Issue №3-20, 2020

https://doi.org/10.38025/2078-1962-2020-97-3-65-68

Non-drug methods of treatment of patients with arterial hypertension

View article (Download PDF file)



Download XML file

1Скачать Kulchitskaya D.B., 2Скачать Kolbakhova S.N.

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
2 Federal medical biophysical center named after A.I. Burnazyan, Moscow, Russian Federation


ABSTRACT

Worldwide, arterial hypertension (AH) is the most common cardiovascular disease. Despite the fact that today, high efficacyand persistent hypotensive effect of transcerebral pulsed electro- and magnetic therapy in patients with AG has been proven,it seems relevant to develop optimal transcerebral effects for this category of patients.The aim of this study was to select optimal transcerebral effects in patients with mild arterial hypertension, depending onhemodynamic types of central hemodynamics and microcirculation.Methods: The study included 82 patients with MAG from 45 to 79 years and the the duration of the disease from 2 to 11years. Patients in the first group (40 patients) received MDM mesodial encephalus modulation and in the second group (42patients) combined magnetotherapy (PeMP and PMP).Results: It was found out that patients with MAG who received MDM had a pronounced hypotensive effect due toimprovement of the basic indices of central hemodynamics regardless of the type of blood circulation. As well as MDMcauses positive correction of the basic parameters of capillary blood flow, regardless of the initial type of microcirculation.In patients with MAG combined magnetotherapy (PeMP and PMP) causes hypotensive effect, which is accompanied by afavorable restructuring of the basic parameters of central hemodynamics in hyperkinetic type of hemocirculation. Correctionof microcirculatory disorders has been established only in patients with spastic type of hemodynamics.Conclusion: On the basis of the conducted studies it is possible to say that MDM and transcerebral combined magnetotherapycontribute to the effectiveness of treatment of patients with hypertension. Sufficiently high efficacy of applied methodsallows to approach them in a differentiated way based on clinical and hemodynamic features of hypertension course.


KEYWORDS: arterial hypertension, combined magnetotherapy, mesodiencephalic modulation, microcirculation, central hemodynamics.

For citation: Kulchitskaya D.B., Kolbakhova S.N. Non-drug methods of treatment of patients with arterial hypertension. Bulletin of rehabilitation medicine. 2020; 97 (3): 65-68. https://doi.org/10.38025/2078-1962-2020-97-3-65-68



References:

  1. Moiseeva V.S., Martynova A.I., Mukhin N.A. Vnutrennie bolezni: uchebnik. 3-e izd., ispr. i dop [ Internal diseases: the textbook. 3rd ed., ISPR. and add]. M. GEOTAR-Media. 2012; 1: 960 p. (In Russ.).
  2. Belenkova Yu.N., Oganova R.G. Kardiologiya: nacionalnoe rukovodstvo [Cardiology: national guide]. Moscow. GEOTAR-Media. 2011; 1232 p. (In Russ.).
  3. Gerasimenko M.Yu., Knyazeva T.A., Apkhanova T.V., Kulchitskaya D.B. Primenenie metoda kineziotejpirovaniya v nemedikamentoznoj kompleksnoj reabilitacii bol'nyh limfedemoj nizhnih konechnostej. [Application of the kinesiotape method in non-drug complex rehabilitation of patients with lower limb lymphedema.]. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul'tury. 2015; 92(5): 22-27. (In Russ.).
  4. Sapelkin S.V., Dan V.N., Kulchitskaya D.B., Bobrovnitsky I.P., Minenkov A.A., Timina I.E. Vozmozhnosti lazernoj dopplerovskoj floumetrii v ocenke rasstrojstv mikrocirkulyacii pri angiodisplaziyah [Possibilities of laser Doppler flowmetry in the assessment of microcirculation disorders in angiodys-plasia]. Angiologiya i sosudistaya hirurgiya. 2007; 13(4): 46-50. (In Russ.).
  5. Minenkov A.A., Konchugova T.V., Kulchitskaya D.B. Kliniko-eksperimental'nye predposylki fizioterapevticheskogo ispol'zovaniya lazernogo izlucheni-ya. [Clinical and experimental prerequisites for the physiotherapy use of laser radiation]. Voprosy kurortologii, fizioterapii i lechebnoj fizicheskoj kul'tury. 1992; 2: 11 p. (In Russ.).
  6. Apkhanova T.V., Kulchitskaya D.B., Eremushkin M.A., Styazhkina E.M. Primenenie lechebnoj gimnastiki v bassejne v reabilitacii bolnyh s hronicheskoj limfovenoznoj nedostatochnost'yu nizhnih konechnostej. [Application of therapeutic gymnastics in the pool in the rehabilitation of patients with chronic lymphovenous insufficiency of the lower extremities]. Vestnik vosstanovitel'noj mediciny. 2019; 3: 20-24. (In Russ.).
  7. Blaginin A.A., Shchegolkov A.M., Gornov S.V., Klimko V.V., Gornov V.V. Rannee vyyavlenie gipertonicheskoj bolezni u letchikov i ih medicinskaya re-abilitaciya. [Early detection of hypertension in pilots and their medical rehabilitation]. Vestnik vosstanovitel'noj mediciny. 2016; 4(74): 46-51. (In Russ.).
  8. Starosvetskaya O.A., Kulchitskaya D.B., Nagornev S.N., Puzyreva G.A. Vliyanie kursovogo primeneniya impul'snogo elektrostaticheskogo polya na po-kazateli mikrocirkulyacii u bol'nyh nejrocirkulyatornoj distoniej po gipertonicheskomu tipu. [Influence of course application of pulsed electrostatic field on microcirculation parameters in patients with neurocirculatory dystonia of hypertonic type]. Vestnik vosstanovitel'noj mediciny. 2013; 1: 10-13. (In Russ.).
  9. Kulchitskaya D.B., Konchugova T.V., Bobrovnitsky I.P., Ektova T.V., Sidorov V.V., Nagornev S.N., Puzyreva G.A. Informativnost' lazernoj dopplerovskoj floumetrii v ocenke i prognoze effektivnosti magnitoterapii u bol'nyh s arterial'noj gipertenzie. [Informativeness of laser Doppler flowmetry in evaluating and predicting the effectiveness of magnetotherapy in patients with arterial hypertension]. Vestnik vosstanovitel'noj mediciny. 2012; 5(51): 18-22. (In Russ.).
  10. Kulchitskaya D.B. Tekhnologii vosstanovitel'noj mediciny v korrekcii mikrocirkulyatornyh narushenij u bol'nyh arterial'noj gipertenziej. [Technologies of restorative medicine in the correction of microcirculatory disorders in patients with arterial hypertension]. Voprosy kurortologii, fizioterapii i lecheb-noj fizicheskoj kul'tury. 2009; 5: 9-11. (In Russ.).
  11. Kulchitskaya D.B., Konchugova T.V., Bobrovnitsky I.P., Ektova T.V., Sidorov V.V., Nagornev S.N., Puzyreva G.A. Informativnost' lazernoj dopplerovskoj floumetrii v ocenke i prognoze effektivnosti magnitoterapii u bol'nyh s arterial'noj gipertenziej. [Informativeness of laser Doppler flowmetry in evaluating and predicting the effectiveness of magnetotherapy in patients with arterial hypertension]. Vestnik vosstanovitel'noj mediciny. 2012; 5: 18-22. (In Russ.).
  12. Konchugova T.V., Orekhova E.M., Lukyanova T.V., Kulchitskaya D.B., Ektova T.V., Solodovnikova T.S., Kubalova M.N. Primenenie amplipul's-magnito-terapii dlya povysheniya funkcional'nyh rezervov u prakticheski zdorovyh lyudej. [Application of amplipulse-magnetotherapy to increase functional reserves in practically healthy people]. Kremlevskaya medicina. Klinicheskij vestnik. 2012; 4: 59-62. (In Russ.).



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.