MELDONIUM APPLICATION IN REHABILITATION OF PATIENTS WITH CHRONIC PANCREATITIS COMBINED WITH STABLE CORONARY ARTERY DISEASE

Authors

  • L. S. Babinets I. Horbachevsky Ternopil State Medical University
  • N. A. Melnyk I. Horbachevsky Ternopil State Medical University
  • I. O. Gnizdyuh I. Horbachevsky Ternopil State Medical University
  • L. V. Dobrorodnya I. Horbachevsky Ternopil State Medical University

DOI:

https://doi.org/10.11603/1811-2471.2017.v0.i1.7440

Keywords:

chronic pancreatitis, stable coronary heart disease, metabolic therapy, meldonium, sequential introduction.

Abstract

One of the few ways to restore normal operation of all the vital organs and systems is the use of metabolic therapy.

The aim of the work was to investigate the effectiveness of a course of treatment for metabolic drug meldonium to correct prooxidant-antioxidant and trophologic disorders in patients with comorbid course of chronic pancreatitis (CP) and stable coronary artery disease (SCAD). The study included 90 patients with CP combined with SCAD who were divided into two groups (depending on treatment programs): I group (45 patients) received the standard treatment (ST); II group (45 patients) except ST received drug meldonium (Vazonat) with sequential introduction as follows: first grade – 5 ml intravenous bolus injection 1 per day for 10 days; the second stage – the introduction of meldonium electrophoresis on a part of the left upper quadrant a day for 15 days; third degree – taking the drug further 2 capsules 1 time per day for a month.

Results. It was proved that the addition to the treatment of patients with comorbidity CP and SCAD meldonium with sequential introduction is more conducive to improving the performance and trophological pro-oxidant-antioxidant states than the standard basic therapy.

References

Babinets, L.S. (2014). Patohenetychni aspekty khronichnoho pankreatytu biliarnohohenezu pislia kholetsystektomii [Pathogenetic aspects of chronic pancreatitis after cholecystectomy biliary origin]. - Vestnyk kluba pankreatolohov. - Journal Club pankreatolohov, 3: 24-30 [in Ukrainian].

Babinets, L.S., Halabicʹka, I.M., Babinets, A.I. (2014). Vitaminnyj i antyoksydantnyj dysbalans u kliničnij kartyni xroničnoho pankreatytu u praktyci simejnoho likarja [Vitamin and antioxidant imbalance in the clinical picture of chronic pancreatitis in the practice of family doctor]. Simejna medycyna. - Family Medicine. 1 (51): 122-124 [in Ukrainian].

Babinets, L.S., Melnyk, N.A., Tsybul's'ka, L.S., Skrypnyk, M.V. (2016). Osoblyvosti anemichnoho syndromu yak proyavu trofolohichnoyi nedostatnosti pry khronichnomu pankreatyti na tli ishemichnoyi khvoroby sertsya [Features anemic syndrome as a manifestation trofolohichnoyi insufficiency in chronic pancreatitis against the background of ischemic heart disease]. Zdobutky klinichnoyi ta eksperymental'noyi medytsyny - Achievements of Clinical and Experimental Medicine. 2 (26): 29-32 [in Ukrainian].

Huberhryts, N.B., Bondarenko, O.A. (2013). Pokazately ul'trazvukovoy hystohrafyy podzheludochnoy zhelezy v dynamyke lechenyya bol'nykh s khronycheskym pankreatytom na fone ozhyrenyya [Indicators ultrasonic hystohrafyy podzheludochnoy gland in the dynamics of treatment of patients with chronic pancreatitis in the background obesity]. Hastroenterolohiya - Gastroenterology. 2: 64-67 [in Ukrainian].

Khrystych, T.M. (2015). Khronichnyy pankreatyt u heriatrychnykh khvorykh: osoblyvosti klinichnoho perebihu, stanu peroksydatsiyi lipidiv ta antyoksydantnoyi systemy [Chronic pancreatitis in geriatric patients: clinical course, the state of lipid peroxidation and antioxidant system]. Visnyk naukovykh doslidzhen'. - Bulletin of scientific research, 4: 42-44 [in Ukrainian].

Duggan, S.N., Smyth, N.D., O'Sullivan, M., Feehan, S., Ridgway, P.F., Conlon, K.C. (2014). The prevalence of malnutrition and fat-soluble vitamin deficiencies in chronic pancreatitis. Nutr. Clin. 29: 48-54.

Vynokurov, M.M., Savel'ev, V.V. (2014). Prohnostycheskoe znachenye sostoyanyya prooksydantnoy y antyoksydantnoy system orhanyzma u bol'nykh so steryl'nym pankreonekrezom [Prognostic value of the state of the prooxidant and antioxidant systems of the organism in patients with sterile pancreatonecrease]. Khyrurhyya - Surgery. 12: 38-52 [in Russian].

Arkhiy, E.Y., Myshanych, T.V., Moskal, O.M. (2012). Osoblyvosti zmin protsesiv travlennya, laboratornykh ta imunolohichnykh pokaznykiv pry khronichnykh zakhvoryuvannyakh pidshlunkovoyi zalozy poyednanykh z IKhS ta zakhvoryuvannyamy hepatobiliarnoyi systemy [Specificity of the process of etching, laboratory and immunologic displays of horsetail picking pidshlunkovoy zalozi, peydnanyh z IHS and disease of hepatobiliary systems]. Hastroenterolohiya - Gastroenterology. 46: 56-62 [in Russian].

Sikkens, E.C., Cahen, D.L., Van Eijck, C., Kuipers, E.J., Bruno, M. (2012). Patients with exocrin einsufficiency due to chronic pancreatitis are undertreated: a Dutch national survey. J. Pancreatol. Official J. Int. Assoc. Pancreatol. 12: 71-73.

Schneider, A., Löhr, J.M., Singer, M.V. (2014). The M-ANNHEIM classification of chronic pancreatitis: introduction of a unifying classification system based on a review of previous classifications of the disease . J.Gastroenterol. 42: 101-119.

Huberhyts, N.B., Khrystych, T.M. (2013). Klycheskaya pankreatolohyya [Clinical pancreatology]. Donetsk: OOO «Lebed'» - Donetsk: Swan LLC. 2: 236 [in Russian].

Published

2017-05-13

How to Cite

Babinets, L. S., Melnyk, N. A., Gnizdyuh, I. O., & Dobrorodnya, L. V. (2017). MELDONIUM APPLICATION IN REHABILITATION OF PATIENTS WITH CHRONIC PANCREATITIS COMBINED WITH STABLE CORONARY ARTERY DISEASE. Achievements of Clinical and Experimental Medicine, (1). https://doi.org/10.11603/1811-2471.2017.v0.i1.7440

Issue

Section

Оригінальні дослідження