Issue 24-2, 2025

Original article

The Impact of Rehabilitation on the Aced-Base State of Blood of Patients with COVID-19 in the Intensive Care Unit: a Randomized Trial



ORCIDVadim T. Khasanshin1,2,*, ORCIDElena S. Sabiryanova1, ORCIDVladimir A. Bagin1,2, ORCIDDmitrii V. Belskii2

1 Ural State University of Physical Culture, Chelyabinsk, Russia
2 City Clinical Hospital No. 40 Yekaterinburg, Yekaterinburg, Russia


ABSTRACT

INTRODUCTION.  The need to develop an effective rehabilitation complex for patients with acute viral pneumonia in the intensive care unit (the first stage of rehabilitation).

AIM.  To assess the impact of rehabilitation measures on the acid-base state of the blood and the level of oxygenation of patients with a new coronavirus infection in the intensive care unit.

MATERIALS AND METHODS.  The work analyzed the data obtained from 108 patients with a confirmed PCR test for a new coronavirus infection who were treated in the intensive care unit (ICU) for at least 7 days.

RESULTS AND DISCUSSION.  The condition of the patients was assessed by blood saturation (SpO2), the analysis of the acid-base state of the blood (CSF), the reaction of the blood medium (pH), the partial pressure of carbon dioxide in the blood (pCO2) was carried out, from 33.01 to 37.18 mmHg at p < 0.05 and in the group with the use of sound gymnastics, an increase in blood saturation from 93.6 % to 95.03 %.

CONCLUSION.  Based on the analysis of the data obtained, we came to the conclusion that the early start of rehabilitation and mobilization of patients with a new coronavirus infection statistically significantly increases blood saturation, and also manifests itself in stabilization of the acid-base state of the blood, which leads to a decrease in the effects of decompensation and the effects of metabolic disorders on the patient’s body and, in turn, may affect the outcome diseases and the duration of the patient’s stay in the ICU.


KEYWORDS: the first stage of rehabilitation, a new coronavirus infection, acid-base blood condition, intensive care

FOR CITATION:

Khasanshin V.T., Sabiryanova E.S., Bagin V.A., Belskii D.V. The Impact of Rehabilitation on the Aced-Base State of Blood of Patients with COVID-19 in the Intensive Care Unit: a Randomized Trial. Bulletin of Rehabilitation Medicine. 2025; 24(2):140–149. httpshttps://doi.org/10.38025/2078-1962-2025-24-2-140-149 (In Russ.). 

FOR CORRESPONDENCE:

Vadim T. Khasanshin, Е-mail: vadim_hasan@mail.ru


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.