Saratov JOURNAL of Medical and Scientific Research

Hirudotherapy as a method of hemoreological disorders correction efficiency on osteoarthrosis

Summary:

The aim: to study the hirudotherapy effectiveness in case of osteoarthrosis as a pathogenetic therapy in view of vascular disorders in the disease pathogenesis. Material and Methods. 81 patients with ostearthrosis, predominantly gonarthrosis, aged 36 to 76 years old with a disease duration from 1 to 15 years were under observation. There were clinical and laboratory studies (generally accepted in patients with osteoarthritis), special studies included bulbar conjunctiva biomicroscopy and lower limbs rheovasography. Results. Hirudotherapy is a clinically effective method for the articular syndrome treatment in various types of osteoarthrosis. It is advisable to use the method in patients with a disease duration up to 15 years, with severe pain syndrome, concomitant peripheral veins pathology, and hypertension. Conclusion. The influence of hirudotherapy on the state of microcirculation in patients with osteoarthritis with the evaluation of the clinical effect and the rheovasography and conjunctival biomicroscopy was first studied, confirmed by instrumental methods. The greatest clinical efficacy was achieved with a high degree of local inflammatory activity, what once again emphasizes the role of microchemocirculation disorders in the development of synovitis in osteoarthritis.

Bibliography:
1. Nasonov EL. Rheumatology: clinical recommendations. Moscow: GEOTAR-Media, 2010; 752 p.
2. Loeser RF, Goldring SR, Scanzello CR, et al. Osteoarthri-tis — a disease of the joint as an organ. Arthr Rheum 2012; 64 (6): 697-707
3. Koroleva CB, Lvov SE, et al. Features of a systemic mi-crocirculation violation in osteoarthritis. Traumatology and orthopedics of Russia 2005; 2 (35): 21-24
4. Hirudotherapy of deforming arthrosis. In: Sulim Nl. Hiru-dotherapy in traumatology and orthopedics. Moscow, 1997; p. 27-33
5. Malovetskii VS, Filin NA, Romanchuk SV. Hirudotherapy of trigger phenomena. In: Proceedings of the "Hirudotherapy in the mirror of Naturotherapy Technologies" conference 2000; p. 25-26
6. Martusevich NA, Sonich NN. Hirudotherapy in the complex treatment of gonarthrosis optimization. Scientific practical rheumatology 2003; (2): 71-75
7. Artemova ЕК, Stukalova ТА. Therapeutic physical culture and hirudotherapy in rehabilitation of patients with arthritis. In: Physical culture, sport and health in modern society: a collection of scientific articles of the all-Russian international scientific and practical conference. Ministry of Sport of the Russian Federation; Voronezh State Institute of Physical Culture, 2012; p. 417-421
8. Nikonov Gl, Titova ЕА, Seleznev KG. Biological activity and pharmacological properties of the anticoagulant complex (hirudin, inhibitor of kallikrein blood plasma, prostaglandin), isolated from leeches HIRUDOmedicinalis. Experimental Biology and Medicine Journal 1999; (128): 673-676
9. Tsvetkova ES, Alekseeva LI. Pharmacotherapy of osteoarthritis possibilities and prospects: Rheumatology selected lectures. Moscow, 2001; p. 197-198
10. Ananeva LP, Balabanova RM. Treatment of chronic pain syndrome in diseases of the musculoskeletal system by using central effect analgesics. Journal of Evidence-Based Medicine for Practitioners «Consilium medicum» 2001; 3 (9): 8-10
11. Voishcheva ЕА, Semagina OV, Kutina Olu, et al. The use of hirudotherapy in the gout treatment. Scientific practical rheumatology 2003; (2): 22-25.

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