Therapeutic nutrition in a complex of health resort treatment of children with ecologically burdened medical histories in combined pathologies of the urinary and digestive systems
The objective. To study the effectiveness of a diet therapy with the use of pectic substances in a complex of health resort treatment of chronic pyelonephritis in combination with functional disorders of the digestive system in children with ecologically burdened medical histories. Patients and methods. On the basis of a children's health resort «Salut» (Zheleznovodsk) 120 children aged 7-14 years with chronic pyelonephritis in combination with dyskinesia of the gall bladder and the intestines were examined. The first (control) group of children received mineral carbonic acid baths and intake of mineral water from the Smirnovsky springs against the background of sparing-and-training regimen, diet therapy, therapeutic physical training and general massage. The second (basic) group of children received a similar therapeutic complex with additional administration of the apple pectin water extract. Results. Against the background of a similar favourable dynamics of the signs of nephritic syndrome, the advantages of the developed therapeutic complex were manifested in almost complete elimination of clinical manifestations of gastrointestinal disorders (decrease of the incidence of abdominal pains by 73% vs. 62% in the control group, of bowel disorders - by 68% vs. 45%, of the tongue fur - by 65% vs. 50%, palpation painfulness - by 52% vs. 28%, frequency of complaints of regurgitation and nausea - by 50 and 42% vs. 30 and 17%, p = 0.05). Also, a significant rise of the initially lower insulin levels by 71%, vs. 11% in the control group was found, a decrease of high cortisol levels by 29%, instead of 16%, and also normalization of excessive production of lysozyme (due to a decrease of the initially higher production by 60%, p < 0.001, vs. 35% in the control group) and of immunoglobulin M levels (decrease by 10%). Conclusion. Administration of pectic substances in a complex of health resort treatment of children with ecologically burdened medical histories in combined pathologies with the urinary and digestive systems is advisable and effective.