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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2021-18-56-61</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-6533</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АКТУАЛЬНОЕ В ОТОРИНОЛАРИНГОЛОГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ACTUAL IN OTORHINOLARYNGOLOGY</subject></subj-group></article-categories><title-group><article-title>Возможности фитопрепаратов в лечении пациентов с острым кашлем</article-title><trans-title-group xml:lang="en"><trans-title>Possibilities of phyto preparations in treatment of patients with acute cough</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1257-9879</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Свистушкин</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Svistushkin</surname><given-names>V. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Свистушкин Валерий Михайлович – доктор медицинских наук, профессор, заведующий кафедрой болезней уха, горла и носа.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2.</p></bio><bio xml:lang="en"><p>Valery M. Svistushkin - Dr. Sci. (Med.), Professor, Head of the Department of Ear, Throat and Nose Diseases, Sechenov First Moscow State Medical University (Sechenov University).</p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991.</p></bio><email xlink:type="simple">svvm3@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8617-0179</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никифорова</surname><given-names>Г. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikiforova</surname><given-names>G. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никифорова Галина Николаевна - доктор медицинских наук, профессор кафедры болезней уха, горла и носа.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2.</p></bio><bio xml:lang="en"><p>Galina N. Nikiforova - Dr. Sci. (Med.), Professor of the Department of Ear, Throat and Nose Diseases, Sechenov First Moscow State Medical University (Sechenov University).</p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991.</p></bio><email xlink:type="simple">gn_nik_63@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3700-7367</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Золотова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zolotova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Золотова Анна Владимировна – кандидат медицинских наук, ассистент кафедры болезней уха, горла и носа.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2.</p></bio><bio xml:lang="en"><p>Anna V. Zolotova - Cand. Sci. (Med.), Assistant of the Department of Ear, Throat and Nose Diseases, Sechenov First Moscow State Medical University (Sechenov University).</p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0081-9975</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новцева</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Novtseva</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новцева Елизавета Сергеевна - ординатор кафедры болезней уха, горла и носа.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2.</p></bio><bio xml:lang="en"><p>Elizaveta S. Novtseva - Resident of the Department of Ear, Throat and Nose Diseases, Sechenov First Moscow State Medical University (Sechenov University).</p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991.</p></bio><email xlink:type="simple">linovtseva787@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>30</day><month>11</month><year>2021</year></pub-date><volume>0</volume><issue>18</issue><fpage>56</fpage><lpage>61</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Свистушкин В.М., Никифорова Г.Н., Золотова А.В., Новцева Е.С., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Свистушкин В.М., Никифорова Г.Н., Золотова А.В., Новцева Е.С.</copyright-holder><copyright-holder xml:lang="en">Svistushkin V.M., Nikiforova G.N., Zolotova A.V., Novtseva E.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/6533">https://www.med-sovet.pro/jour/article/view/6533</self-uri><abstract><p>Пациенты с жалобами на кашель составляют значительный процент на приеме врачей разных специальностей. Кашель не является самостоятельным заболеванием, в большинстве клинических случаев это симптом респираторного заболевания. При острой респираторной патологии кашель, как правило, непродолжительный и прекращается после эрадикации инфекционного агента и купирования воспалительных изменений. Важно терапевтически обеспечить сокращение длительности и облегчение кашля, а также профилактику осложнений. Эффективным симптоматическим средством в лечении кашля различного генеза, в т. ч. при воспалительных заболеваниях дыхательных путей, являются препараты растительного происхождения. Достаточно широкое применение фитопрепаратов в клинической практике обусловлено их высокой безопасностью, физиологичностью действия, доступностью и эффективностью. Фармакологическое действие этих лекарственных средств при респираторных инфекциях проявляется противовоспалительным, цитопротективным, противовирусным и антиоксидантным эффектами, мультифакторным улучшением процессов мукоцилиарного очищения. Одним из таких фитопрепаратов является монокомпонентный сироп с отхаркивающим, муколитическим и спазмолитическим действием. Лечебный эффект препарата объясняется наличием в составе тритерпеновых гликозидов (сапонинов) из листьев плюща обыкновенного (вьющегося). Эффективность и безопасность препарата доказана значительным объемом клинических исследований и наблюдений. Данные литературы показывают, что препараты листьев плюща существенно уменьшают выраженность проявлений острых респираторных инфекций верхних отделов дыхательных путей. Практически ни у кого из пациентов не было зарегистрировано тяжелых побочных эффектов. Аллергические реакции регистрировались менее чем в 0,5% случаев, при этом не упоминалось о тяжелой аллергической реакции по типу анафилаксии. Таким образом, препарат растительного происхождения в форме капель с успехом может быть применен у пациентов с явлениями острых респираторных заболеваний.</p></abstract><trans-abstract xml:lang="en"><p>Patients with complaints of coughing make up a significant percentage of doctors in various specialties. Cough is not an independent disease, in most clinical cases it is a symptom of a respiratory disease. In acute respiratory pathology, the cough is usually short-lived and stops after the eradication of the infectious agent and the relief of inflammatory changes. It is important therapeutically to provide a reduction in the duration and relief of cough, as well as the prevention of complications. An effective symptomatic agent in the treatment of coughs of various origins, including inflammatory diseases of the respiratory tract, are herbal preparations. The fairly widespread use of phytopreparations in clinical practice is due to their high safety, physiological action, availability and effectiveness. The pharmacological action of these drugs in respiratory infections is manifested by antiinflammatory, cytoprotective, antiviral and antioxidant effects, multifactorial improvement of mucociliary cleansing processes. One of these phytopreparations is a monocomponent syrup with expectorant, mucolytic and antispasmodic. The therapeutic effect of drug is explained by the presence in the composition of triterpene glycosides (saponins) from the leaves of Hedera helix . The effectiveness and safety of drug is proved by a sufficient volume of clinical studies and observations. Literature data show that Hedera helix leaf preparations significantly reduce the severity of acute respiratory infections of the upper respiratory tract.</p><p>Virtually none of the patients had severe side effects. Allergic reactions were recorded in less than 0.5% of cases, with no mention of a severe allergic reaction of the anaphylaxis type. Thus, the drug of plant origin in the form of drops can be successfully used in patients with symptoms of acute respiratory diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кашель</kwd><kwd>респираторные инфекции</kwd><kwd>мукоактивная терапия</kwd><kwd>фитопрепараты</kwd><kwd>плющ обыкновенный</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cough</kwd><kwd>respiratory infections</kwd><kwd>mucoactive therapy</kwd><kwd>phytopreparations</kwd><kwd>Hedera helix</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Morice A.H. Chronic cough: diagnosis, treatment and psychological consequences. Breathe. 2006;3(2):165-174. https://doi.org/10.1183/18106838.0302.164.</mixed-citation><mixed-citation xml:lang="en">Morice A.H. 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