Yakovlenko V.V.1, Syniachenko O.V.2, Sokrut V.M.1, Pasiyeshvili L.M. 3, Yehudina Ye.D.4, Sokrut O.P.1

Summary. Acupuncture as a method of reflexotherapy in patients with rheumatoid arthritis is used for many years. The authors propose a method of myeloacupuncture (MAP), the purpose and objectives of which was to assess its effectiveness in various forms of the disease, to study the mechanisms of action. Material and methods. The study included 293 patients (20% men and 80% women aged 18 to 79 years). MAP was made in 16% of the number of examined patients by the random sample’s method. These persons form the main group of examined, and the rest — control, including 7% cases of the simulated procedure, holding MAP, but a needle was not injected into the spinal cord (placebo control group). Results. After two weeks MAP significantly improves results of parallel conducted pathogenetic drug therapy, reducing blood levels of rheumatoid factor, cyclic citrullinated peptide antibodies, fibrinogen, immunoglobulin G, tumor necrosis factor a, endothelin-1, prostaglandin E2 and bulk viscosity index serum against the increasing concentrations of IL-4, cortisol and parameter of module serum viscoelasticity. These results do not occur in the control group, and the original values of the surface elasticity have prognostic significance of MAP. The effectiveness of acupuncture treatments in the spinal cord negative depends on the presence in patients tendovaginitis, Sjogren's syndrome, lesions of skeletal muscle and kidney. Conclusions. The use of MAP in rheumatoid arthritis is theoretically proved, very effective, has few side effects, no contraindications to use.

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