Evaluation of the natural medical-table hydrocarbonate mineral water application effectiveness in rehabilitation therapy of patients with urolithiasis

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Abstract

Background. Urolithiasis can be considered as a socially significant disease not only because it affects mostly people of working age, but also because it often turns into a chronic form, leading to an increase in the level of disability. This dictates the need to search for effective methods of treatment and prevention of disease recurrence, among which an important role is given to the use of non-pharmacological treatment methods — balneological therapeutic factors.

Aim. Evaluation of the effectiveness of the natural low-mineralized mineral water “Tarkhanskaya-3” use in the rehabilitation therapy of urolithiasis in working-age patients.

Material and methods. The study program involved 33 patients with urolithiasis. The patients of the main group (22 people), who did not have concomitant somatic acute or chronic pathology, took mineral water for 28 days 6 times a day, at home under the supervision of a polyclinic doctor and a nurse , at the rate of 4 ml/kg, degassed, heated to 22–26 °C. The control group (11 people) did not receive mineral water as a non-pharmacological therapy. The history of the disease, changes in the general analysis of urine and well-being (quality of life according to the Wisconsin questionnaire) were studied. The significance of differences was considered according to the generally accepted values of the Student's criterion and χ2.

Results. Comparative assessment of complaints and quality of life showed an improvement in the condition of patients who took mineral water: discomfort during urination disappeared, the number of patients with a positive costovertebral angle tenderness decreased, while no changes were recorded in the control group. In patients of the main group, a tendency towards a decrease in the level of uric acid from 326 to 256 μmol/L (t=0.96; p >0.05) was revealed. Reliable data were obtained on the effect of mineral water intake on inorganic urinary sediment — a decrease in the level of crystalluria (oxalaturia) in 70% of cases (χ2=3.9, p=0.048). Spontaneous discharge of salt crystals was registered in 2/3 of patients, an increase in daily urine output — in all patients who took mineral water. The assessment of the quality of life of the main group patients showed a significant improvement in the state of health according to the scale “impact on health” (t=2.13; p <0.05). Evaluation of clinical and laboratory parameters did not reveal a significant effect on the electrolyte metabolism and concentration function of the kidneys.

Conclusion. The intake of “Tarkhanskaya-3” mineral water for the purpose of secondary prevention in the rehabilitation therapy of urolithiasis has a positive effect on the course of the disease.

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About the authors

Olga R. Radchenko

Kazan State Medical University

Author for correspondence.
Email: radch.olga@gmail.com
ORCID iD: 0000-0002-0616-2620

M.D., D.Sci. (Med.), Prof., Depart. of General Hygiene

Russian Federation, Kazan, Russia

Yuri A. Knni

Kazan State Medical University

Email: happyknni@yandex.ru
ORCID iD: 0000-0002-5467-7100

Senior Lecturer, Depart. of General Hygiene

Russian Federation, Kazan, Russia

Evgeny V. Arkhipov

Kazan State Medical University

Email: jekaland@mail.ru
ORCID iD: 0000-0003-0654-1046

M.D., Cand. Sci. (Med.), Assoc. Prof., Depart. Of Polyclinic Therapy and General Medical Practice

Russian Federation, Kazan, Russia

References

  1. Apolihin OI, Sivkov AV, Moskaleva NG, Solntseva TV, Komarova VA. Analysis of the uronephrological morbidity and mortality in the Russian Federation during the 10-year period (2002–2012) according to the official statistics. Eksperimentalnaya i klinicheskaya urologiya. 2014;(2):4–12. (In Russ.)
  2. Ferraro PM, Robertson WR. Unwin renal stone di­sease. Medicine. 2019;47(9):537–540. doi: 10.1016/j.mpmed.2019.06.006.
  3. Murabito S, Hallmark BF. Complications of kidney disease. Nurs Clin North Am. 2018;53(4):579–588. doi: 10.1016/j.cnur.2018.07.010.
  4. Statistika zdorov'ya naseleniya i zdravookhraneniya (po materialam Respubliki Tatarstan za 2014–2019 gody). Uchebno-metodicheskoe posobie. (Population health and healthcare statistics (based on the materials of the Republic of Tatarstan for 2014–2019). Tea­ching aid.) Kazan': GAU “RMBIC”; 2020. 268 р. (In Russ.)
  5. Barreto FC, Ziad A Massy, Tilman B Drüeke. Strategies for phosphate control in patients with CKD. Kidney Int Rep. 2019;4(8):1043–1056. doi: 10.1016/j.ekir.2019.06.002.
  6. Hornberger B, Bollner MR. Kidney stones. Physician Assist Clin. 2018;3(1):37–54. doi: 10.1016/j.cpha.2017.08.006.
  7. Knoll T. Epidemiology, pathogenesis, and pathophysiology of urolithiasis. European Urology Supplements. 2019;(12):802–806. doi: 10.1016/j.eursup.2010.11.006.
  8. Dzhioev IG. Influence of mineral water “Tib-2” on the current of urolithiasis and secondary pyelonephritis in patients. Mezhdunarodnyy zhurnal prikladnykh i fundamentalnykh issledovaniy. 2017;(8-2):243–247. (In Russ.)
  9. Nejmark AI, Saldan IP, Davydov AV. Use of mineral water in rehabilitation the­rapy of patients with nephrolithiasis. Urology reports (St.-­Petersburg). 2018;8(2):18–23. (In Russ.) doi: 10.17816/uroved8218-23.
  10. Stevens S. Obstructive kidney disease. Nurs Clin North Am. 2018;53(4):569–578. doi: 10.1016/j.cnur.2018.07.007.
  11. Kurochkin VYu, Fedorov AA, Khoroshavina EI, Berdnikov TG, Ibragimov RL. Mineral waters of Tarkhany Deposit Bolshye Tarkhany village of tetyushsky municipal area in the Republic of Tatarstan. Kurortnaya meditsina. 2019;(4):10–17. (In Russ.)
  12. Pushkar' DYu, Gvozdev MIu Tupikina NV. Questionnaires as a tool for assessing the quality of life in urogynecolo­gical patients. Rossiyskiy vestnik akushera-ginekologa. 2013;(1):23–29. (In Russ.)

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