Kpaeeu T. n. /l.He'lpOreTpOElC~811 rOCYA3PCTBeHrl3li M8AV1L(VirlCK3$l 3KapeMvHl, Y~<paVlHa, :. Kpv1130~ Por, y;LI'ieHeBCKali, 1, AeKaHar(!JnO, 50031
nPEnAPATbl 3XV1HAL.I,EV1 nYPnYPHO!Ii B nP0$14JlAKTV1KE KAPV1ECA 3Y60B Y no~POCTKOB H3secTHO, •uo KapHec 3y6on
HaH6onee pacnpocTpaHeHHoe 3a6onenaaHe
cpe.ru1 ,n:creif 11 n3pocnhtX. Y no.n:poCTKOB poCTa Kap.reca
(I).
14 - I6 neT Ha6mo.n:aeTCJI Tpt:mif nHK (2, 4) ycTaHOBJieno,
MHom•mcneJUihiMH Hccne,n:onaHI1JIMII
'HO pOCT Kapueca 3)'00B npOHCXOJ~HT Ha <floHe CHH'lKeHHJI o6mero H MCCTHOrO HMM)'HHTeTa, 4TO, B CBOIO OtiCpe;J,h, BCJJ,eT K CHH)f(eHHIO MHHepaHIB)'IO!llCrO noTeuuHana CJIJOHhi H CHH)f(CHHJO pe3HCTeHTHOCTH 3MaJII1 3y6on. Y4HTbiBaJI: :no, llOHCK l1 pa3pa60TKa KapHeCnpo<flHnaKTil'!CeKHX epe!l,CTB npOBO)lHTCJI C yqeTOM HX }lCHCTBHJI Ha see HJIH fi04Tl1 nee B03MO'lKHhiC 3BeHbJI naTOreHe3a KapHeea 3y6on. OueHHBaJI npeHMymeeTBa pacTHTenhHbiX anamoreHOB (Hx 6HonorutieCKaJI aKTHBHOCTb, HaJIH'lHC MaKpO-, MI1Kp03JICMCHTOB, BMTaMHHOB l1 Jlp.) B a,n,anTaUMOHHO-IlpHe!IOC06HTCJ!hHh1X peaKUHHX opraHM3Ma 11 HX pOJih B llOBhlllCflHH Hecneuw<fl11'IeeKoi1 3aLUl1Thi p11eea 3)'60B )' fiO!l,pOCTKOB
14
(I),
I6
JlJlll 3H,n:oreHHoi1 npo<flHJiaKTHKH Ka-
JleT OTJJ:aJIM npe,n:II04TCHHC npenapaTaM
llpHpOJJ:HOrO npoHeXO'lK)lCHI1JI 11 llpHMCHHJIM JICJJ:CHUbl 3XHHaUCH nypnypHOH ,[(p. Tai1:ea 11 omHMM3MponaHHbiH KOMnJieKc Jie,n:enuon 3XMHaueM nypnypHoif BMCCTC e BHTaMHHHO-MHHepaJihHbiM KOMI1J1CKCOM "L(yOBHT"
(KRKA, CJIOBCHI1J1).
lJ,eJJhiO 6biJJO H3)''lHTb KapHecnpo<fJHJiaKTH4CCK)'IO 3QJQJeKTHBHOCTh 3Hll:OreHHOH npOQJHJiaKTMKH KapHeCa 3)'00B )' no,n:pOCTKOB npenapaTaMH llpHpOJJ:HOro IIpOHeXO)f(,ileHIUI ~- 3XHH3UCH nypnypHOH H OllTHMH3HpOBaHHOfO KOM11HCKCa 3XIiHaUeH
nypnypHOH
B!\-ICeTe
C
BHTaMHHHO-MHHepaJibHb!M
KOM!UICKCOM
'·,[(yOBH1''' M o60CHOBaTh UeJJeC006pa3HOCTh HX BKJII04CHHJI: B KOMll.ilCKCHhiH MeTonnpo<flmmKTHKH Kapueca 3y6oB nnJJ .n:eTeil no.n:poeTKosoro so3pacra. K.HHHWJeCKaJJ anpo6aUI1JI H JQJQJCKTHBHOCTh npHMeHCHHJI ne,n:eHUOB 3XH113UCH nypnypnoil 11 ,1CJJ:CHUOB 3XHHaUCH nypnypHOH BMCCTC C BHTaMHHHOMHHCpaJihHb!M KOMTIHCKCOM "}:(yonHT" B 3HJIOrCHHOH npOQJHJlaKTMKC KapHeca 3y6oB npOCJle'lKCHa cpe!l,H
lLml
112 no,n:poeTKOB Ha npOTJI:'lKeHHH 2,5
JICT.
OUCHKH K3pMecnpo<fll1JiaKTI1'JCCKOrD 3rVQJCKTa npHMCHHJIHCb KJIHHH-
'ICCKHC, J1a6opaTOpHbiC H L'TaTHCTl14eCKHC MCTOJJ:hl HCCJIC)lOBaHHH. Y BCCX fiO}lpOCTKOB onpe,'!emum: ceKpeTopHbJH HMMyHonw6yJmH
A
cniOHhi
(G.
Mancini
195
Ex libris Травы жизни: http://medherbarium.blogspot.com
et al.,
B. Yl.
1965), mnou11M cmDHbi (K. A. KarpaMaHona, CTorHHH 11 coaST.,
PAM (T. A. Eenew1yK, 1985), T3P-TeCT ( HOHOMCp
(10.
YHHBepcanhHhlH
B. B.
A. <De!lopon,
(B.
:JB-74 ),
2.
1968 n MOJliHjH1KaUHl1
1988), peaKumo aJJ,cop6UHH MHKpoopraHH3Mon P. OKymKo, 1984), pH cniOHbi
rHrHCHHLICCKI1H
fJ1
HHJlCKC
BonoJlKHHa, 1971 ), HHTeHCHBHOCTh KapHeca -
KiiY,
noKa3aTC;lb peJlyKr~HH KapHeca- KD3.
~
rpynnLI
(60
BCCM IlOtlpOCTKaM .iiBYX OCHOBHblX
'-ICJT.) l1 JlByx KOHTpOJlbHbiX (52
TCJlhllhlX 1y60B (no fJOK3.3aHI1>1M) repMCTHKOM ''Revolution" (Kerr), H3.1Ha'Ja-
(KfJY)
H
COCTOliHHli
pe3HCTCHTHOCTH
)Ma.Jllf
(T3P): B rrepByiO OCHOBHYIO rpynrry OTHCCCHbl ITO.UpOCTKH C MCHhlllCH CTCITCHh!O pucKa KapHeca (KDY :.:; 3; T3P :.:; 4,5 6annon), no BTopyiO ocHOBHYIO rpyurry OTHCCCHbl l10Jlp0CTKH C 60ilhlllCH CTClJCHh!O pHCKa KapHCCa (KflY:;o-3;
fJO)lpOCTKaM ]-H OCIIOBHOH rpynnbl (30 LICJT.) C MCHhll!CH CTCITCHhlO pHCKa KapHCCa 1y6oB .UOllOJIHHTCJihHO H3.3H3LJaJIHCh rrpOQJHJ13KTifliCCKHC KypChl .JIC)lCHUOB 3XHHaUCH nypnypHOH UO CXCMC: ITO 1 JICJlCHUy TpH)f(J~bl B ,!J,CHb Ha npoTli)f(CHHH MCCSIUa. fJo,a:pocTKaM 2-H OCHOBHOH rpynrrhi
(30
LJCJI.) C 60JihlUCH
CTClJCIIh!O pHCK3 KapHeca Jy6oB ,L\OflOJIHHTCJihHO Wl3H3LJ3JlHCb npo<jmJiaKTH'ICKypcbl
JlC.i!CHllOB
3XHHaLlCH
rryprrypHOH
BMCCTC
C
BHTaMHHHO-
MimepanbHblM KOMITJICKCOM ",ayonwr'' !10 CXCMC: lJO ) JIC)lCHUY TpH)f()lbl B Jl,CHb Ha npODI)f(CHHH
I
MCCliila l1 !10
1
BHTaMHHHOMY upa)!{C ")_\yoBHT" yrpOM H BC'IC-
pOM Ha rrpOTSI)!{CHHH 20 ,!l,IICH ,!l,O flOJlHOfO paccaCh!B3Hl1li .Upa)!{C B ITOJIOC'TH pTa. IiCCJIC)lOBaHIHI HpOBOJ\HJJH Jl,O H
ITOCJIC npoqmnaKTH'-ICCKHX Kypcon Ha
HaMH 6hrno ycTaHOKfJCHO, LJTO KapHecoreHHali CHTyaUHSI n rronocTH pTa IlOJlpOCTKOB 14 JleT o6yCJIOBJlCHa CHH)!{CHHCM ITOK3.3aTCJICH HCCITCUHcpH4CCKOH 33Il.ll1Tbl ITOJ!OCTH pTa (S1gA, Jll130UHM CJIIOHbl), peaKUHH a;J,COp6UHH MHKpoopraHH3MOB -- PAM. CHH){<CHHeM pH cJIIOHhi n KHcnyiO cTopony, CHH)!{CHHCM pe-
1.
-'f::_)p
(Ta6n.
* -~p <
I rpyrrllbl
I n
1
I
ll- __-] __-._
,y
I
I
:
SlgA. I 1:!
i
C.JIKlHLI,
~
MKfiMJI
I
PAM,%
PH
CJIIOHhi
f Hil.~Kc nmie- i
I Hhlf 11, 6aJU!hl
I
J!O~:=~~oj_i01~~f[_;;-~~~:~-= ~ JlH30Uil\l
I
c:IJOHhl.
i
_ ~---- _j
I PAM,%
PH
CJIJOHhl
1
Tl 11Hil.eKC mI I HeHL! rH. I
:~ 3_Qt_o:O~o-± Q,Qis• ~b29~t; ~:~3*_l_2iclil_±_T45* L~1§=-± 6._66*~1: 2 s~a::J~b I2*~ ! 1
-~llll'!l'_~1j,tl_(> -~-12-_0§_6 ± _Q.OQ8__ j j,l 0 + ()2! ~
23,00 ± ~.!J3 I 6 4Q or=-Q,OS 2~57 _±(i 06 ~~ [" '2 30 0,088±0,020* : 3,96±0_22* 19.77±414*: 651 ±005* f 239c±.008* [I<:(i~Ip_(lJI!,-'~-i~-~-Q~os<)_ :~c OJl08_ ;-J,5o ±-6T7~~!8_,}2 ;o~Q'J__J 2,_A2 ± o._IJ-* - p > 0, 05. ~ --
3}t::Ji.-43_!
0,001.
-------~----
·-------~
• 1,33 !,7!±0[0
J
~ ---·-~---~----~-'--~
t
OTMC'-13Jl3Cb T10Jl0)!{!1TCJlbHali JlHHaMHKa HOpManH1aUHH TlOKa3aTCJ1CH MCCTHOfO HMMYHHTeTa fiOJTOCTH p-ra ( CCKpCTOpHblH HMMYHOrJI06yJIHH A, JII130UHM CJIIOHbl ), PAM, LITO crroco6crnona.JJO ynyLIWCHHIO rifrHCHHLICCKoro cocTOSIHH51 rronocTH pTa, -pH CJIIOHbt H rronhJIUCHHIO pe3HCTCHTHOCTH 3Ma.JIH 1y6on -
T3P
(Ta6n. 2). fJO.U BJIHSIHHCM rrpocpHJiaKTHKH B 06CH"X OCHOBHb!X rpynrrax OTMC4aCTCSI 60JICC Hl13KHH poCT KapHCCa, 4CM B KOHTpOJibHblX rpyrmax, 4TO, COOTBCTCTBCHHO, 06CCITC'll1JIO ITOBbllllCHHC llOKa3aTCJICH peJlyKUHH Kap11eca Jy6oB (KTI3) c1epe3 2,5 f0):J,3 Ha 28,5 KapHeca If Ha 3
I ,85 %
o/o
B rpynne DOJlpOCTKOB C MCHbll!CH CTCITCHb!O pHCKa
B rpynrre ITOL\pOCTKOB C 60JiblllCH CTCITCHb!O pHCKa Ka-
pHeCa. 3a :noT )KC rrepHOJl npeMeHH y rro,D,pOCTKOB KOHTPOJihHhiX rpynrr Ha6JIIOJlaJTHCb Jl,a.Jl bHCHll!CC CHlf)!{CHHC ITOK3.3aTCJJCH MCCTHOfO HMMYHHTCTa ITOHOCTH pTa If JJ,3.JlbHCHllli1H poeT KapHeca (Ta6n.3).
3.
8JlHHHHC JH)lOreHHOH npo!J!HJI3KTHKH Ha peJHCTCHTHOCTb 3M3JIH, HHTCHCHB-
,li0£T_!>
Kapuecl!_~ 110~333_!~~_p_e_I!YKIJ,Hli_IC3 puec_ll_!YJi_~!S_.Y_IIQIIPOC-.:_fSOB !~-16 •leT
l
~-KfiY ~Zx'~~i-TKliY-~peJ ;;~ ~~~-lfjp qep~-J2j [ Pel\y;~uJI~ 1 1 f~-:_- ~-=-=-=t_)_O~ J~Q:7i l ~,0?*-thJ:49~~:** * -3,9l1%.j2_*-j3;2f:oJh***~K~_!I<:_ca~l~ 28 50 · Yo · _!{_<J_II_:_rp~~J~l~_L_~~_;__M_2_±_()J~Q_ ' __2,00 ± 0,2Q _1_67 ± 0,23:-5)3 ± 0,35- j 2 0 L~~iir_(,_;i~-J~~~-i}9~0= o~to• bJf~·~~·s·}_~~~~~2 s*l2_{~~~£·6.~~T;·~~8~-o/~ fpynnhl
* -p >
1).
COCTOHHHC OCHOBHbiX 03TOI'CHCTH'ICCKHX IJ!aKTOpOB pHCK3 Kapueca JyfioB
~---· -T--l~~~
[
:
: 18,49 ± 0.24 -tJ7 ,43 ± LK(Jlf!p_(l_,']Lj_2()_L_o,p_6.:-J:O,Ol5. 3.84±0,13_j 19,38±2,78 • 6.72±0.04
!
rrpOTSI)!{CHHH 2,5 JlCT.
3HCTCHTHOCTH 3MaJil1 3y6on
-T~--Jf;:;~UHM _T_I:loKa:Ja~mr -~----=-=---T=~~--=~=~=~ 11
rKoH~~n~l -~~ _ ,_o~: ~4~to~~~~· i~4]l~o~~:t=h~~f03,~~=~~--t~~-f~cr~t~~z~~~~~~=. L_1-~~-+_:J_o o,,,s_r,_c±__Q,020 I_,22_j_Z,QI_:!=:_~Q3 -~ ±_O_:~~~~
T3P?:4,5 6anJ10B).
CKHe
-----Slg/\, r/H
1'0Jl3
Do.u BJJHSIHHCM npocpHnaKTH4CCKHX Kypcon n o6eHx rpyrrnax rro.upocTKOB
Bee DOL\POCTKH pa3)leneHhJ Ha rrpoqmnaKTWieCKHe rpyrrrrhr n 3aBHCHMOCTH K3pHeca
~~--
- ~~ ~--
l_
Jli1Ch HH)lHBHJlY3JlhHb!C T'Hfl1CHI1'1CCKHC CpCJlCTBa yxo)la 3a ITOJlOCTh!O pTa.
HHTCHCHBHOCTH
n
2,5
1
'ICJI.) rpyrm I1pOBOJli1113Ch CaHaUHSI J10JIOCTH pTa, repMCTH33l~l151 q:mccyp )f(CBa-
OT
Cocronuue ocuoBHbiX naToreHeTH'ICCKHX IJ!aKTopos pucKa Kapucca 1y6os
,- __)'_ '!_O~(!O~!~O_fl_)l~~J! ~JI_(JHH~~ riQ_()_Cj_J_H_Jil!K_~'I~KH_!_")'l!(:O_B '1~3
11
3
n
0,05, ***-p < 0,001.
.
Bee H3JIO)!{CHHoe H3MH nmaon~eT CJleJiaTb cne.uyiOmHe BbiBO,D,hr. 1. BhrcoKaSI pacnpocrpaHCHHOCTb KapHCC3 1y60B y lJO,D,pOCTKOB Ha c!JOHC CHlf)!{CHHblX cpaKTOpOB HCCITCU,Hcplfl!CCKOH pe3HCTCHTHOCTH Tpe6yeT rrpOBC)lCHHli rrpocpHnaKTI14CCKHX MeponpHSITHH. 2. C KapHCCa Jy6oB
Y ITOJlpOCTKOB
UCJlh!O ITOBbllllCHH51 ITOK3.3aTCJlH pCJlYKUHH
14 -- 16 JICT )lJI~ 3H,ll,OfCHHOH npocpHnaKTHKH Ka-
pHeca npeJJ,JJO)!{CHhi rrperrapaTbi 3XHHaueH rrypnypHoii ~~ ne.ueHl(bi ,ap.Taiica H OT1THMH3HpOBaHHb!H KOMITJICKC JIC)lCHUOB 3XHHaUCH rrypnypHOH BMCCTC C BHTaMHHHO-MHHCp<L1bHblM KOMfl,TCKCOM ",ayOlHIT" ITO IlpC,ll,JIO)!{CHHblM CXCMaM HpHMCHCHHli, KOTOpblC CriOC06CTBYIOT tiOpManH3aUHH flOKa1aTCJlCH HCCflCUHQJl14CCKOi1 3aiUHTbi B noJIOCTH pTa H yKperr.fJeHmo 3M<L1H 1y6on. 3. DpeJJ,no~97
196
Ex libris Травы жизни: http://medherbarium.blogspot.com
)I(CHHhiC npenapaTbl npHpO,IUIOfO npmiCX0)1(,liCHI151 OKa3b!BaJOT Bb!pa)I(CHHOC KapHecnpO<jHIJJaKTH'1CCKOC ,IJCHCTBHe, HC HMeiOT no60'!Hb!X 3<jlrpeKTOB, npOCTbl B npHMCHeHYIH li He Tpe6yiOT 3Ha•mTeJibHbiX MaTepH<UlbHblX ·~aTpaT. 4. [~n51 ,IJOCTII:iKeiHI51 CTa6!1JibHOf0 KapiiCCIIpO!jJHJJaKTH'1CCKOfO 3rprpCKT3 rrporpiUiaKTH'ICCKHC KypcbJ CJIC/IyeT 11pOBO,liHTL Ha rrponJ)I(CHl111 BCero ITO,llpOCTKOBOfO B03pacTa 11 c yqeToM aKTIIBHOCTH KapHeca I - 2- 4 pma B rony.
I>ufimtorpaljlust I. )leHbra 0. 8. A,llaiTTOreHHi
nporpi.llaKTHKa Ta JiiKyBaHW! OCHOBHIIX CTOMaTO-
ARTOpe<}l. ,IJHC .... )IOKT. MC,ll. HayK. -- K., 2001.-32c. 2. 0BpyUK11H f'. ,ll., Mapl!cHKO A. VI., 3eJ!I1HCKa51 H. A. YlMMYHOJ!Oni51 Kapiieca 1y6oB. --- K.: 3,n:opoB'5!, 1991.--96 c. 3. Cai1<}lynmma X. M. Kap11ec 1y6os y ,n:eTei1H non:pocTKOB. --M.: MEJ(npecc, 2000. -- 96 c. 4. The local immunity of the oral cavity in dental caries I V. V. Kbazanova, E. A. Lemskaia, N. A. Dmitrieva // Stomatologiia, Russian, 1995.- Vol. 74 (5). ---P. 62-- 66. JIOfilJHIIX 3aXBOp!OBaHb y niTei:f. .
199
198
Ex libris Травы жизни: http://medherbarium.blogspot.com