Non-drug comprehensive programs to correct nitrogen metabolism and microelement status in patients with urolithiasis in the early rehabilitation period after percutaneous nephroscopy

Abstract

The article presents the results of a study of the features of the effect of non-drug comprehensive programs, including intravenous laser blood irradiation (ILBI) in combination with ozone therapy and light therapy, on the state of nitrogen metabolism and microelement status before and after percutaneous nephroscopy. Material and methods: 90 patients with urolithiasis aged 28 to 62 years, mean age 37.6±4.5 years, who were divided into three groups comparable in age, sex, and clinical and functional characteristics: group I included 30 patients who, against the background of standard therapy, received a course of intravenous laser blood irradiation (ILBI) and ozone therapy — 6 procedures of each in the preoperative period, and polarized light and ILBI — 6 procedures of each in the early postoperative period (from the second day after surgery); group II included 30 patients who underwent a course of intravenous laser blood irradiation (ILBI) and ozone therapy from the second day after surgery; group III involved 30 patients who received standard therapy after surgery: antispasmodics, antibacterial therapy, taking into account bacterial urine culture, and non-steroidal anti-inflammatory drugs, which served as a background in groups II and III. Results: It has been proven that the use of a 2‑course rehabilitation program, including intravenous laser blood irradiation (ILBI) and ozone therapy in the preoperative period and polarized light and ILBI in the early postoperative period from day 2 after percutaneous nephroscopy, contributes to the normalization of nitrogen and mineral metabolism in patients with urolithiasis with kidney stones after percutaneous nephroscopy to a greater extent than intravenous laser blood irradiation (ILBI) and ozone therapy used from the second day after surgery.