PANTOGEMATOGEN-C: A COMPLEX APPROACH TO ASTHENIC SYNDROME IN MILITARY SERVANTS

УДК 615.324:615.83:615.85:355.09

Authors

  • Irina A. Nesina Novosibirsk State Medical University, Novosibirsk, Russia; Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of Russian Defense Ministry, Novosibirsk, Russia; Novosibirsk Research Institute of Hygiene Rospotrebnadzor, Novosibirsk, Russia https://orcid.org/0000-0001-9937-945X Email: pegasinanesina@yandex.ru
  • Alexander V. Shakula Sanatorium-resort complex "Podmoskovie" of Russian Defense Ministry, Mytishchi, Moscow region, Russia https://orcid.org/0000-0001-9952-9630 Email: shakula-av@mail.ru
  • Alexander I. Pavlov Russian Biotechnology University (ROSBIOTECH), Moscow https://orcid.org/0000-0003-1836-7946 Email: doctor-pavlov@mail.ru
  • Rasul S. Nustafayev Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of Russian Defense Ministry, Novosibirsk, Russia https://orcid.org/0009-0005-3195-6536 Email: method-elzovka@yandex.ru
  • Valentin V. Shikhotinov Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of Russian Defense Ministry, Novosibirsk, Russia https://orcid.org/0009-0009-5898-1036 Email: akvasib@hotmail.com
  • Svetlana N. Demidchik Medical Center "Blagodat", Novosibirsk https://orcid.org/0009-0009-8082-1856 Email: sveta-dem@bk.ru
  • Elena L. Smirnova Novosibirsk State Medical University, Novosibirsk, Russia https://orcid.org/0000-0001-8283-2342 Email: smelel@mail.ru

DOI:

https://doi.org/10.31684/25418475-2024-1-62

Keywords:

special military operation, medical and psychological rehabilitation, asthenic syndrome, military personnel, sanatorium and resort organization, Pantohematogen-С

Abstract

Introduction. The utilization of the dietary supplement "Pantohematogen-C" within the medical and psychological rehabilitation program for military personnel with secondary asthenic syndrome in a sanatorium-resort setting has demonstrated its positive impact on normalizing key asthenia symptoms, including physical and mental exhaustion, vegetative disorders, and sleep disturbances. Aim. This study aimed to enhance the effectiveness of comprehensive medical and psychological sanatorium-resort rehabilitation for military personnel with asthenic syndrome using the dietary supplement "Pantohematogen-C". Materials and Methods. The study involved 39 male military personnel aged 24 to 59 years (average age 39.2±4.18 years), with 20 patients in the main group and 19 in the comparison group. The patients underwent a 21-day sanatorium rehabilitation program at the Military Sanatorium "Yeltsovka" of the Ministry of Defense of the Russian Federation. The rehabilitation program included various interventions such as diet therapy, gentle-training motor regime, physical therapy methods, daily dosed walking, exercise equipment, transcranial electrical stimulation (TES), iodine-bromine baths, and psychological correction. Additionally, the main group received the dietary supplement "Pantohematogen-C" three times a day, while the comparison group underwent only the procedures of the basic complex. The effectiveness of the rehabilitation measures was evaluated using several assessment tools. Results. Following the comprehensive sanatorium rehabilitation program, including "Pantohematogen-C", a significant decrease in physical and mental components of asthenia, an increase in activity on the MFI-20 scale, normalization of vegetative status, and improved sleep quality were observed. Patients also reported enhanced well-being, mood, and activity. Moreover, the program led to a statistically significant decrease in situational anxiety. Conclusions. The study has explored the potential and suitability of using Pantohematogen-C to enhance the effectiveness of the sanatorium-resort program for medical and psychological rehabilitation of military personnel with secondary asthenic syndrome. This intervention has shown promise in normalizing vegetative and psycho-emotional status, improving sleep quality, and increasing patient activity in sanatorium-resort organizations catering to these patient categories.

Downloads

Download data is not yet available.

Author information

Irina A. Nesina,
Novosibirsk State Medical University, Novosibirsk, Russia; Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of Russian Defense Ministry, Novosibirsk, Russia; Novosibirsk Research Institute of Hygiene Rospotrebnadzor, Novosibirsk, Russia

Dr. Sci. (Med.), Professor of the Department of Emergency Therapy with Endocrinology and Occupational Pathology, Novosibirsk State Medical University; Leading Researcher, Novosibirsk Research Institute of Hygiene of Rospotrebnadzor of Russia; Doctor of Physical and Rehabilitation Medicine, Branch "Sanatorium "Eltsovka" – "Sanatorium and Resort Complex "Privolzhsky" of the Russian Defense Ministry, Novosibirsk.
E-mail: pegasinanesina@yandex.ru.
http://orcid.org/0000-0001-9937-945X.

Alexander V. Shakula,
Sanatorium-resort complex "Podmoskovie" of Russian Defense Ministry, Mytishchi, Moscow region, Russia

Dr. Sci. (Med.), Professor, Methodologist, Sanatorium-resort Complex "Podmoskovye" of the Russian Defense Ministry, Mytishchi.
E-mail: shakula-av@mail.ru.
https://orcid.org/0000-0001-9952-9630, SPIN code: 1741-9569, Author ID: 476831

Alexander I. Pavlov,
Russian Biotechnology University (ROSBIOTECH), Moscow

Dr. Sci. (Med.), Professor, Russian Biotechnology University (ROSBIOTECH); Professor, Department of Therapy with a Course of Pharmacology and Pharmacy, Medical Institute of Continuing Education, Moscow.
E-mail: doctor-pavlov@mail.ru.
https://orcid.org/0000-0003-1836-7946.
SPIN code: 5966-7080, Author ID: 921991

Rasul S. Nustafayev,
Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of Russian Defense Ministry, Novosibirsk, Russia

Cand. Sci. (Med.), Deputy Head, Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of the Russian Defense Ministry, Novosibirsk.
E-mail: method-elzovka@yandex.ru.
https://orcid.org/0009-0005-3195-6536

Valentin V. Shikhotinov,
Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of Russian Defense Ministry, Novosibirsk, Russia

Head of Physiotherapeutic Department, Sanatorium "Yeltsovka" – branch of Sanatorium and Resort Complex "Privolzhsky" of the Russian Defense Ministry, Novosibirsk.
E-mail: akvasib@hotmail.com.
https://orcid.org/00009-0009-5898-1036.

Svetlana N. Demidchik,
Medical Center "Blagodat", Novosibirsk

Doctor of Therapeutic and Sports Medicine, Medical Center "Blagodat", Novosibirsk.
E-mail: sveta-dem@bk.ru.
https://orcid.org/0009-0009-8082-1856.

Elena L. Smirnova,
Novosibirsk State Medical University, Novosibirsk, Russia

Dr. Sci. (Med.), Associate Professor, Professor of Department of Emergency Therapy with Endocrinology and Occupational Pathology, Novosibirsk State Medical University, Novosibirsk.
E-mail: smelel@mail.ru.
https://orcid.org/0000-0001-8283-2342.

References

  • Yudin V.E., Pavlov V.V., Shakula A.V., Kudryavskiy S.I., Nesina A.I. Methods of pantolechenie in complex programs of medical and medical and psychological rehabilitation of servicemen. Training manual. Moscow. 2023: 31.
  • Trishkin D.V. Results of activity of medical service of the Armed Forces of the Russian Federation in 2023 and tasks for 2024. Military-medical journal. 2024; 1: 4-21. https://doi.org/10.52424/00269050_2022_343_1_04
  • Ponomarenko G.N., Yusupov V.V., Chermyanin S.V., Ishchuk V.N. et al. Standards of medical and psychological rehabilitation of servicemen in sanatorium and resort organizations of the Ministry of Defense of the Russian Federation / Moscow: GVMU of the Ministry of Defense of Russia. 2018: 63.
  • Sobolev A.V., Kakurin O.V., Neustroeva N.G., Kuznetsov V.M., Shakula A.V. Organization and efficiency of the department of medical and psychological rehabilitation of servicemen of the sanatorium "Solnechnogorsky" of the Ministry of Defense. Military-medical journal. 2022; 343(11): 13-19. https://doi.org/10.52424/00269050_2022_343_11_13
  • Fulcher K.Y., White P.D. Strength and physiological response to exercise in patients with chronic fatigue syndrome. J Neurol. Neurosurg. Psychiatry. 2000; 69(3): 302-307. https://doi.org/10.1136/jnnp.69.3.302
  • Moss-Morris R., Sharon C., Tobin R., Baldi J.C. A randomized controlled graded exercise trial for chronic fatigue syndrome: outcomes and mechanisms of change. J Health Psychol. 2005; 10(2): 245-25. https://doi.org/10.1177/1359105305049774
  • Kudryavtseva S.A., Kudryavtseva V.A., Dorofeev M.A. Possibilities of aromatherapy method in complex treatment of hypertensive patients: state of the art. Vladimir: Transit-ICS. 2023: 246.
  • Kudryavskiy S.I. Application of aqueous extract of maral antlers in medical rehabilitation. Author's abstract of dissertation for the degree of Doctor of medical sciences Novosibirsk, 2004: 33.
  • Levitsky E.F., Gridneva T.D., Golosova L.O. et al. Application of the preparation "Pantohematogen dry" in balneo-physiotherapy. Methodical recommendations. Tomsk. 1996: 17.
  • Shakula A.V., Nesina I.A., Poteyaeva E.L., Lyutkevich A.A. Balneotherapy of dorsopathies and osteoarthritis with the use of bathing agent "Pantomagnesium extract". Medical technology. Novosibirsk. 2010: 30.
  • Shakula A.V., Pushkarev E.P., Cherenkova M.A. Application of pantomagnesium baths in complex medical rehabilitation of patients with metabolic syndrome. Vestnik Restorative Medicine. 2014; 4: 28-32.
  • Nesina I.A., Shakula A.V., Kulishova T.V., Ivleva G.P., Pavlov A.I. Evaluation of the effectiveness of pantomagnesium baths in patients with dorsopathies with excess body weight. Bulletin of Restorative Medicine. 2019; 6: 45-50.
  • Nesina I.A., Golovko E.A., Shakula A.V., Figurenko N.N., Zhilina I.G., Homchenko T.N., Smirnova E.L., Chursina V.S., Koroleva A.V. Experience of outpatient rehabilitation of patients with pneumonia associated with a new coronavirus infection COVID-19. Bulletin of Restorative Medicine. 2021; 20(5): 4-11. https://doi.org/10.38025/2078-1962-2021-20-5-4-11
  • Zharikov A.Yu., Lunitsyn V.G., Lampatov V.V., Motin Y.G., Talalaeva O.S., Eliseev D.V., Pawlyashik G.V. Influence of new means from raw materials of antler deer on biosynthetic processes in cells of skeletal muscle of rats in conditions of long physical load. Biomedicine. 2016; 1: 90-94.
  • Smirnova I.N., Vereshchagina S.V., Shteinerdt S.V., Zaitsev A.A., Abdulkina N.G. Application of maral antler powder in the correction of laboratory signs of endogenous intoxication and overtraining in athletes of winter cyclic sports. Therapeutic physical training and sports medicine. 2019; 1(149): 32-40.
  • Methodical recommendations of FMBA of Russia. Application of preparations on the basis of products of antler red deer breeding in athletes of winter sports at the stage of the training process in the middle mountains (reg. № 39-14 from 14.05.2014).
  • Likhatsky E.Y., Likhatsky Y.P. Experience of the organization of antler farming on the spotted deer (Cervus nippon) in the Central Black Earth Region (Lipetsk region, Russia) on the example of the natural park "Oleniy". Proceedings of the VII World Congress of Reindeer Herders. Barnaul. 2018: 33-37.
  • Lazareva V.A. Application of pantogematogen in complex treatment of patients with chronic prostatitis at the resort Belokurikha. Jubilee scientific-practical conference, abstracts of reports. Barnaul. 2005: 202-204.
  • Sukhovershin A.N. Prospects of therapeutic and prophylactic use of products of antler maralovodstvo in sanatorium practice. Kurortnye vedomosti. 2013; 3(78): 50-52.
  • Podorogin A.V. Pantomagnesium baths in rehabilitation of climacteric symptom in men at the resort. Modern aspects of rehabilitation in medicine: theses of reports of the All-Russian conference. Barnaul. 2011: 186-187.
  • Sobolev A.V., Kuznetsov V.M., Shakula A.V., Likhatsky E.Y. Experience of antler baths application in the programs of sanatorium treatment of patients with ischemic heart disease and postcovicular syndrome in Zvenigorod military sanatorium. Questions of resortology, physiotherapy and therapeutic physical training. 2021; 98(3-2): 178-179.

    • Downloads

    Published

    2024-03-25

    How to Cite

    Nesina I. A., Shakula A. V., Pavlov A. I., Nustafayev R. S., Shikhotinov V. V., Demidchik S. N., Smirnova E. L. PANTOGEMATOGEN-C: A COMPLEX APPROACH TO ASTHENIC SYNDROME IN MILITARY SERVANTS: УДК 615.324:615.83:615.85:355.09 // Bulletin of Medical Science, 2024. Vol. 33, № 1. P. 62–69 DOI: 10.31684/25418475-2024-1-62. URL: https://newbmn.asmu.ru/bmn/article/view/665.

    Issue

    Vol. 33 No. 1 (2024): Bulletin of Medical Science

    Section

    ORIGINAL PAPERS

    License

    Creative Commons License

    This work is licensed under a Creative Commons Attribution 4.0 International License.