Issue №5-87, 2018

Medical Rehabilitation of Patients with Coronary Heart Disease after Coronary Shunting Taking into Account their Adaptation Potential

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1 Shchegolkov A.M., 1 Ovchinnikov Yu.V., 1 Anuchkin A.A., 1 Gornov S.V.

1 Branch of Medical military academy of S.M. Kirov Russian Defense Ministry, Moscow, Russia


ABSTRACT

The analysis of results of rehabilitation of the sick JHD which have undergone treatment at late hospital and sanatoriumstages has revealed that practically at all patients disadaptation manifestations take place. For studying of nonspecific adaptationreactions of an organism at patients with coronary heart disease after operation of coronary shunting and assessmentof efficiency of the program of their medical rehabilitation on the basis of increase in adaptation potential 155 sick JHD havebeen surveyed. From them 129 sick JHD have undergone operation KSh and underwent landmark medical rehabilitation,being on recovery treatment at a late hospital stage. All examined patients were men aged from 40 up to 74 years. Averageage of patients was 49,7±3,7. The main contingent of the examined patients consisted of people highly – emotional andbrainwork.Inclusion in the program of rehabilitation of hyperbaric oxygenation promoted transition of the majority of sick JHD afterKSh in more favorable extents of adaptation. Application of the program of rehabilitation with addition of KVCh-therapyhas made favorable impact on a condition of adaptation of the sick JHD which have transferred KSh. As a result of complexrehabilitation at sick JHD lipidic exchange has improved. Under the influence of the carried-out program of rehabilitationthe number of sick JHD after KSh has increased in favorable extents of adaptation. The most effective KVCh – therapy has appearedat patients with adaptation violation 2 and 3 degrees. Complex assessment of efficiency of the carried-out treatmentin points has allowed to note «improvement» of 70,9% of patients.


KEYWORDS: medical rehabilitation of patients with an ischemic disease after coronary shunting, the adaptation potential, the program of rehabilitation, hyperbaric oxygenation, extremely high-frequency therapy



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