компонента комплексного лечения острой стадии атопического дерматита, а также как средства вторичной профилактики рецидивов кожного процесса в лечебно-профилактических учреждениях различного профиля.

Kosheleva I.V.1 , Bitkina O.A.2 , Klivitskaya N.A. 3 , Shadyzheva L.I.1
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  • 1 Federal State Budgetary Educational Institution of Higher Professional Education 'Russian Medical Academy of Continuous Professional Education', Ministry of Public Health of the Russian Federation, Barrikadnaya str. 2/1-1, Moscow, Russian Federation, 125993
  • 2 Federal State Budgetary Educational Institution of Higher Professional Education 'Nizhny Novgorod State Medical Academy', Ministry of Public Health of the Russian Federation, ploshchad Minina i Pozharskogo, 10/1, Nizhny Novgorod, Russian Federation, 603005
  • 3 Federal State Autonomous Educational Institution of Higher Professional Education 'Russian University of People's Friendship', Miklukho-Maklaya str., 6, Moscow, Russian Federation, 117198
atopic dermatitis; ozone therapy; physiotherapy; prevention of the exacerbations; rehabilitation
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