{"id":1863,"date":"2018-08-17T09:16:01","date_gmt":"2018-08-17T09:16:01","guid":{"rendered":"http:\/\/lactusan.lactulose.org\/?p=1863"},"modified":"2021-02-23T13:11:51","modified_gmt":"2021-02-23T11:11:51","slug":"otchet-o-lechebno-profilakticheskom-dejstvii-kefira-obogashhennogo-laktulozoj-na-funkciyu-i-mikroekologiyu-kishechnika","status":"publish","type":"post","link":"https:\/\/lactusan.com.ua\/en\/otchet-o-lechebno-profilakticheskom-dejstvii-kefira-obogashhennogo-laktulozoj-na-funkciyu-i-mikroekologiyu-kishechnika\/","title":{"rendered":"The effect of Lactusan on bowel function"},"content":{"rendered":"<div style=\"text-align: justify;\" align=\"justify\"><strong>PURPOSE OF THE STUDY<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">Determine the presence or absence of therapeutic and prophylactic properties of dairy products enriched with lactulose, produced according to the technical documentation developed in VNIMI.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><strong><br \/>\nOBJECT OF STUDY<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">Kefir with the addition of lactulose &quot;Lactusan&quot; (OST 49 29-84 &quot;Kefir&quot;, change No. 7) was chosen as the object of research. At the same time, the researchers proceeded from the assumption that the results of the study of this object can be transferred to other dairy products enriched with lactulose.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">It is well known that kefir itself is a means of improving bowel function. Therefore, in order to determine the effectiveness of kefir enriched with lactulose (OST 49 29-84 &quot;Kefir&quot;, change No. 7 to OST 49 29-84 &quot;Kefir with lactulose), it was necessary to compare it with the action of ordinary kefir produced by traditional technology.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">Kefir enriched with lactulose was prepared at VNIMI according to the following technology: first, kefir was prepared according to traditional technology, then lactulose syrup &quot;Lactusan&quot; was added. The homogeneous mixture was poured into molds with a capacity of 200 ml and hermetically sealed with aluminum foil. Control samples were prepared in the same way, but without the addition of lactulose.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><strong><br \/>\n<\/strong><strong>RESEARCH METHOD<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">The tests were carried out with two groups of children, one of which is considered as a control group (receiving kefir without additives), and the other as an experimental group (receiving kefir with the addition of 0.5% lactulose syrup &quot;Lactusan&quot;).<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">For the study, children aged 1 to 15 years were selected, mainly with impaired bowel function, expressed in the form of constipation or irregular stools with mucus, with pain in the abdomen. In some cases, children also had diseases such as atopic dermatitis, infectious diseases and others. The treatment was carried out on an outpatient basis, but the patients were under constant supervision of the doctors of the Morozov hospital. Each child received one packet of product per day. Thus, the daily dose was 200 g, and the study course lasted 20 days. Before and after the course, a bacteriological analysis of feces was performed.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><strong><br \/>\n<\/strong><strong>RESULTS OF THE STUDY<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">This report presents data from the results of a study of 30 children who, in addition to clinical observation, have analysis data for dysbacteriosis before and after admission:<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<ul>\n<li>control group (kefir without lactulose) - 10 children,<\/li>\n<li>experimental (kefir with lactulose) - 20 children.<\/li>\n<\/ul>\n<p>To evaluate the results, we used clinical data obtained by direct observation of patients by a doctor, as well as by interviewing parents of sick children, and bacteriological analysis data.<\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">Bacteriological analysis was carried out in the laboratory of the Morozov hospital according to the method adopted in Russia. The results are given in the Appendices: tables No. 1 - control group, No. 2 - experimental group and No. 3 - comparison.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">In the control group, an increase in the level of bifidobacteria was only in 20 % children, in the experimental group, who took kefir with lactulose, in 47 %. In the change in the level of lactobacilli, the difference is even greater - 20 % versus 65 %, respectively. Ordinary kefir caused a decrease in lactobacilli in 50 % children, while kefir with lactulose - only in 1 person (5 %). At the same time, the stool in the experimental group returned to normal in all (100 %) children.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><strong><br \/>\nGeneral conclusion on clinical studies of kefir with lactulose produced according to OST 49 29-84, change No. 7:<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Kefir with lactulose, unlike ordinary kefir, has pronounced bifidogenic properties, that is, it significantly increases the number of bifidobacteria in the microbial pool of the large intestine.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Kefir with lactulose very markedly increased the level of lactobacilli, which was not observed in the group taking regular kefir.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>When taking kefir with lactulose, suppression of pathogenic and conditionally pathogenic microflora is observed.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Kefir with lactulose has a positive effect on intestinal function, eliminates constipation and other intestinal disorders in children.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li>The use of kefir with lactulose improves the clinical picture: reduces the manifestations of atopic dermatitis, improves appetite, improves the condition after an intestinal infection, improves the general condition of the body and intestinal function after antibiotic therapy.<\/li>\n<\/ol>\n<p><strong><br \/>\nCONCLUSIONS:<\/strong><\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">Kefir, enriched with lactulose &quot;Laktusan&quot; according to OST 49 29-84, change No. 7, has a more favorable effect on the intestinal microflora than ordinary kefir.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<p>We recommend kefir with lactulose (OST 49 29-84, change No. 7) as a mass product for the prevention of diseases of the gastrointestinal tract, including dysbacteriosis and intestinal dysfunction.<strong>From the Department of Children&#039;s Diseases of the Peoples&#039; Friendship University of Russia (Department 24 of the Morozov Children&#039;s City Clinical Hospital):<\/strong><\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<table border=\"0\">\n<tbody>\n<tr>\n<td>head of department,<br \/>\nDoctor of Medical Sciences,<br \/>\nProfessor<\/td>\n<td><\/td>\n<td>L. T. Kuzmenko<\/td>\n<\/tr>\n<tr>\n<td>\u00a0assistant,<br \/>\nCandidate of Medical Sciences<\/td>\n<td><\/td>\n<td>N.I. Petruk<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<p><strong>From the Department of Urology and Operative Nephrology of the Peoples&#039; Friendship University of Russia (Clinical Hospital 64 in Moscow):<\/strong><\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<table border=\"0\">\n<tbody>\n<tr>\n<td>head of department,<br \/>\nDoctor of Medical Sciences,<br \/>\nprofessor, academician of the Academy of Sciences of Ukraine<\/td>\n<td><\/td>\n<td>V. E. Rodoman<\/td>\n<\/tr>\n<tr>\n<td>Chief Researcher,<br \/>\nDoctor of Biological Sciences<\/td>\n<td><\/td>\n<td>\u00a0IN AND. Maksimov<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<p><strong><br \/>\nI certify the signatures of employees of the Peoples&#039; Friendship University of Russia.<\/strong><\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<table border=\"0\">\n<tbody>\n<tr>\n<td>Scientific Secretary of the Academic Council<br \/>\ncandidate of chemical sciences, professor<\/td>\n<td><\/td>\n<td><\/td>\n<td>\u00a0 A.P. Krapivko<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><strong><br \/>\nAPPS<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><strong>Explanations for tables.<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">According to the Russian standard, the following indicators are the norm for children over 1 year old (the abbreviations used in the table are entered in brackets):<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<ul>\n<li>bifidobacteria (B) - 108 or more,<\/li>\n<li>lactobacilli (L) - 106-108,<\/li>\n<li>Escherichia (ESh) - 107-108, of which lactose-negative (LNESH) - 10%,<\/li>\n<li>hemolytic (HESH) - 2%,<\/li>\n<li>enterococci (EN) - 105-106,<\/li>\n<li>Klebsiela (Cl) - &lt;104,<\/li>\n<li>staphylococci (ST) - &lt;104,<\/li>\n<li>yeast-like fungi (DG) - &lt;103.<\/li>\n<\/ul>\n<p>Only those data are entered into the table that differ from the given values, or show dynamics.<\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">The chair is characterized by the following terms:<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<ul>\n<li>&quot;norm&quot; - regular stool, normal consistency,<\/li>\n<li>&quot;Sheep feces&quot; - a manifestation of constipation.<\/li>\n<\/ul>\n<p>To characterize the microflora of feces, measurements were carried out according to 12 of the above indicators. The tables contain data on those indicators that go beyond the above norms or that undergo changes due to the intake of kefir. Those indicators of bakanaliza, which fit into the norm, are not included in the table. The designation \u201cots (3)\u201d is used when there is no culture of microbes at dilutions for lg KOE = 3.<\/p>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">In the control group of 10 children, 7 (70 %) had impaired bowel function in the form of constipation. One of them has a stool with mucus.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\">After a course of kefir (without lactulose), the stool returned to normal in 5 children and partially in 2 children. Stool bacterial analyzes showed reduced levels of bifidobacteria (up to log COE = 7) and lactobacilli (up to 5-6) in four children. After taking kefir, the level of bifidobacteria increased in two children. The level of lactobacilli increased in two, but dropped sharply in four children. Other changes in the composition of the microflora in the control group were rare and insignificant.<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><\/div>\n<div style=\"text-align: justify;\" align=\"justify\">\n<p><strong><em>Table #1<\/em><\/strong><\/p>\n<div align=\"center\"><strong>Deviations from the norm or changes in the microflora and the shape of the stool<br \/>\nin children who took ordinary kefir (control group).<br \/>\nDose 200 g per day, course 20 days.<\/strong><\/div>\n<\/div>\n<div style=\"text-align: justify;\" align=\"justify\"><\/div>\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td rowspan=\"2\">No.<\/td>\n<td rowspan=\"2\">Name and age of the child<\/td>\n<td rowspan=\"2\">\u00a0Microflora<\/td>\n<td colspan=\"2\" valign=\"top\">bakanal data,<br \/>\nlg KOE, %<\/td>\n<td colspan=\"2\">Chair feature<\/td>\n<td rowspan=\"2\">\u00a0Notes<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">\u00a0Before taking kefir<\/td>\n<td valign=\"top\">\u00a0After taking<\/td>\n<td>\u00a0Before taking kefir<\/td>\n<td>\u00a0After taking<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">1<\/td>\n<td valign=\"top\">MM.,<\/p>\n<p>2 years<\/td>\n<td valign=\"top\">\u00a0L<\/td>\n<td valign=\"top\">\u00a08<\/td>\n<td valign=\"top\">ots (6)<\/td>\n<td valign=\"top\">\u00a0norm<\/td>\n<td valign=\"top\">\u00a0norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">2<\/td>\n<td valign=\"top\">\u00a0M.A.,<br \/>\n3.7 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<br \/>\nEN<\/td>\n<td valign=\"top\">7<br \/>\n6<br \/>\n8<br \/>\n8<\/td>\n<td valign=\"top\">9<br \/>\n7<br \/>\n8<br \/>\n8<\/td>\n<td valign=\"top\">\u00a0constipation, stool with mucus<\/td>\n<td valign=\"top\">\u00a0norm<\/td>\n<td valign=\"top\">\u00a0Poor appetite persisted<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">3<\/td>\n<td valign=\"top\">\u00a0K.N.,<br \/>\n4 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<br \/>\nArt.<br \/>\ngolden<\/td>\n<td valign=\"top\">7<br \/>\n6<br \/>\n6<br \/>\n4<\/td>\n<td valign=\"top\">8<br \/>\n6<br \/>\n7<br \/>\nots (3)<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">stool every other day<\/td>\n<td valign=\"top\">Recurrent bronchitis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">4<\/td>\n<td valign=\"top\">\u00a0Z.K.,<br \/>\n5 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nE<br \/>\nW<\/td>\n<td valign=\"top\">7<br \/>\n5<br \/>\n5<\/td>\n<td valign=\"top\">7<br \/>\n&lt;5<br \/>\n6<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">stool every other day<\/td>\n<td valign=\"top\">Moderate manifestation of dermatitis remained<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">5<\/td>\n<td valign=\"top\">\u00a0M.A.,<br \/>\n6 years<\/td>\n<td valign=\"top\">L<br \/>\nES<br \/>\nLNESH<br \/>\nstaph<\/td>\n<td valign=\"top\">8<br \/>\n54<\/td>\n<td valign=\"top\">ots (3)<br \/>\n3<br \/>\n83%<br \/>\n4<\/td>\n<td valign=\"top\">&quot;sheep feces&quot;<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">6<\/td>\n<td valign=\"top\">\u00a0N.J.,<br \/>\n7 years<\/td>\n<td valign=\"top\">L<br \/>\nES<\/td>\n<td valign=\"top\">8<br \/>\n5<\/td>\n<td valign=\"top\">ots (6)<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">7<\/td>\n<td valign=\"top\">\u00a0K.N.,<br \/>\n7 years<\/td>\n<td valign=\"top\">L<\/td>\n<td valign=\"top\">8<\/td>\n<td valign=\"top\">ots (6)<\/td>\n<td valign=\"top\">&quot;sheep feces&quot; every other day<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">8<\/td>\n<td valign=\"top\">B.N.,<br \/>\n8 years<\/td>\n<td valign=\"top\">L<\/td>\n<td valign=\"top\">7<\/td>\n<td valign=\"top\">7<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Bronchial asthma<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">9<\/td>\n<td valign=\"top\">R.A.,<br \/>\n10 years<\/td>\n<td valign=\"top\">B<br \/>\nL<\/td>\n<td valign=\"top\">7<br \/>\n&lt;6<\/td>\n<td valign=\"top\">8<br \/>\n&lt;6<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Persistent toxicoplasma infection<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">10<\/td>\n<td valign=\"top\">\u00a0K.O.,<br \/>\n11 years<\/td>\n<td valign=\"top\">EN<\/td>\n<td valign=\"top\">7<\/td>\n<td valign=\"top\"><\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\">In the second group, where kefir was taken with a 0.5% lactulose supplement &quot;Lactusan&quot;, 20 children from 1 to 12 years old. In 9 children (47 %) in the experimental group, the level of bifidoflora after the course of kefir with lactulose &quot;Lactusan&quot; increased, but in three children (15 %), who suffered viral and other diseases during the intake, it decreased by 1 log unit. An increase in the level of lactobacilli was observed in 13 children (65 %), and in three (15 %) a slight decrease was observed. Against the background of taking kefir with lactulose, there was a noticeable cleansing of the intestines from opportunistic flora (hemolytic, low-fermenting and other forms, as well as Proteus, Klebsiella, staphylococci and others).<\/p>\n<p style=\"text-align: justify;\"><em><strong>Table number 2<\/strong><\/em><\/p>\n<div style=\"text-align: justify;\" align=\"center\"><strong>Deviations from the norm or changes in the microflora and the shape of the stool<br \/>\nin children taking kefir with 0.5% lactulose supplement<br \/>\n&quot;Laktusan&quot; (experimental group). Dose 200 g per day, course 20 days<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"center\"><\/div>\n<table style=\"height: 2367px;\" border=\"1\" width=\"702\" cellspacing=\"0\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td rowspan=\"2\" width=\"19\">No.<\/td>\n<td rowspan=\"2\" width=\"49\">Name and age of the child<\/td>\n<td rowspan=\"2\" width=\"80\">\u00a0Microflora<\/td>\n<td colspan=\"2\" valign=\"top\">bakanal data,<br \/>\nlg KOE, %<\/td>\n<td colspan=\"2\">Chair feature<\/td>\n<td rowspan=\"2\" width=\"129\">\u00a0Notes<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"47\">\u00a0Before taking kefir<\/td>\n<td valign=\"top\" width=\"44\">\u00a0After taking<\/td>\n<td width=\"116\">\u00a0Before taking kefir<\/td>\n<td width=\"44\">\u00a0After taking<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">1<\/td>\n<td valign=\"top\">M.I.,<br \/>\n11 months<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\ncl<br \/>\nCitrobacter<br \/>\nArt. golden<br \/>\nArt. hemolith.<\/td>\n<td valign=\"top\">\u00a06<br \/>\n&lt;6<br \/>\n&lt;6<\/td>\n<td valign=\"top\">8<br \/>\n6<br \/>\nots (5)<br \/>\n5<br \/>\n4<br \/>\n100%<\/td>\n<td valign=\"top\">Stool with mucus and undigested lumps<\/td>\n<td valign=\"top\">\u00a0norm<\/td>\n<td valign=\"top\">Reception on the background of SARS.<br \/>\nAppetite improvement<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">2<\/td>\n<td valign=\"top\">HELL..,<br \/>\n1 year<\/td>\n<td valign=\"top\">L<br \/>\ncl<br \/>\nEN<\/td>\n<td valign=\"top\">&lt;6<br \/>\n5<br \/>\n7<\/td>\n<td valign=\"top\">8<br \/>\nots (5)<br \/>\n4<\/td>\n<td valign=\"top\">The chair is liquid, 3-4 times a day with undigested lumps<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Reception on the background of SARS.<br \/>\nAppetite improvement<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">3<\/td>\n<td valign=\"top\">G.V.,<br \/>\n1 year<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nEN<br \/>\nPC<br \/>\ncl<\/td>\n<td valign=\"top\">5<br \/>\nots(6)<br \/>\n6<br \/>\n&lt;3<br \/>\n6<\/td>\n<td valign=\"top\">6<br \/>\n6<br \/>\n9<br \/>\nots (3)<br \/>\nots (3)<\/td>\n<td valign=\"top\">Mushy with mucus and undigested lumps, tendency to constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Atopic dermatitis. Previously, before taking kefir with lactulose, he was treated with phage for dysbacteriosis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">4<\/td>\n<td valign=\"top\">F.K.,<br \/>\n1 year 10 months<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\ncl<br \/>\nAP<\/td>\n<td valign=\"top\">8<br \/>\n6<br \/>\n4<br \/>\n5<\/td>\n<td valign=\"top\">9<br \/>\n7<br \/>\nots(4)<br \/>\nots(4)<\/td>\n<td valign=\"top\">Mushy with mucus and undigested lumps, tendency to constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Decreased symptoms of atopic dermatitis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">5<\/td>\n<td valign=\"top\">A.R.,<br \/>\n2 years<\/td>\n<td valign=\"top\">L<br \/>\nES<\/td>\n<td valign=\"top\">5<br \/>\n6<\/td>\n<td valign=\"top\">7<br \/>\n7<\/td>\n<td valign=\"top\">mushy, green<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Bronchial asthma<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">6<\/td>\n<td valign=\"top\">\u00a0F.P.,<br \/>\n3 years<\/td>\n<td valign=\"top\"><\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Constipation, stool with mucus<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Decreased manifestation of atopic dermatitis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">7<\/td>\n<td valign=\"top\">B.A,<br \/>\n3 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<br \/>\nGESH<br \/>\nProteus<\/td>\n<td valign=\"top\">9<br \/>\n7<br \/>\n&lt;6<br \/>\n7<br \/>\n6<\/td>\n<td valign=\"top\">8<br \/>\n8<br \/>\n8<br \/>\n4<br \/>\nots(3)<\/td>\n<td valign=\"top\">Dysbacteriosis for a long time<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Decreased manifestation of atopic dermatitis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">8<\/td>\n<td valign=\"top\">M.E,<br \/>\n3 years<br \/>\n5 months<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nSt. Epidermis<\/td>\n<td valign=\"top\">9<br \/>\n7<br \/>\n7<\/td>\n<td valign=\"top\">9<br \/>\n8<br \/>\nots (3)<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Reception in two stages: kefir without lactulose - there was constipation, then switching to taking kefir with lactulose - the stool returned to normal<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">9<\/td>\n<td valign=\"top\">A.A.,<br \/>\n4 years<\/td>\n<td valign=\"top\">L<br \/>\nES<br \/>\nGESH<br \/>\nST<\/td>\n<td valign=\"top\">8<br \/>\n5<br \/>\nNo<br \/>\n4<\/td>\n<td valign=\"top\">ots (6 )<br \/>\n8<br \/>\n100%<br \/>\nots (4)<\/td>\n<td valign=\"top\">Unstable<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Presumably food poisoning at the end of the course<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">10<\/td>\n<td valign=\"top\">S.V.,<br \/>\n4 years<\/td>\n<td valign=\"top\">L<br \/>\nLNESH<br \/>\nEN<br \/>\nP<\/td>\n<td valign=\"top\">ots (6)<br \/>\nNo<br \/>\n7<br \/>\n8<\/td>\n<td valign=\"top\">ots (6)<br \/>\n5%<br \/>\n7<br \/>\n8<\/td>\n<td valign=\"top\">Intestinal colic, tendency to constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Appetite improvement<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">11<\/td>\n<td valign=\"top\">B.S.,<br \/>\n6 years<\/td>\n<td valign=\"top\">AP<\/td>\n<td valign=\"top\">4<\/td>\n<td valign=\"top\">ots (3)<\/td>\n<td valign=\"top\">Constipation, abdominal pain<\/td>\n<td valign=\"top\">\u00a0norm<\/td>\n<td valign=\"top\">Had an intestinal infection and recovered in 1 day<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">12<\/td>\n<td valign=\"top\">P.D.,<br \/>\n6 years<\/td>\n<td valign=\"top\">EN<br \/>\nP<br \/>\nDG<\/td>\n<td valign=\"top\">6<br \/>\nots (3)<br \/>\n3<\/td>\n<td valign=\"top\">7<br \/>\n8<br \/>\nots (3)<\/td>\n<td valign=\"top\">\u00a0&quot;sheep feces&quot;<\/td>\n<td valign=\"top\">\u00a0norm<\/td>\n<td valign=\"top\">He had been ill with bronchitis at the end of treatment, received antibiotic therapy<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">13<\/td>\n<td valign=\"top\">K.K.,<br \/>\n6 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<\/td>\n<td valign=\"top\">8<br \/>\n6<br \/>\n10<\/td>\n<td valign=\"top\">9<br \/>\n8<br \/>\n10<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Dysbacteriosis from birth, decreased manifestation of atopic dermatitis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">14<\/td>\n<td valign=\"top\">\u00a0G.O.,<br \/>\n7 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<\/td>\n<td valign=\"top\">8<br \/>\n7<br \/>\n8<\/td>\n<td valign=\"top\">7<br \/>\n6<br \/>\n7<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Bronchial asthma, had a viral disease before the second bacanalysis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">15<\/td>\n<td valign=\"top\">K.K.,<br \/>\n7 years<\/td>\n<td valign=\"top\">L<\/td>\n<td valign=\"top\">5<\/td>\n<td valign=\"top\">&lt;6<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Reception in two stages: kefir without lactulose gave the elimination of constipation, taking kefir with lactulose led to an increase in the level of lactobacilli<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">16<\/td>\n<td valign=\"top\">K.K.,<br \/>\n7 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<\/td>\n<td valign=\"top\">8<br \/>\n7<br \/>\n8<\/td>\n<td valign=\"top\">9<br \/>\n8<br \/>\n5<\/td>\n<td valign=\"top\">&quot;sheep feces&quot;<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">17<\/td>\n<td valign=\"top\">\u00a0Ch.M.,<br \/>\n7 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nEN<\/td>\n<td valign=\"top\">ots (7)<br \/>\nots (6)<br \/>\n7<\/td>\n<td valign=\"top\">9<br \/>\n8<br \/>\nots (6)<\/td>\n<td valign=\"top\">&quot;sheep feces&quot;<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">18<\/td>\n<td valign=\"top\">I.A.,<br \/>\n8 years<\/td>\n<td valign=\"top\">B<br \/>\nL<\/td>\n<td valign=\"top\">6<br \/>\n6<\/td>\n<td valign=\"top\">7<br \/>\n8<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Chronic pyelonephritis. Appetite improvement<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">19<\/td>\n<td valign=\"top\">V.T.,<br \/>\n9 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<\/td>\n<td valign=\"top\">8<br \/>\n8<br \/>\n8<\/td>\n<td valign=\"top\">9<br \/>\n6<br \/>\n7<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">in one day<\/td>\n<td valign=\"top\">Recurrent obstructive bronchitis<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">20<\/td>\n<td valign=\"top\">K.D.,<br \/>\n12 years<\/td>\n<td valign=\"top\">B<br \/>\nL<br \/>\nES<br \/>\nArt. solotis.<\/td>\n<td valign=\"top\">7<br \/>\n6<br \/>\n6<br \/>\n4<\/td>\n<td valign=\"top\">9<br \/>\n7<br \/>\n8<br \/>\nots (3)<\/td>\n<td valign=\"top\">constipation<\/td>\n<td valign=\"top\">norm<\/td>\n<td valign=\"top\">Rheumatoid arthritis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\" align=\"justify\">GV, 1 year old, had dysbacteriosis of the 2nd degree and at low levels of lacto- and bifidobacteria, had a markedly high level of Klebsiella (lg COE = 6). This child was treated with phage, but there was no improvement. The course of treatment with kefir with &quot;Lactusan&quot; led to the disappearance of Klebsiella and an increase in the number of bifido- and lactoflora.<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">Significant improvements were observed in the clinic, when the disturbances in the intestinal function disappeared and the stool returned to normal. In two other cases, when children before treatment had a reduced level of bifido- and lactoflora (K.K., 7 years old and Ch.M., 7 years old), complete normalization of the microflora was achieved, and the tendency to constipation disappeared and the stool returned to normal.<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">In some cases, the effect of kefir turned out to be insufficient and an additional course of kefir with lactulose &quot;Lactusan&quot; was required.<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">In the child K.K., 7 years old, kefir contributed to the elimination of constipation, however, its effect on the composition of the microflora was not sufficiently effective, because. lactobacilli remained at a very low level. After a course of kefir with lactulose, the level of lactoflora increased from &lt; 5 to 6.<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">In another child (M.E., 3.5 years old), a course of kefir led to constipation, and this child was transferred to the experimental group receiving kefir with lactulose &quot;Lactusan&quot;. Achieved normalization of stool and improvement of microflora composition.<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">Three children had atopic dermatitis. After a course of kefir with lactulose, its manifestations decreased sharply. In one child (P.D., 6 years old), after a course of kefir with &quot;Lactusan&quot;, there was an increase in the level of proteus (up to lg KOE = 8), which is explained by the postponement of bronchitis at the end of treatment and antibiotic treatment.<br \/>\nSimilarly, in a child (A.A., 4 years old) due to food poisoning at the end of the course, the level of Escherichia increased (up to lg COE = 8) by 100% due to hemolytic forms. However, in all these cases, the general condition of the child improved, the stool returned to normal, and the main indicators of bacillary tests were at the level of normal values.<br \/>\nThe beneficial effect of kefir with lactulose &quot;Lactusan&quot; in comparison with kefir without additives can be judged by the content of bifidus and lactobacilli in feces (Table 3).<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">For a complete correctness of the comparison of the action of kefir made according to traditional technology, and kefir enriched with lactulose, other equal conditions should be observed. For a correct comparison, the statistics did not take into account the data of the bacteriological examination of children who had diseases (ARVI, food poisoning, and others) while taking the products whose effect is being studied, because. it was the past diseases that could make unfavorable adjustments to the composition of the microflora.<\/p>\n<p style=\"text-align: justify;\" align=\"justify\">Table 3 compares the data of children, all other things being equal.<\/p>\n<p><em><strong>Table number 3.<\/strong><\/em><\/p>\n<div style=\"text-align: justify;\" align=\"center\"><strong>Comparison of changes in the level of bifido- and lactobacilli in children,<\/strong><br \/>\n<strong>treated with regular kefir (control group) and kefir,<\/strong><br \/>\n<strong>enriched with lactulose &quot;Lactusan&quot; (experimental group)<\/strong><\/div>\n<div style=\"text-align: justify;\" align=\"center\"><\/div>\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td rowspan=\"2\">group of children<\/td>\n<td colspan=\"2\">bifidobacteria<\/td>\n<td colspan=\"2\">lactobacilli<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">promotion<\/td>\n<td valign=\"top\">downgrade<\/td>\n<td valign=\"top\">promotion<\/td>\n<td valign=\"top\">downgrade<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Control<br \/>\n(kefir), 10 people<\/td>\n<td align=\"center\" valign=\"top\">20 %<\/td>\n<td align=\"center\" valign=\"top\">0<\/td>\n<td align=\"center\" valign=\"top\">20 %<\/td>\n<td align=\"center\" valign=\"top\">50 %<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">Experienced<br \/>\n(kefir with lactulose &quot;Laktusan&quot;),<br \/>\n19 people<\/td>\n<td align=\"center\" valign=\"top\">47 %<\/td>\n<td align=\"center\" valign=\"top\">5 %<\/td>\n<td align=\"center\" valign=\"top\">65 %<\/td>\n<td align=\"center\" valign=\"top\">5 %<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\" align=\"justify\">If in the control group an increase in the level of bifidobacteria was only in 20 % children, then in the experimental group, who took kefir with lactulose, it was in 47 %. In the change in the level of lactobacilli, the difference is even greater - 20 % versus 65 %, respectively. Ordinary kefir caused a decrease in lactobacilli in 50 % children, which sometimes exceeded 100-fold, while kefir with lactulose - only in 1 person (5 %). At the same time, the stool in the experimental group returned to normal in all (100 %) children.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u0426\u0415\u041b\u042c \u0418\u0421\u0421\u041b\u0415\u0414\u041e\u0412\u0410\u041d\u0418\u042f \u041e\u043f\u0440\u0435\u0434\u0435\u043b\u0438\u0442\u044c \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0438\u043b\u0438 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043b\u0435\u0447\u0435\u0431\u043d\u043e-\u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0441\u0432\u043e\u0439\u0441\u0442\u0432 \u043c\u043e\u043b\u043e\u0447\u043d\u044b\u0445 \u043f\u0440\u043e\u0434\u0443\u043a\u0442\u043e\u0432, \u043e\u0431\u043e\u0433\u0430\u0449\u0435\u043d\u043d\u044b\u0445 \u043b\u0430\u043a\u0442\u0443\u043b\u043e\u0437\u043e\u0439, \u043f\u0440\u043e\u0438\u0437\u0432\u0435\u0434\u0435\u043d\u043d\u044b\u0445 \u043f\u043e \u0442\u0435\u0445\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u0438 \u0440\u0430\u0437\u0440\u0430\u0431\u043e\u0442\u0430\u043d\u043d\u043e\u0439 \u0432\u043e \u0412\u041d\u0418\u041c\u0418. \u041e\u0411\u042a\u0415\u041a\u0422 \u0418\u0421\u0421\u041b\u0415\u0414\u041e\u0412\u0410\u041d\u0418\u042f \u0412\u00a0 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435 \u043e\u0431\u044a\u0435\u043a\u0442\u0430 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0439 \u0438\u0437\u0431\u0440\u0430\u043d \u043a\u0435\u0444\u0438\u0440\u0430 \u0441 \u0434\u043e\u0431\u0430\u0432\u043b\u0435\u043d\u0438\u0435\u043c \u043b\u0430\u043a\u0442\u0443\u043b\u043e\u0437\u044b \u00ab\u041b\u0430\u043a\u0442\u0443\u0441\u0430\u043d\u00bb (\u041e\u0421\u0422 49 29-84 \u00ab\u041a\u0435\u0444\u0438\u0440\u00bb, \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u0435 \u2116 7). \u041f\u0440\u0438 \u044d\u0442\u043e\u043c \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u0438 \u0438\u0441\u0445\u043e\u0434\u0438\u043b\u0438 \u0438\u0437 \u043f\u0440\u0435\u0434\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u0438\u044f, \u0447\u0442\u043e \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u044b \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f \u0434\u0430\u043d\u043d\u043e\u0433\u043e \u043e\u0431\u044a\u0435\u043a\u0442\u0430 \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u043f\u0435\u0440\u0435\u043d\u0435\u0441\u0435\u043d\u044b \u043d\u0430 \u0434\u0440\u0443\u0433\u0438\u0435 \u043c\u043e\u043b\u043e\u0447\u043d\u044b\u0435 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[233],"tags":[],"class_list":["post-1863","post","type-post","status-publish","format-standard","hentry","category-klinicheskie-issledovaniya"],"_links":{"self":[{"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/posts\/1863","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/comments?post=1863"}],"version-history":[{"count":5,"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/posts\/1863\/revisions"}],"predecessor-version":[{"id":3193,"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/posts\/1863\/revisions\/3193"}],"wp:attachment":[{"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/media?parent=1863"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/categories?post=1863"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lactusan.com.ua\/en\/wp-json\/wp\/v2\/tags?post=1863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}