CLINICAL AND ECONOMIC EFFECIENCY OF APPLYING LOCAL THERAPY IN COMPLEX TREATMENT OF PATIENS WITH ACUTE SUPPURATIVE RHINOSINUSITIS

The aim of the research is to evaluate clinical and economic reasonableness in using mineral water for treating patients with acute suppurative rhinosinusitis. There were 98 patients with acute suppurative rhinosinusitis under examination (47 women, 51 men, the average age was 38.8±9.8 years). The first group consisted of 48 patients who got antibacterial, desensitization therapy, the puncture of maxillary sinuses with the introduction of cefazolin solution; the second group consisted of 50 patients, who got basic medicament treatment together with the puncture of maxillary sinuses and introduction of mineral water Talaya (Magadan region) and further endonasal electrophoresis with mineral water by the developed methods. Clinical efficiency was evaluated by dynamics of clinical, laboratory and roentgenological data, state of transport function of nose mucous membrane. The integral index of overall state of the patient was calculated; there was interviewing to estimate the results of the treatment. The economic analysis was done by the method of expenses minimization considering government territorial programme that guarantees free medical care to citizens. During complex treatment with mineral water the duration of pyretic temperature, difficulty in nasal breathing, nasal purulent secretion, maxillary sinuses pains decreased. The integral index of clinical efficiency showed faster relief of clinic and laboratory symptoms of patients from the second group. The quantity of invasive procedures decreased, and patient’s satisfaction of treatment increased. The cost of treatment in the groups differed because of the decrease of duration for in-patient treatment in the second group to 8.77±0.23 days (in the first group - 10.39±0.56 days, р<0.05). Direct expenses decreased by 4.7%. The research showed that complex treatment of patients with acute suppurative rhinosinusitis using mineral water Talaya for elimination therapy and endonasal electrophoresis helps to eliminate clinical symptoms of the disease, decrease the duration of in-patient treatment, lower the cost of treatment and improve the comfort of therapeutic measures.

острый риносинусит, комплексное лечение, минеральная вода, клиническая и экономическая эффективность терапии, acute rhinosinusitis, combination treatment, mineral water, clinical and economic efficiency of treatment

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