Vol. 7, Issue 9 (2018)
Dynamics of biochemical indicators of patients with climatheric syndrome associated with hypothyroidism under the influence of complex therapy with application of physiotherapeutic methods of treatment
Pavlovska Maryna O
Treatment with estrogen of various forms of climacteric syndrome, according to modern guidelines, is etiopathogenetically grounded. At the same time, the use of estrogen monotherapy in women with thyroid disease, along with the reverse development of clinical symptomatology of the climacteric syndrome, stabilization of the parameters of the autonomic nervous system, does not affect the parameters of thyroid homeostasis. The purpose of the study is comparing the effectiveness of complex treatment methods for climacteric syndrome of patients with concomitant hypothyroidism, by analyzing biochemical parameters before and after complex therapy using physiotherapeutic methods of treatment. 62 patients aged 45 – 55 years with a climacteric syndrome and concomitant hypothyroidism were examined. In order to compare the effectiveness of the treatment methods used in the study, the patients were divided into 2 groups. The 1st group (28 patients) with hypothyroidism on the background of climacteric syndrome who received only baseline therapy. Group 2 consists of 34 patients who, in addition to basic therapy, received physical therapy (ultrasound therapy and contrast baths 2 times / week for 2 months). Comparing the overall treatment efficacy of both groups of patients, it turned out that the effectiveness of the baseline therapy was 42.9%, with the use of complex with the use of physiotherapy treatments – 76.5%. At the same time, when using basic therapy, 35.7% of patients did not observe an objective improvement of the condition, and 21.4% even a slight deterioration. The group of patients receiving combined treatment with contrast baths and ultrasound therapy, showed much better rate of patients who completed the treatment without objective changes – 17.6%, as well as those with somewhat deteriorated status – 5, 9%. During the examination of patients with climacteric syndrome and concomitant hypothyroidism, we observe an increase in all researched biochemical parameters of the blood prior to the completion of two courses of complex therapy. In assessing the dynamics of biochemical indicators after two treatment cycles, there was a tendency for the indexes to decline in both treatment groups, but in the group with the use of integrated treatment methods, the rates were closer to the normative values.