RUSSIAN JOURNAL OF

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RUSS/AN JOURNAL OF REHABILITATION MEDICINE
1 (POCCJfftCKJfft )l(YPHAß BOCCTAHOBJfTEJlbHOft MF,l(Jfl..(JfHbl), Mi , 2012zoo.

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noroo» MliH3,z:i;pasa PoccHH, MocKBa
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<l>fEY «<l>e,z:i;epam,Hblli HayqHO-KnHHH:qecKHH QeHrp ,z:i;eTCKOH reMaTOnorHH:, OH-
Konoroo H HMMyHonornH HMeHH ,[.{MHrpIDI Poraqesa» MHH3,z:i;pasa PoccHH, MocKBa
Pe110Me.
;jj B YCJIOBIDIX P~OMH3Hp0BaHHI,IX KJIHHH'IeCKHX HCIIbITaHHH HCCJie.n:omurn cpaBHHTeJibHyIO
3<p<peKTHBHOCTb HMIIyJibcHoro HH3Ko11acTOmoro JJieKTpoCTaTH1IecKoro rroIDI (11H3CIT), neqe6-
liil HOH fHMHaCTHKH (nf) H K0MIIJieKCH0ro rrpHMeHeHIDI 3THX MeT0.!J:0B IIpH Jie1IeHHH 101 pe6eHKa OT
5 .n:o 15 JieT B IIOCTIIpHCTylIHbIH rrepHo.n: H rrepHo.n: HeII0JIHOH peMHCCHH 6poHXHaJibHOH aCTMI,I.
ä:i KpHTepIDIMH ou;eHKH 3<p<peKTHBHOCTH B 3 rpyrrrrax II~HeHT0B CJiy)KHJIH .!l:aHHhle .!J:HHaMH'IeCKoro
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xo-nero1IHOH CHCTeMbl, .!J:I,IXaTeJibHOH 3KCKypCHH rpy.n:HOH KJieTKH, 6pOHXHaJibHOH IIpOX0.!J:HM0-
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l1H3CIT B 2,3 pa3a, nr - B 1,8 pa3a, a IIpH H K0MIIJieKCH0M IIpHMeHeHHH - B 4,8 pa3a. l!epe3 12
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B 26, 7 % CJIY1J:aeB.
s; Kmo11eBbie CJIOBa: HMIIyJibCHOe HH3K01IaCTOTHOe 3JieKTp0CTaTH'l:eCKOe II0Jie, 6pOHXHaJibHa.ll
acTMa, .!l:eTH, Jie11e6Hax fHMHaCTHKa.

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BBe.n:euue. EpoHXHaJibHM acTMa (EA) .llBJI.lleTC.ll 0.!J:HOH H3 aKTYaJibHbIX rrpo6neM ne.n:HaTpHH
H BOCCTaHOBHTeJibHOH Me.n;HIJ;HHbl BCJie.n;CTBHe BbIC0K0H pacrrp0CTpaHeHHOCTH (.n:o 15% .n:eTCK0H
IIOIIYIDIU:HH), YTIDKeJieHIDI Te1IeHID1 3a6orreBaHIDI, He6narorrpIDITHoro BJIIDIHIDI Ha pocT H pa3BH-
THe pe6eHKa, B03M0)KH0CTH PaHHeH HHBaJIH.n:H3~HH [ 1-4].

!liil B HaCTO.llIIJ;ee BpeM.ll OTMetJ:aeTC.ll 3Ha1IHTeJibHI,IÜ rrporpecc B o6naCTH Me.!J:HKaMeHT03H0ro

Jie1IeHID1 EA y .n:eTeÜ, HaIIpaBJieHHoro Ha CHH)KeHHe B0CIIaJIHTeJibHbIX rrpou;eccoB B 6poHxax, CH.ll-
iiil THe 6poHXOCIIa3Ma H KOppeKIJ;HIO HapyrrieHHH HMMyHH0H CHCTeMbl. O.n:HaKo .!l:JIHTeJibHa.ll 6poHXo-
JIHTH1IeCKa.ll H IIpOTHBOBOCilaJIHTeJibHa.ll TepaIIH.ll Hepe.n;Ko IlpHI,iü.!J:HT K pa3BHTHIO rro601IHbIX peaK-
=a IJ;HH H corrpOBO)K.!J:aeTC.ll B P.ll.!l:e CJIY1J:aeB T.ll)KeJibIMH 0CJI0)KffeHH.llMH, 1IT0 onpe.n;eJI.lleT Heo6XO.!J:H-
MOCTI, IIOHCKa HJ~a3pa60TKH HOBI,IX HeM~.!J:HKaMeHT03HbIX MeT~.!J:0B K0ppeKIJ;HH [5, 6]. -
<l>H3H1IeCKHe <paKTOpbI .llBJI.llIOTC.ll Ba)KHI,IM pe3epB0M Il0BblIIIeHIDI 3<p<peKTHBHOCTH JietJ:eHIDI
;;il xpoHH1IeCKHX 6poHXoJier01IHbIX 3a6oneBaHHÜ, B TOM 1IHCJie 6pOHXHaJibHOH aCTMhl [5, 7-11].
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HbIM .n:eHCTBHeM, B03HHKaIOIIIHM 3a C'l:eT rny6oKOH 0CIJ;HJIJUIIJ;HH TKaHeÜ [12-14]. B T0 )Ke BpeM.ll B

21

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 RUSS/AN JOURNAL OF REHABILITATION MEDICINE
(POCClfHCKlffI )l(YPHAß BOCCTAHOBJfTEJlbHOfI MF,/(Jfl.(JfHbl), M!l, 20/ 2zoiJ.

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uoro HH3K01JaCT0TH0f0 :meKTp0CTilTH'leCK0f0 II0IDI Ha KJIHHH'leCK0e Te'leHHe, <f>yHI<UHIO BHeUIHe- .:;
ro ,D;I,IXaHHJl, ,n;i,IXaTeJII,HyIO 3KCKypCHIO rpy,D;Hoä KJieTKH, o6nzyro cl>HJH'leCKyIO pa60TOCIIOC06-

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H0CTI, H C0CTOfilllle cep,n;e11Ho-cocy,n;HCTOH CHCTeM.hl y ,I{eTeä c 6pOHXHaJibHOH acTMOH, a TaIOKe
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C rreqe6HOH rHMHaCTHKOH no Henocpe,n;cTBeHHI,IM H 0T,I{aJieHHI,IM pe3yJII>TaTaM rre11eHID1.
ManpHaJibl u MCTO,l);bl HCCJIC,IJ;OBaHHB. KrrHHH'leCKHe Ha6rrro,1J;eHID1 H cneUHaJibH.hle HC-
crre,n0BaHIDI npoBe,n;eHI>I B .[{HHaMHKe y 101 pe6eHKa c EA, Ha yqacTHe B K0T0pbIX 61,mo norryqeHO
HHcl>opMHpoaamme corrracHe JaK0HHbIX npe,n;cTaBHTerreä. OT6op 60JII,Hl>IX ocymecTBIDIJICH B co- .;
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nocmpHCTYßH.hlH nepH0,I{ H nepH0A HeIIOJIHOH peMHCCHH. KpHTepmlMH HCKJIIO'leHIDI HBJIHJIHCI,:
3.[{0p0B.hle ,I{eTH, AeTH B IIpHCTYßH0M nepH0,I{e EA, ,I{eTH, HMeIOIUße 061Uße npoTHBOIIOK83aHIDI K
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uatJaJI0M H nocne JaBepmeHHH KypCa rre11eHHH. J13yqaJIHc1, cne.1.1:yIOIUHe II0KSJaTeJIH: <l>)KEJI -
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pocTI> B T0'IKe Bbl.ll:0X8 25%, 50% H 75% <l>)l(EJI. MoHHTOpHpOBaHHe IIHKOBOH CKopocrn Bbl.ll:OXa -=
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22
 RUSS/AN JOURNAL OF REHABILITATION MEDICINE
(POCCHftCKHft )[(YPHAJI BOCCTAHOBHTEJlbHOft M~H/.(HHbl), MI, 2012200.

eM KOMllbIOTepHoä 11porpaMMbI SPSS 16.0.2.

MeTO,ll;HKH JIC"IICHHH. B C00TBeTCTBHH C 3a;:J;aqaMH HCCJie,n;oBaHIDI BCe ,n;eTH 6bIJIH
paJ,nerreHbI Ha 3 rpyllllbl, K0T0pbie q>OpMHpOBaJIHCI, MeT0}];0M paH,n;0MH3aqHH.
1 rpyrr11e 60JibHbIX ( 42 pe6eHKa) llp0B0}];HJI0CI, B03,n;eäCTBHe 11H3CTI, K0T0poe 0CyrrieCTB-
llilJIOCI, OT arr11apaTa «HIVAMAT-200» 11poHJBo,n;cTBa HeMeQKOH q>HpMbI «Physiomed» 110 MeTO-
.[(HKe eo c11ea:HarrbHbIMH BHHHJI0BbIMH 11epqaTKaMH. Pe6euKy 11p0H3B0}];HJIHCI, MaCCIDKHbie ,n;BH)Ke-
HIDI B BH,n;e 11orrra)KHBaHID1 110 Me)Kpe6epubIM 11poMe)KyTKaM 11epe,n;ueä H 3a}];HeH II0BepXH0CTH
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11ocrre.noBaTerr1,Ho 100 H 60 ru: 11pH Macca)Ke Ja,n;Heä 110Bepxuocm rpy,n;uoä KJieTKH. BpeMjl B03-
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I= :: B03pacTe OT 5 .no 15 rreT. Cpe.n;H o6crre,n;oBaHHbIX y 51,5% ,n;eTeä ua6JIIO,n;arroc1, rrerKoe Te':leHHe
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COIIYTCTByro[QHe arrrreprHqecKHe 3a6orreBaHIDI, cpe,n;H K0T0pbIX 11peo6rra,n;arr II0JIJIHH03 - 81,2%.

=Cl1 AT011HqecKHä ,n;epMaTHT Ha6JIIO,n;arrcSI y 67,3% ,n;eTeä, IIHJ:QeBaSI arrrreprIDI-y 52,5%,

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10,9% 60JibHbIX.

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= BJIIDKHbIMH. ÖOJibIIIHHCTBO .n;eTeii (71,3%) )KaJI0BaJIHCI, Ha BJla)KHI,IB KaIIIeJib c 0TX0)K,11;eHHeM

:=a BH3KOH M0Kp0TbI, 14,9% - Ha cyxoü Kamerrb.

Y 60JiblIIHHCTBa ,neTeii (91, 1% ) Ha6JIIO,nanoc1, HapymeHHe 6pOHXHaJibHOß rrpoxo.n;HM0CTH.
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o6CTpyKU:IDI Ha ypOBHe rrepmpepHqeCKHX 6pOHXOB - B 52,5%. Y 9,9% 60JibHbIX
qmoYMeTpHqecKHe II0KaJaTeJIH H3X0,n;HJIHCI, B rrpe,n;enax H0pMbI.

:=e 8
Hccne,n;oBaHHe <pyHKQHH Buemuero ,ll;bIXaHirn BbISIBHJI0 CHH)KeHHe CK0p0CTHbIX II0KaJaTerreii
cpe,n;HeM rro a1,16opK€E,_ (IICB - 68,44± 1,07% ,n;0JI)KHI>IX e,n;HHHU: (,[(); MOC 25 - 69, 79±2,08%~;
MOC 50 -65,60±1,81%,[(; MOC7s-56,61±2,73%.[0, rrpH 3T0M 061,eMHI>Ie II0KaJaTerrH uaxo,n;HJIHCb
8 rrpe,n;enax HopMbI (<l>)KEfl - 81,61±1,47%,[(; O<1>B 1 - 81,64± 1,45%,[().
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-.:YeHHH acex cKopocTHbIX IIOKaJaTerreii (MOC2s, MOC50 , MOC 75 ) H O<1>B 1 B rrocTrrpHCTyrrH0M
::e rrep1m,n;e. YMepeHH0 Bblpa)KeHHble HapymeHHSI rrp0X0}];HM0CTH Ha yp0BHe MeJIKHx 6pouxoB B
IIOCTIIpHC'fYIIH0M rrepHo,n;e ua6JIIO,n;aJIHCb IIpaKTH:qeCKH y Bcex ,n;eTeii (90,3%), qro }];0CTOBepH0
qame auanorHqHbIX H3MeHeHHH B rrep1:10,n;e HeII0JIHOH peMHCCHH, K0TOpbie Ha6JIIO,ll;aJIHCb y 66,2%
60JibHblX (i = 6,7; p<0,02).
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23

1
j
 RUSS/AN JOURNAL OF REHABILJTATION MEDICINE
(POCCHftCKHft )J(YPHAJI BOCCTAHOBJITEJ/bHOft MEJ(III.(IIHb./), MI, 20/lzoo.

6A ee BhUIBHJI CTaTHCTH'IecICH 3Ha'IHMLIX p83.Jlll'IHH. TaK, npH nencoM -reqeHHH 3a6oneBaHID1

TICB COCTaBHJia B cpeJU{eM 72,99±1,88%)::{, npH cpe,llHeTJDKenoM -67,09±2,76%.zl (p>0,05); B
nepHO}le HeIIOJIHOH peMHCCHH-67,26±2,11 %)l, B II0CTIIpHCT)'IIH0M rrepHO}le-65, 11±2,35%)l 1
(p>0,05).
y 60ill>IIIHHCTBa JleTeH (75,5%) onpe}leJUUI0CI, }'MeHI>meHHe ,lll,IXaTem.HOH 3KCK)'pCHH rpyJl- 1
HOH KJieTKH ()],3fK), y 24,5% ,n:e-reH ee 3HaqeHHJI H8X0JlßJIHCI, B rrpe,llenax H0pMLI. Cpe,llHHH rro- 1
Ka3aTeJII, )l3I1< C0CTaBHJI 5,22±0, lcM. B 38BHCHM0CTH 0T TJDKeCTH TeqeHHJI H nepeo,lla 3a6oneBa-
HIDI ,ll0CT0Bepm,rx pa3JIH'IHH Me)K)zy 3HaqeHIDIMH ,n:aHHoro II0K83aTeJIJI He Ha6mo}laJIOCh (p>0,05). 1
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3HaqffTeJll,H0e CHIDKeHHe-y 10,3%, H0pMaill>HI>Ie II0K83areJIH O<l>P perHClpHp0BaJIHCh y 17,3%. 1
y CTaH0BJieH0 6onee BI,IJ>aX<eHH0e CHHX<eHHe 3TOfO II0K83aTeJIJI IIpH 6onee TJDKeJIOM -reqeHHH 6A.
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1
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HWI CBJl3h (r-=0,4, p=0,03) Me)K,lly nepH0,ll0M 6A H HCX0,llHI,IMH 3Ha'leHIDIMH O<l>P, lff0 II0,llTBep-
)KJlaJI0CI, Jl0CTOBepHO (p<0,05) 6onee HH3KHMH II0K83a-reJIJIMH PWCl 70 B II0CTIIpHCTj'IIH0M nepH- 1
o.n:e 3a60JieBaHIDI (46,1±1,32%.zl), qeM s nepH0}le HeIIOJIHOH peMHCCHH (57,7± 2,26%.zl).
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aycosru1 apHTMIDI, y 18,2% - CßHYC0Basl 6pa,n:HKap,llIDI.
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1
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BHeIIIHero ,lll,IXaHIDI, ,llhIXaTeJihHOH 3KCKypCHH rpy,llHOH KJieTKH H YMeHhmeHHe yp0BIDI o611{eÜ
4>H3H'leCKOH pa6oTOcnoco6HoCTH, lff0 onpe,n:eJIJleT Qenecoo6pa3HOCTh npose,lleHIDI KoppHmpyro- 1
meä TepaIIHH C IIpHMeHeHHeM 4lH3ßlieCKHX 4>aKTopoB.
CpaBHHTeJihHhIH aHaJIH3 pe3yJihTaT0B neqeHIDJ Ipex rpynn .n:ereä BI>DIBHJI P.8'.ll pa3.JIH1mH B 1
HX KJIHHHKo-4lyaKQHOHaJif,HhJX IIOK83aTeJieH, 3aperHClpHp0BaHHl>IX ,ll0 H II0CJie neqeHIDI. HCCJie-
Jl0BaHIDI npose,n:eHI>I y B cpasHHTeJihH0M acneKTe.
1
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npHCTYJlaMH 3alpy,llHeHHoro JlhIXaHIDI yX<e K 3 npoQe.n:ype B 5,4 pa3a (c 28,6% .n:o 5,3%), K cepe-
Jlßlie KypCa 3TOT CHMIIT0M 0TCYTCTß0BaJI y Bcex 60JihHI,IX. Bo 2 rpynne Il0}l B03,n:eHCTBHeM JIT 1
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p83a (c 28,2% .n:o 21,7%), K cepeJlHHe Kypca netJeHIDI ,n:aHHl>IÜ CHMIIT0M coxpaIDIJic.H y 17,3% ,lle- 1
TeÜ H Il0Jill0CThIO HCtJe3 T0JihK0 K K0HQY neqe6Horo Kypca. HaH6onee 3HaqßMLJe II0JI0X<HTeJihHLie
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1
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pe,n:HHe Kypca JieqeHIDI ,ll0 16, 1% H HCtJe3H0BeHHeM K K0HQY Kypca. IlpH HCII0Jih30BaHHH T0JihK0
.rrr K 3 npoQe,llype 0TMetJaJiaCI, K0JIH'leCTB0 .n:eTeH C H0'IHl>IM IIpHCTynoo6pa3HLIM KaIIIJieM CHH3H-
JI0CI, Ha 6, 1%, 6e3 cymecTBeHHbIX H3MeHeHHä K 5 npoQe.n:ype. Tiocne 0K0ll'laHIDI Kypca neqeHIDI
,n:a.HHI>IH CHMITT0M Ha6JIIO,n:ancH y 7,2% .n:eTeä. HaH6onee 0T'leTJIHBI>Ie nonoX<HTeill>H@e CJlBHm
onpe,lleJIJIJIHCI> B rpynne .n:eTeä, nonyqasmux K0MnJieKcHoe B03,n:eäcTBHe 11H3CTI H JIT. TaK, yX<e
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48,0%) CIl0JIHI,IM ero HC'le3H0BeHHeM-K cepe,n:HHe Kypca Jie'leHmI.
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HhlX npoTHB 67% ,1:10 Jie'leHIDI, xapaKTep ero MeHHJICH MeHee Bblpa:>KeHo, qeM B 1 rpynne, 0TX0)f(-
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•
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24 II:
 1111!1

RUSS/AN JOURNAL OF REHABILITATION MEDICINE

(POCCJfftCKJfft )KYPHAJI BOCCTAHOBHTEJibHOfI MF,ßlf~JfHbl), MI, 2012200.

3HJiacb B 3,2 pa:3a (c 67% JJ.0 21 ,0 %) . CpeJJ.H JJ.eTeH, nonyqa8 wux HH3Cil B K0MnneKce c nr JJ.H-
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)'MeHbllleHHJI ero qacT0Tbl Il0'ITH B 5,5 pa:3 (c 70,0% JJ.0 13,0%) y)Ke K cepe)J.HHe Kypca Jie'leHHJI,
Kamen1, CTaH0BHJICJI 6onee BJia)l(HbIM, 0TMe'laJI0Cb Bbipa)l(eHH0e ycHJieHHe 0TIC0)l(JJ.eHHJI M0Kp0Tbl.
flocne 0K0H'laHHJI Kypca Jie'leHml K0JIH'leCTB0 J].eTdl: CJJ.aHHblM CHMilT0M0M C0KpaTHJI0Cb JJ.0
3,0% BMeCTO 70,0% )lO Jie'leHHJI.
Y JJ;eTeH 1 rpynn1,1 noJJ; B03JJ;eHCTBHeM l1H3CTT oTMeqanHcb cymecTBeHH1>1e 6naronpHJ1T-
H1>1e H3MeHeHHJI ayCKYJibTaTHBHOH KapTHHbl: y)l(e K cepe)lHHe Kypca Jie'leHml B 4 pa:3a )l0CT0BepHO
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BblCJIYllIHBaJIHCb B 12,0% cnyqaeB, qTo Il0'ITH B 3 pa:3a MeHbllle, 'leM )l0 JieqeHHJI. K K0HQY Kypca
l1H3Cil aycKyJibTaTHBHIUI KapTHHa Il0JIH0CTblO H0pMaJIH30BaJiaCb y BCex )leTeH. IloJJ; BJIHJIHHeM
flf Ha6JIIO)laJiaCb MeHee Bbipa)KeHHIUI Il0JI0)KHTeJibHIUI )lHHaMHKa aycKyJibTaTHBHOH KapTHHbI:
nocne 5 npoQeJJ;ypbl K0JIHqecTB0 60JibHbIX C cyxHMH CBHCTßlltHMH H BJia)l{HblMH xpHnaMH y-MeHb-
lI]ßJI0Cb c 76,0% )l0 42,0% u c 37,0% )l0 21 ,0% cooTBeTcTBeHH0, 'IT0 B 2 pa3a MeHbIIIe, qeM y )le-
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BepH0CTb pa3JIH'IHH JJ;O u nocne neqeHmC * - p<0,05 ; ** - p<0,02.

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50,0% )J;O 43,3%. B rpyrrrre )leTeH, nonyqaBWHX nr, JJ.HHaMHKa <l>B)]; 61,rna MeHee Bbipa)l(eHHOH,

25
 RUSS/AN JOURNAL OF REHABILITATION MEDICINE
(POCCHftCKHft )[(YPHAJI BOCCTAHOBHTEJibHOft MF,pH~HHbl), MI, 2012200.

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C,l{BHrH BeJIH'IHHbl ,[(3fK 0TMe'laJIHCb y ,n;eTeH 1 u 2 rpynrr rrpu JierK0M TeqeHHH 3a6orreBaHßj{, 8
T0 speMjl, KaK rrpu K0MIIJieKCH0M npHMeHeHHH HH3CTI H JIT' perncTPHposa.rroc1, ,n;ocToaepHoe
(p<0,05) yseJIH11eHHe ,[(3fK KaK npu rrerKoM, TaK H rrpu cpe,n;HeTIDKerroM TeqeHHH 3a6orreBaHßj{_
On;eHKa .r(HHaMm<H O<l>P II0Ka3ana 6onee BblpIDKeHHbIÜ ,n;ocToaepHbIÜ (p<0 , 05) IIpHpOCT
,n;aHHoro II0Ka3aTeIDI B rpyrrne .r(eTeu, rrorryqaaIIIHx K0MIIJieKcnoe B03,n;eücTBue HH3CTI JIT'
H '

26
 RUSS/AN JOURNAL OF REHABILITATION MED!CINE
(POCCHHCKHH }KYPHAJT BOCCTAHOBHTEJlbHOft MF,,[(Hl.(HHbl), MI, 20/2zoo.

KOTOpbIH C0CTaBHJI 29,4%)]; (pHC. 2).

50%
~% .l----------------------
30% .1-----------------.----..----
20% +--------;.-;,.-_-_-_-------
10%
0%
MH3Cn nr MH3cn+nr
DplrlMeYaHlrle AocroeepHOCTb pa311f14fl~ Me>KAY rpynnaM~,: *• p<O ,05

PHc. 2. IlpHpOCT o6meii q>H3ßqecKOH pa60TOCIIOC06HOCTH y ,n;eTeH C 6poHXHaJibHOH acTMOH IIO

,n;aHHbIM rrpo61,1 PWCl 70, %)];.
qHCJIO ,n;eTeH C H0pMaJibHbIMH 3HaqeHIDIMH O<l>P yseJmqHJI0Cb rroqTH B 4 pa.3a (Ha 59,5%),
B T0 BpeWI, KaK B rpyrrrrax ,n;eTeH rrpH pa.3,n;eJibH0M rrpHMeHeHHH 11H3CII H nr rrpHpOCT ,D;aHHOro
II0Ka.3aTeJUI 61,m ,n;0CT0BepH0 (p<0,05) HH)Ke H C0CTaBHJI 27,3%, H 43,5% CO0TBeTcTBeHH0 (pHc.
3).

100,0% ~ - - - - - - - - - - - - - - - - - - - - - - - - -

60,0%
80,0%
40,0%
t+=====================;;;;;============~·-
20,0% ~ - ' i i L _ __J------
0,0% 4«<11E.11EA: - - ~ - -----1-'<
l-1H3Cn nr HH3Cn+11r

llil Ao ne11eH11R " nocne ne11eH11R 1

PHc. 3. qHCJIO ,n;eTeii, 6oJibHbIX 6püHXHaJibHOH aCTMOH, c HüpMaJibHbIMH II0Ka.3aTeJUIMH o6meii
q>H3HqecKOH pa60TOCIIOC06HOCTH (%).
)J;aHH1>1e 06 H3MeHeHHH rroKa.JaTeJieii O<l>P B 3aBHCHM0CTH 0T T.SI)KeCTH Te'1eHIDI EA rrpe.[(-
cTaBJieH1>1 B Ta6JI. 2.
Ta6JIHqa 2.
)J;HHaMHKa o6meii q>H3ßqecKOH pa6oTOcrroco6HOCTH y ,n;eTeH C JierKHM H cpe,n;HeT.SI)KeJibIM Te11e-
HHeM 6püHXHaJibHOH aCTMbI.
nernoe Tel'.J:eHHe
IloKa.JaTeJib, %)]; 11H3CII nr 11H3CII+nr
O<l>P 51,42±1,64 57,39±1,11 53,74±1,8
61,15±1,95* 75,00±0,71 *** 86,56±0,58***

Cpe,n;HeT.SI)KeJioe Te11eHHe
O<l>P 48,06±3,65 46,8±2,98 48,58±1,65
54,90±2,10 53,93±3,48 73,10±1,78**
IlpHMel'.J:aHHe. B '1HCJIHTeJie - II0Ka.3aTeJIH ,n;o JieqeHHH, B 3HaMeHaTeJie - II0CJie JieqeHHH. )J;oCTO-
BepH0CTb pa.3JIH'1HH ,n;o H II0CJie JieqeHHH: * - p<0,05; ** - p<0,01; *** p<0,001.
EoJiee Bbipa)KeHH0e ,n;ocToBepHoe yBeJIHqeHHe O<l>P 0TMeqaJioc1, rrpH JierK0M TeqeHHH 3a6o-
JieBaHHH y ,n;eTeii Bcex rpyrrrr. Ü,n;HaKo, y ,n;eTeii eo cpe,n;HeT.SI)KeJibIM TeqeHHeM EA, rrpH pa.3,n;eJib-
H0M rrpHMeHeHHH 11H3CII H nr, HeCM0TPH Ha rroJI0)KHTeJI1>H1>1e c,n;BHrH, ,n;ocToBepHoro rrpHpocTa

27
 RUSS/AN JOURNAL OF REHABILITATION MEDICINE
(POCCJ1ftCKJ1ft )[(YPHAJJ BOCCTAHOBl1TEJJbHOft ME,l(l1/.(l1Hbl), Ml, 2012zoo.

O<I>P He Ha6monanocb (p>0,05). BMeCTe c TeM, IIpH KOMIIJieKCH0M IIpHMeHeHHH 11H3CI1 u Jir Y
,neTeÜ CO cpe,nHenrn<eJibIM TeqeHHeM 3a6oJieBaHfüI II0JI0)l(HTeJibHasI AffHaMHKa O<I>P OKa3aJiaCb
A0CTOBepHOÜ (p<0,01), BCJie.D;CTBHe II0-BHAHM0MY II0TeHn:Hp0BaHllil 6naronpllilTHOrO B03.D;eH-
CTBllil 11H3CI1 H Jir H 6onee 3g>q>eKTHBHOH aKTHBaU:HH pe3epBHbIX q>)'HKIJ:HOHaJibHbIX B03MO)KH0-
CTeÜ neTcKoro opraHH3Ma.
obma BbUIBJieHa noJI0)l(HTeJibHasI KoppeIDIU:H0HHasI CB.sI3b Me)K.ll;y O<I>P H ypoBHeM 6pomrn-
aJibHOÜ npoxo,ri;HM0CTH, qro no,z:i;TBep)K)];aJI0Cb C00TBeTCTByIOm;HMH H3MeHeHH.sIMH CKOpOCTHbIX
noKa3aTeneü <I>B,ll; (MOC25 - r = 0,6, p= 0,001; MOC50 - r = 0,6, p= 0,003; MOC75 - r = 0,4, p=

0,042).
IIo ,ri;aHHbIM 3Kr BbUIBJieHo 6rraronpH.sITHoe .z:i;eücrnue 11H3CI1 H Jir Ha g>yHKIJ:HOHaJibHOe
C0CT0.sIHHe cep.z:i;eqffo-cocy.z:i;ucTOH CHCTeMbI, qTo xapaKTepH30BaJIOCb CHH)KeHHeM qacTOTbI BCTJ)e-
qaeM0CTH CHffYCOBOH apHTMHH (c 27,3% .z:i;o 9,1 %) u 6pa,n;HKapnuu (c18,2% no 11,9%), oco6eHHO
npu HX K0MDJieKCH0M IIpHMeHeHHH.
Ha 0CH0BaHHH KOMIIJieKCHOH on:eHKH Henocpe,z:i;cTBeHHbIX pe3yJibTaTOB rreqeHllil 3q>q>eKTHB-
H0CTb 11H3CI1 npH :SA y .z:i;ereü C0CTaBHJia 76,4%, Jif- 73,7%. ,ll;ocTOBepHO (p<0,05) 6onee BbI-
pa)KeHHbie pe3yJibTaTbI oTMeqeHhl npH K0MIIJieKCH0M npHMeHeHHH 3THX q>H3HqecKHX q>aKTopOB -

88,8%.
KaTaMHeCTHqecKHe Ha6mo,z:i;eHH.sI, npoee,z:i;eHHbie qepe3 6 H 12 MeC.sIU:eB CBH,[J;eTeJibCTBOBaJIH
0 ,[J;0CT0BepH0 (p<0,05) 6orree CTOHKOM TepaneBTHqecK0M 3q>q>eKTe npH KOMIIJieKCHOM IIpHMeHe-
HHH 11H3CI1 u Jif.
TaKHM o6pa30M, Ha 0CH0BaHHH npoee,z:i;eHHbIX uccrre,nOBaHHH BIIepBbie HayqH0 o6ocHOBaHa
B03M0)KH0CTb npHMeHeHllil HMIIYJibCHoro HH3KoqacT0TH0ro 3JieKTJ)0CTaTuqecKoro IIOJUI IIpH
6poHXHaJibHOH acTMe y ,z:i;eTeÜ. Y CTaH0BJieH0 6naronpH.8:THOe BJIH.sIHHe Ha KJIHffffqeCK0e TeqeHHe
3a6orreBaHllil, q>YffKIJ;HlO BHeIIIHero ,[J;bIXaHIDI, ,[J;bIXaTeJibffYlO 3KCKypCHIO rpy.z:i;HOH KJieTKH, q>H3H-
qecKyIO pa60TOCIIOC06HOCTb, 6orree Bbipa)KeHHyIO IIpH K0MTIJieKCH0M npHMeHeHHH HMnyJibCHoro
HH3KoqacT0TH0ro 3JieKTJ)0CTaTuqecKoro II0JUI H rreqe6HOH rHMHaCTHKH.
ßbIBO)J;bl,
1. 11MnyJibCHOe HH3KoqacT0TH0e 3JieKTJ)0CTaTHqecKoe norre .sIBJUieTC.8: 3q>q>eKTHBHbIM HeMe-
AffKaMeHT03HbIM MeT0.ll;0M rreqeHH.8: 6pOHXHaJibHOH aCTMbI y ,z:i;eTeH, 0Ka3bIBaeT 6naronpllilTHOe
BJillilHHe Ha AffHaMHKY KJIHHHqecKHX CHMIITOM0B 3a6orreBaHIDI, xapaKTepH3YIQm:yIOC.8: Hcqe3HOBe-
HHeM HJIH YMeHbmeHHeM qacT0TbI npHCTYß0B 3arpy,z:i;HeHH0ro ,[J;bIXaHIDI, ynyqmeHHeM OTXO)K.ll;e-
Hllil M0Kp0TbI, HOpMaJIH3au;ueü aycKyJibTaTHBHOH KapTHHbI.
2. Ilo.z:i; BJIIDIHHeM HMIIYJibCH0ro HH3KoqacTOTH0ro 3JieKTp0CTaTuqecKoro TIOJUI OTMeqaeTC.sI
6rraroIIpllilTHasI ,[J;HHaMHKa BeHTHJUIIJ;HOHHOH g>yHKIJ;HH rrerKHX, 0 qeM CBffAeTeJibCTByeT ynyqme-
HHe 6poHXHaJibHOH IIp0X0AffM0CTH no ,[J;aHHbIM KOMDblOTepHOH q>JIOYMeTJ)HH (AOCTOBepHbIH IIpH-
pocT MOCso H MOC1s) H nocToeepHoe YßerruqeHue AbIXaTeJibHOH 3KCKypCHH rpy.z:i;Hoü KJieTKH.
3. B 0TBeT Ha 0,[J;H0KpaTH0e H KypcoBoe B03.D;eÜCTBHe HMIIYJibCHoro HH3KoqacTOTHOro 3JieK-
TJ)0CTaTuqecKoro D0JUI, no ,naHHbIM DHKq>JIOYMeTpHH, Ha6mo.z:i;aeTC.sI ,[J;0CT0BepHoe YßeJIHqem1e
IIHKOBOH CK0p0CTH Bbl)];0Xa.
4. Ilo .z:i;aHHbIM Tecrn PWCl 70, npuMeHeHHe HMnyJibCHoro HH3KoqacTOTHoro 3 rreKTJ)0CTaTH-
qecKoro D0JUI .ll;0CT0BepH0 D0BbnrraeT
u u ypoBeHb o6m:eü q>H3uqecKOH pa60TOCIIOC06HOCTH ,....
TleTeH,
u
CTpa,naIOIIJ;HX 6 p0HXHaJibH0H aCTM0H.
5.11MIIYJibCHOe HH3KoqacT0TH0e 3JieKTp0CTaTuqecKoe norre yrryqmaeT .hvultTTffOH
. u 'i' .1 •••-.... aJibHOe
C0CT0.8:HHe cepµeqffo-cocynuc:o" CHCTeMbI, qTQ xapaKTepu3yeTC.sI H0pMaJIH3aIJ;Heü PHTMa H qa-
CT0TbI cep.z:i;eqHb~ C0KpaIIIeHHH.
6.KOMIIJieJ(CH0e npHMeHeHHe HMIIYJibCHoro HH3KoqacT0TH0ro 3JieK-rnocTaTH
u • .t' qecKoro IIOAA H
rreqe6HOH rHMHaCTHKH 0Ka3bIBaeT ,[J;0CT0BepH0
u 6oJiee Bbipa)KeHH0e 6naronp"'"THO
.,,.,. e BJIH.sIHHe Ha
KJIHHffqe cKHe CHMII T0MbI 6pOHXHaJibHOH aCTMhl,uq>YffKD:HlO BHemHero ,[J;bIXaHIDI, 06IIJ:YIQ q>H Hqe-
3
CKYIQ pa6 0T0CII0C0 6 H0CTb H 3KCKypCHIO rpy.ri;H0H KJieTKH.
7. 3q>q>eKTHBHOCTb K0MDJieKCHoro npHMeHeHIDI AByx ,hH3HqecKHx ,h.,,,.T
'i' 'f'«n. opoB (HMIIYJibCHoro
HH3KoqacT0TH0r0 3JieKTp0CTanrqecKoro II0JUI H neqe6HOH rHMHaCTHKH) TT0CTO
,... BepHo Bhlme
(88,8%), qeM npH pa3.D;eJibH0M IIpHMeHeHHH HMIIYJibCHoro HH3KoqacT0THoro 3Jie
KTJ)0CTaTHqecKo-

28
 RUSS/AN JOURNAL OF REHABILITATION MEDIC/NE
(POCCHHCKHH )l(YPHAJI BOCCTAHOBHTEllbHOH ME,aHI.{HHbl), MI, 2012zoo.

ro Il0JUI (76,4%) H rreqe6Hoii rHMHaCTHKH (73,7%).

8. KaTa~rnecTH11ecICHe Ha6mo.neHIDI, npose.neHHbie qepe3 6 Mecj[nes BbmBHJIH yMeHbmettHe
qacT0ThI npHCT)'II0B YJJ:Yillbj[ npH pa3,neJibH0M npHMeHeHHH HMilYJibCH0f0 HH3K01iaCTOTII0ro
3JleKTp0CTaTH1ieCK0f0 Il0JUI B 2,3 pa3a, rre11e6ttoü fHMHaCTHKH - B 1,8 pa3a, npH K0MilJleKCH0M
IlpHMeHeHHH HMnyJlbCH0f0 HH3K01iaCT0TH0f0 3JieKTp0CTaTH1ieCK0f0 Il0JUI H rre11e6ttoii rHMHaCTH-
KH - s 4,8 pa3a. llepe3 12 MeCj[QeB 0TCYTCTBHe npHCT)'Il0B YJJ:Yillbj[ 0TMe1iaJI0CI, T0JII,K0 npH K0M-
nrreKCH0M HCil0Jlb30BaHHH 3THX qlH3H1ieCKHX qlaKTOpOB B 26,7% crryqaes.
IIpaKTH11eCKHe peKOMeimao,HH.
1. ITpHMeHeHHe l1.H3CI1 Il0Ka3aH0 ,IJ.eT.SIM, CTpa.JJ:aIOID.HM 6pOHXHaJII,HOH acTMoii, s D0CT-
IlpHCT)'IIH0M nepHo,ne H nepHO,IJ.e HenonHOÜ peMHCCHH npH rrerKOM Te1ieHHH 3a6oneBaHIDI C ne-
JlblO ynyqm:eHIDI HJIH H0pMaJIH3aQHH 6pOHXHaJibHOH npoxo,nHMOCTH, yseJIH'IeHIDI ,IJ.I,IXaTenbHOH
3KCKypCHH rpy,IJ.Hoii KneTKH, DOBbIIIIeHIDI ypOBfül o6m.eü qlH3H1ieCKOH pa6oTOcnoco6HOCTH.
Bo3,neikTBHe l1.H3CI1 np0B0,II.HTC}I no MeTO,IJ.HKe CO cneQHaJII,HI,IMH BHHIDIOBI,IMH nep11aT-
KaMli B BH,IJ.e normraarnaHIDI no Me)Kpe6epHbIM npoMe)KJTKaM nepe,IJ.tteü H 3a,IJ.Heü nosepXHOCTH
rpy,I!.HOÜ KneTKH. llaCTOTa HMnynbCOB COCTaBJUieT 100 fn npH MaCCa)Ke nepe,IJ.HeÜ DOBepXHOCTH
rpy,I!.HOÜ KneTKH, npH MaCCa)Ke 3a,nHeÜ nosepXHOCTH - nocrre.nosaTeJibHO 100 H 60 fn. BpeM}I B03-
1 ,IJ.eHCTBIDI ,II.JUI ,IJ.eTeii 5-6 neT - 8 MHH; 7-10 neT - 10 MHH; CTapme 11 neT - 12 MHH. Ha Kypc - 10-
12 e)Ke,IJ.HeBHbIX npone.nyp.
1
2. Ami nOBblilleHH}I 3q>q>eKTHBHOCTH neqeHHj[ .n;eTeÜ C6poHXHaJibHOH acTMOH npH cpe,I!.HeTH-
1 )KeJIOM TeqeHHH 3a6oneBaHH}I B DOCTnpHCT)'IlHOM nepHo.n;e H nepHo.ne HeDOnHOH peMHCCHH nene-
coo6pa3HO KOMIIneKCHOe npHMeHeHlie I1H3CI1 H Jlf.
1 nr ocym;eCTBMeTC}I no MeTO,ll;HKe C.B. Xpym;eBa H BKJIIOqaeT ,IJ.I,IXaTeJlbHbIC ynpa)KHCHH}I
CO 3BYKOM H a.KD,eHTOM Ha Y.nnHHeHHe Bbl,ll;OXa Ha q>OHe DOCTeneHHO B03pacTarom.eü q>H3H11CCKOH
1 HarpY3KH B BH,IJ.e o6m.epa3BHBaIOIIUIX yrrpa)KHeHHH, Hrp, HMHTaQHOHHI,IX ynpa)KHCHlfH. Ilpo.non-
1 )KHTeJlbHOCTh 3attflHH - 30 MHHYT,

•
3. IlpHMeHeHHe I1H3CI1 MO)KHO peK0MeH,ll;OBaTb .llIDI HCnOJlb30BaHH}I Ha Bcex 3Tanax Me,IJ.H-
qHHCKOH pea6HnHTanHH ,IJ.eTeÜ c 6pOHXHanbHOH aCTMoü: CTaqHOHap, nOJIHKnHHliKa, CaHaTOpHÜ.
JluTepaTypa.
1. Eana6onKHH M.M. AlcryaJlbHbie npo6neM1,1 annepronornH ,IJ.eTcKoro B03pacTa Ha coBpeMeH-
a 2.
H0M 3Tarre. // IleAHaTPH}I, -2012. -T.91, N23. -C. 69-75 .
renne H.A. AK-ryaJibHOCTI, npo6neMbl 6pOHXHaJibHOÜ aCTMbl y ,IJ.eTeü. // IleAHaTPH}I, -
2012. -T.91, N2 3. -C. 76-82.
3. J Wahn HU. Strategies for atopy prevention.Nutr. 2008 Sep;l38(9):l 770S-l 772S.
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a exacerbation. // Canadian Paediatric Society, Acute Care Committee. Paediatr Child Health.
- 2012 May; 17(5):251-62.
;a 5. Xatt M.A., Baxosa E.JI. Ü3,I1.0pOBHTCJII,HI,Ie TeXHOJIOfHH B ne,IJ.HaTPHH. // BonpOCbl KypOpTO-
nonm, qm.3HOTeparrHH H neqe6HOÜ <pH3HqecKoÜ KYJib'fYpbI. - 2012. -N24. - C. 53-56.
;a 6. Molimard M, Buhl R, Niven R, Le Gros V, Thielen A, Thirlwell J, Maykut R, Peachey G.

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Omalizumab reduces oral corticosteroid use in patients with severe allergic asthma: real-life
~ I data. Respir Med. 2010 Sep;l04(9):1381-5.
7. AHpane-rosa H.C., Cnrnaarna E.M. O6ocHOBaHHe K0MnneKcHoro npHMeHeHH}I KpH0Macca-
)l(a H CHJlbBHHHTOBOÜ cneneoTepanHH B pea6HJIHTaqm1 60JibHI,IX 6pOHXHaJibHOÜ aCTMOH. //
Bonpoc1,1 KypopTOJI0fHH, q>H3HOTepanHH H Jieqe6HOH.q>H3H'lCCKOÜ Kym,-rypbl. - 2011. -N!!S.
- •c. 12-17, . ••. C • •

8. )1gff H.A., Xatt M .A., MBaHoBa ,[(.A., qYKHHa l1.fy1. <l>H3H':lecKHe q>aKTOpbI B pea6HJIHTfil.\Hli
,IJ.eTeü c 6poHXHaJILHoü acTMoü // Bonpocbl KypopTonom0., q>H3HOTepanHir 0. ne1:1e6uoä q>H-
3H':ICCKOÜ KYJil>Typbl. - 2012. -N2 6. - C.47-53.
9. Xatt M.A., MH3epHH~KHÜ IO.n., )1gff H.A. IlpHttqHnhI H C0BpeMCHHhie TCXH0JI0fHH MC,D;H-
QHHCKOÜ pea6HJIHTaI].HH B ,II.CTCKOH nyJILM0H0JI0rHH // ,[(eTCKaJI H no,np0CTK0BaJI pea6mnna-
QH}I. - 2012. - N2 2 ( 19). - C. 53-62.
10. Jurn H.A., MBaHoBa ,[(.A. , l.J:yKHHa ll.M. MeAHQHHCKrui: pea6Im1naQHH ,neTeii c 6poHXHaJib-

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 RUSS/AN JOURNAL OF REHABILITATION MEDICINE
(POCCl1ffCKl1ff )KYPHAJI BOCCTAHOBl1TEf/bHOff MF,f,(111.{l1Hbl}, Mi, 20/2zoiJ.

HOB aCTMOß CHCII0JTh30BaHHeM C0BpeMeHHI,IX HeMe,nHKaMeHT03HI,IX TeXHOJIOrnH // ,[(oK-

TOp.Py. - 2012. - N2 10 (78). -C. 74-78.
11. Ea,I(MIHOBa H.C. BoccTaH0BHTeJILHoe neqeHHe 6om,HI,IX xpoHHqecKoii o6CTPYKTHBHOH 6o-
ne3HI,IO JierKHX B cauaTOpHLIX ycJI0BIDIX. // ABTopeq>. ,I(HC .. .. Kaff,n. Me,n. HayK. - CaMapa,
2007. -24 C.
12. Acpauaci,eBa T.H. IIepeMeHuoe Hß3Koqacrnrnoe 3JieKTPOCTaTH'leCKoe none B K0MIIJieKCHOM
JieqeHHH 60JII,Hl,IX IIHeBMOHHeii. // ,[(Hc. KaH,n. Me,n. uayK. - MocKBa, 2004. - 97 C.
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14. Cono,neHHHa M.O. 11Mnym,cuoe HH3Koqacrnrnoe 3JieKTPOCTaTH'leCKoe none B K0MIIJieKc-
HOM neqeHHH Hnpo<pHJiaKTHKe ,I(HCQHpKymrropHOß 3HQecpanonaTHH. // ,[(He. KaH,n. Me,n.
HayK. - MocKBa, 2006. - 124 c.
15. JlH K.3. IIpHMeHeHHe HMnyJThCH0f0 HH3KoqacT0TH0f0 3JieKTP0CTaTHqecK0fO II0IDl B B0C-
CTaH0BHTeJThH0M neqeHHH 6om,HI,IX xpoHHqecKHM 6aI<TepHaJThHI,IM IIp0CTaTHT0M. // ,[(He .
. . . KaH,n. Me,n. HayK. - MocKBa, 2009. - 105 C.
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17. XpymeB C.B., CHMouosa O.M. <l>H3HqecKrur: Kyni,zypa ,neTeii c 3a6oneBaHIDIMH oprauoB ,!U,1-
XaHHJI. -M.: AKa,neMHJ1, 2006. - 304 c.

APPLICATION OF THE PULSE LOW-FREQUENCY ELECTROSTATIC FIELD AT

BRONCHIAL ASTHMA OF CHILDREN

Han M.A.,1 Ivanova D.A., 1 Ljan N.A., 1 Lukina O.F. 2

1
FGBU "Russian Scientific Center ofMedical Rehabilitation and Resort" Ministry ofHealth
ofRussia, Moscow
2
FGBU "Federal Res~arch Center ofte~ia~c Hematology, Oncology and Immunology of
the Dinltry Rogacheva Mm1stry of Health of Russia, Moscow

Abstract
In this randomized ~linical trial ~omparative efficiency of a pulse low-frequency electrostatic
field (PLFEF), med1cal_gymnastics (MG) and integrated application ofthese techniques in
~e treatrne?t of l~l ~hildren from 5 to 15 years during the period after an attack and the pe-
nod of partial rein1ss1on of asthma is shown. Outcome measures in 3 groups of t· t
r · a1 d d · d . .
c 1ruc an ynam1c ata ~hys1olog1cal examination (disappearance or reduction of the fre-
pa 1en s were
quency
· fthof attacks
b of coughing and shortness of breath' improved sputum d1sc · harge, ausculta-
t~on o e roncho-pulmonary system, respiratory excursion ofthe ehest bro hial 0bstru
t10n, rhythm and heart rate, and physical performance on the test PWC 17'0) 1ncth c-
. d'1ces stud'1ed fiound that the effic1ency
m · of complex application PLFEF d· MG
n e• aggregate
0/ . an 1S 88.8%
an d separate use of76 .4 10 and 73. 7%, respectively. Follow-up observations c · .,
months revealed a reduction in the frequency of asthma attack . ~ed_ out at 6
· MG . s m separate apphcation
PLFEF 2.3 times, - l.8 t 1mes, and when and complex app1·icat·ion - m
· 4.8 times Aft 12
months, no asthma attacks has only occurred in the multiple uses PLFEF .· er
of cases. and MG m 26. 7%

Key wor~s: pulse low-frequency electrostatic field, bronchial asthma chi! .

gymnast1cs. ' dren, med1cal

References
l. Balabolkin I.I. Actual problems of pediatric allergy at the present stage. ; ; Pediat-

30
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(POCCHHCKJfff )KYPHAll BOCCTAHOBHTEllbHOff MEßH~JfHbl), NH, 20/2zoo.

rics. - 2012. -T.91, N2 3. - S. 69-75.

2. Geppe N.A. The relevance ofbronchial asthma in children. / / Pediatrics. - 2012. -
T.91, N2 3. - S. 76-82.
3. J Wahn HU. Strategies for atopy prevention.Nutr. 2008 Sep;l38(9):l 770S-1772S.
4. Ortiz-Alvarez 0., Mikrogianakis A. Managing the paediatric patient with an acute asth-
ma exacerbation. II Canadian Paediatric Society, Acute Care Committee. Paediatr Child
Health. - 2012 May; 17(5):251-62.
5. Khan M.A., Vakhova E.L. Health technologies in pediatrics. //Problems of the resorts,
physiotherapy and medical physical culture. - 2012. - N2 4. - S. 53-56.
6. Molirnard M, Buhl R, Niven R, Le Gros V, Thielen A, Thirlwell J, Maykut R, Peachey
G. Omalizumab reduces oral corticosteroid use in patients with severe allergic asthma: real
-life data. Respir Med. 2010 Sep;104(9):1381-5.
7. Ayrapetova N.S., Styazhkina E.M. Rationale for the integrated application cryomassage
and sylvinite Speleotherapy in the rehabilitation of patients with bronchial asthma. / / Prob-
lems of the resorts, physiotherapy and medical physical culture. - 2011. - N2 5. - S. 12-17.
8. Ljan N.A., Han M.A., Ivanova D.A., Chukina I.M. Physical factors in the rehabilitation
of children with asthma / / Questions of the resorts, physiotherapy and medical physical
culture. - 2012. - N2 6. - P.47-53.
9. Han M.A., Mizernickij Ju.L., Ljan N.A. Principles and modern technologies of medical
rehabilitation in pediatric pulmonology / / Children's and adolescent rehabilitation. - 2012.
- N2 2 (19). - S. 53-62.
10. Ljan N.A., Ivanova D.A., Chukina I.M. Medical rehabilitation of children with asthma
using advanced non-drug technologies //Doktor.Ru. - 2012. - N2 10 (78). - S. 74-78.
11. Badyap.ova I.S. Rehabilitation treatrnent of patients with chronic obstructive pulmonary
disease in sanatorium conditions. //Abstract. dis .... Candidate. honey. Science. - Samara,
2007. - 24 sec.
12. Afanasyeva T.N. Variable low-frequency electrostatic field in the complex treatrnent of
patients with pneumonia. //Dis. Candidate. honey. Science. - Moscow, 2004. - 97 sec.
13. Jahr S., Schoppe B., Reisshauer A.J. Effect of treatrnent with low-intensity and extreme-
ly low-frequency electrostatic fields (Deep Oscillation) on breast tissue and pain in patients
with secondary breast lymphoedema.
14. Solodenina M.O. Pulsed low-frequency electrostatic field in treatrnent and prevention
dyscirculatory encephalopathy. //Dis. Candidate. honey. Science. - Moscow, 2006. - 124.
15. Lee K.E. The use of pulsed low-frequency electric field in the rehabilitative treatrnent of
patients with chronic bacterial prostatitis. //Dis .... Candidate. honey. Science. - Moscow,
2009. - 105.
16. Korostovcev D.S., Brejkin D.V. Peak expiratory flow rate in healthy children. //Aller-
gology. - 2006. - N2 2. - S. 39-43.
17. Hrushhev S.V., Simonova 0.1. Physical education of children with diseases of the respir-
atory system. - Moscow: Academia, 2006. - 304.

31
 Science & Technologies

IlO,Ll;OliP.HBAHE KA11ECTBOTO HA )KßBOT, 1.JPE3 E«l>EKTA OT JIE1.JEHHETO C

HHCKA HHTEH3HBHOCT lf lf3KJII01.JHTEJIHO Hlf CK01.JECTOTHH
EJIEKTPOCTATlfl.JHH ITOJIETA C AITAPATA - DEEP OSCILLA TION® ITPH liOJIHH
C PAK HA MJIE1.JHATA)KJIE3A C BTOPH1.JEH JIHM«l>A,Ll;EM CITP.HMO IlAIUfEHTH
JIEKYBAHH C'bC CTAH,Ll;APTHA JIHM «l>O,Ll;PEHA)KHA TEXHHKA.

.Hua KamuJicKa *, ATanacileTKOB **, IlJIYMCJIHHa Mulfesa *, ATauac liaTamKu **,

)KusKa liaTamKa ***
*-,, Cnel,fUClJlU3UpaHu 60/lHUl,fU Ja pexa6wtumal,/Wl - Hal,fUOHClJleH KOMnJteKc" EAß,
Corj)Wl, 6yll. ,, Bacwt He6CKU" M 54, iana kashilska@abv.bg
**-,, Kameopa Cnel,fUClJlHa xupypzWl - MeOUl,fUHCKU yHu6epcumem llll060U6 ",
llllo60U6, 6yll. ,, Bacwt Anpwto6 „ M 15 A
*** -,, MeOUl,fUHCKU KO/le:JIC -llllo60U6 ,,, llll060U6, yll. ,, EpamR EbKcmoH „ M 120
IMPROVING THE QUALITY OF LIFE THROUGH EFFECTS OF TREATMENT WITH
LOW INTENSITY EXTREMELY LOW-FREQUENCY ELECTROSTATIC FJELD WITH
SOUND - DEEP OSCILLATION® IN PATIENTS WITH BREAST CANCER WITH
SECONDARY LIMFADEM TO PATIENTS TREATED WITH STANDARD LYMPH
EQUIPMENT.

Yana Kashilska *, Atanas Petkov **, Plumelina Micheva *, Atanas Batashki **,
Zhivka Batashka ***
* - "Specialized Hospitalsfor Rehabilitation -National Complex" EAD,
Sofia, bul. "Vasil Levski" M 54, .· ,,:•'l 1.;_).;,~i.\J1i,':::ka(ä),abv.bg
** - ''Department ofSpecial Surgery - Medical University of Plovdiv':
Plovdiv, bul. "Vasil Aprilov" M 15 A
*** - ''Medical College" - Plovdiv, Plovdiv M 120 "Bratia Buxton" str.
ABSTRACT:
Objective: To examine the damaged symptoms and functional disorders in women with
secondary lymphedema after breast cancer surgery in which to evaluate the therapeutic benefits
of treatment w!th l~w int~nsity and extremely low frequency electrostatic fields reproduced by
the - Deep Osc11Iat1on® w1th the program for a manual lymphatic drainage.
Metho~s: Twenty-one patients, divide? into two randomized groups. The first group of
wo11:1en . cons1sts of 11 women treate~ w1th I O sessions lymphatic drainage with Deep
Osc11lat1~n. ~nd second_ co~trol group mc!uded 10 women having undergone only standard
lymphatt~ ~ramage. SubJecttve assessment mcludes pain and swelling; range of motion in the
shoulder Jomt;. movement of the neck and an analysis of the volume of the ehest using a 3D
system measurmg.
Results: At the beginning of therapy, patients had high scores for sensat1· f · .
. f h ·• . . . 0 n o pam,
swe II mg o ft eh exn:em1~1es, restncted movement m the shoulder joint; restriction in the
movement o t e spme m the neck portion. In the course of treatment the p · d ·
. . . am re uces 1ts
mtens1ty, the volume of movement m the shoulder joint is returns but in th t d
h' h . b' d I h d · ' e s u Y group
w IC ~s ~_ect~ . t~- ymp ramag~ with low-frequencr e_Iectrostatic fields of apparatus
Deep sct a~1on . mb tchators are muc better. Moreover, s1gmficantly pain reduces. Subjective
reduce swe11mg m ot groups was confirmed objectively by 3D measuring onl in th
treatment group. Y e
Conclusion: Manual lymph drainage with deep oscillation Ieads to a signi'fic t d .
·
10 · · d d 11· · · · an re uctton
pam rehef an re uce swe_ mdg ~n pattents w1th lymphoedema average breast compared with
standard mechanical lymphat1c ramage.
Keywords: breast cancer, pain, swe//ing, lymphatic drainage low intensity and fi
electrostatic fields ' Iow requency

Volume V, Number 1, 2015

Medicine
381
 Science & Technologies

BbBE.l(EHHE:
CneQHaJIH3Hprurnrn 6omrnna 3a pexa6mrnTaQIDI - oaH.SI, KapnoacKo e e,zn1HcTBeH0To
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Volume V, Number 1, 2015

Medicine 382

J
 Science & Technologies

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Volume V, Number 1, 2015
Medicine
383
 Science & Technologies

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IopAaTa HaMaJISIBase B ABa Pa3Meoa 2
061.QO:

Volume V, Number 1, 2015

Medicine 384
 tf
Science & Technologies ti
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eneKTpoCTaTHtJHH noneTa B'b3DpüH3Be)K,IJ;aHH oT anapaTa - Deep Oscillation® c nporpa~rn
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3acernaTH.llT YßHJiaTepaneH Ja onepau.HHTa ropeH KpaHHHK.

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 Science & Technologies

ß3BO,LUI:
Ilcmw pexa6umnal.(HOHHaTa nporpa~rn Ha Cneuururn3HpaHa EoJIHHUa 3a Pexa6mmnmru1 -
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Taxa H epe3uneJia Ha 3aceruaTaTa n,p,naTa HJIHMqJHIDIT ü 3acrnü.
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emna HH IQe npo,Zl'I,Jl)KH ,na pa60TH B Ta3H Hacoxa, xaro nocTeneHHO IQe ce ofürnauaT H no -
roJieMH rpynu nauueHTH npu 6e3onacHo 3ana3Baue T.sIXHOTO 3,npa.Be H B HMero Ha no - ,no6poro H
C'LBpeMeHHO JieqeHHe. Hanpa.BeHoro npoyqBaue H ,noxaJaTencTBeHH.sI MaTepHan ca B no.u;xpena Ha
no,no6p.sIBaae xaqecTBoro Ha )KHBOT Ha nal.(HeHmTe c paK Ha MJietJHaTa )l(Jle3a cne,n neqeHHe no
IlporpaMaTa 3a ncuxo-pexa6HJIHTaQIDI B CEP - EaH.sI KapnoBCKO. H3Ka3BaMe cneQHaJIHH
6naro,napHOCTH Ha axa,n. ,n-p ,lJ;aM.sIH ,lJ;aM.sIHOB, .nMH H npoqi. ,n-p EneHa HnHeBa, .n;MH 6e3 ycHJIH.sITa
Ha KOHTO CTOTHUH )KeHH onepupauH no ßOBO,Zl KapQHHOM Ha n.p,naTa WIMame ,na MoraT ,na nonyqaT
a,neKBaTHO ßOCTOilepaTHBHO pexa6HJIHTal.(HOHHO JietJeHHe.

lilffiJillOrPA<I>IDI:
1. Mary Y., Sara McEwen, Lindsey Sikora, Martin Chasen, Margaret Fitch and Susan Eldred.-
Perspectives in Rehabilitation. Rehabilitation following cancer treatrnent. - Research Institute,
Ottawa; University of Ottawa, Ottawa, ON, Canada; Sunnybrook Research Institute, Toronto;
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A. Bricoua, A. Duvalb, Y. Charonb, E. Barrangerc. - Mobile gamma carneras in breast cancer
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