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Комплексная Физиотерапия В Реабилитации Больных Ишемической Болезнью Сердца

Комплексная Физиотерапия В Реабилитации Больных Ишемической Болезнью Сердца

Abstract

Целью исследования было изучение эффективности общей магнитотерапии (ОМТ), надсосудистой лазеротерапии и «сухих» углекислых ванн (СУВ) у больных ишемической болезнью сердца (ИБС). Материалы и методы исследования. Обследовано 58 больных стабильной стенокардией напряжения 1 и 2 ФК в возрасте от 41 до 74 лет. Все пациенты получали равноценную лекарственную терапию и комплексное санаторно-курортное лечение, включающее диетотерапию, психотерапию, лечебную физкультуру, процедуры СУВ и надсосудистой лазеротерапии. Сформировано две группы больных: в первую вошли 28 больных ИБС, которым дополнительно были назначены процедуры ОМТ; вторая группа была представлена 30 пациентами, в лечении которых был использован базовый комплекс санаторно-курортной терапии. Обследование включало тест 6-минутной ходьбы, изучение качества жизни, изучение показателей центральной гемодинамики. Результаты исследования. Дистанция, которую после лечения смогли преодолеть представители 1-й группы составила 417,8±24,0 м, что на 23,0% больше (р<0,001) по сравнению с исходными данными. У больных ИБС 1-й и 2-й группы имело место снижение среднегемодинамического АД на 4,6% (р=0,047) и 1,4% (р=0,496) соответственно. Показатели частоты сердечных сокращений, ударного и минутного объема сердца и периферического сосудистого сопротивления не претерпели статистически достоверных изменений ни в одной из сравниваемых групп. У пациентов 1-й и 2-й группы отмечен прирост «двойного произведения», соответственно, на 14,9% (р=0,005) и 4,1,0% (р=0,088). У больных 1-й группы выявлена позитивная динамика ролевого физического и эмоционального функционирования, повышение шкал телесной боли (на 20,6%; p<0,001) и, особенно, жизненной активности (на 38,0%; p<0,001), самооценки психического здоровья (на 23,1%; p<0,001). Выводы. Комплекс физиотерапии, включающий ОМТ, «сухие» углекислые ванны и надсосудистую лазеротерапию, позволяет увеличить у больных ИБС толерантность к физическим нагрузкам и повысить уровень их качества жизни. The aim of the study was to study the effectiveness of general magnetotherapy (OMT), super-pump laser therapy and dry carbon dioxide baths (SUV) in patients with ischemic heart disease (CHD). Materials and methods of research. 58 patients with stable angina pectoris of 1 and 2 FC aged from 41 to 74 years were examined. All patients received equivalent medicinal therapy and complex sanatorium treatment, including diet therapy, psychotherapy, physiotherapy, SUV procedures and superovascular laser therapy. Two groups of patients were formed: the first group included 28 patients with IHD who were additionally assigned with HTA procedures; The second group was represented by 30 patients, in whose treatment the basic complex of sanatorium-and-spa therapy was used. The survey included a 6-minute walk test, a study of the quality of life, and a study of central hemodynamics. Results of the research. The distance that the representatives of the 1st group managed to overcome after the treatment was 417.8 ± 24.0 m, which is 23.0% more (p <0.001) compared to the initial data. In patients with IHD of the 1 st and 2 nd group, the mean hemodynamic blood pressure decreased by 4.6% (p = 0.047) and 1.4% (p = 0.496), respectively. The parameters of heart rate, stroke and minute volume of heart and peripheral vascular resistance did not undergo statistically significant changes in any of the compared groups. In patients of the 1 st and 2 nd group, the increment of the "double product" was noted, respectively, by 14.9% (p = 0.005) and 4.1.0% (p = 0.088). The patients of the first group showed a positive dynamics of role physical and emotional functioning, an increase in the scale of physical pain (by 20.6%, p <0.001) and, especially, vital activity (by 38.0%, p <0.001), Self-assessment of mental health (by 23.1%, p <0.001). Conclusions. The complex of physiotherapy, including OMT, "dry" carbon dioxide baths and nadso-sudistoy laser therapy, allows to increase tolerance in patients with IHD to physical loads and increase their quality of life.

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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