Él'garov A A, Kalmykova M A, Él'garov M A, Betuganova L V
Vopr Kurortol Fizioter Lech Fiz Kult. 2014 Mar-Apr(2):8-12.
To estimate the effectiveness and safety of the balneotherapeutic treatment of the of mechanical transport drivers (MTD) suffering heart rhythm and cardiac conduction (HR&CC) disorders with concomitant arterial hypertension (AH) treated based at a Nalchik health resort.
A total of 42 MTD (all men) presenting with HR&CC disorders and I-II grade AH were admitted for the balneotherapeutic treatment at a Nalchik health resort using two main approaches, viz. (a) thermal nitrogen mineral baths 36-37 degrees C in the form of 22 courses consisting of 8-10 sessions each (10-15 min every other day) and (b) bromine-iodine mineral baths 36-37 degrees C in the form of 20 courses consistingof 8-10 sessions each (10-15 min every other day). The outcomes of the treatment were estimated based on the results of general clinical examination and laboratory analyses supplemented by round-the-clock monitoring of arterial pressure and ECG, psychological and psychophysiological testing (PPT).
The results of clinical and instrumental investigations into dynamics of the general health status, peripheral and coronary hemodynamics in the drivers with HR&CC disorders and AH give evidence of the improvement of their psychosomatic status following the treatment with the use ofthermal nitrogen and bromine-iodine mineral baths in 86.4 and 80.0% of the cases, respectively. In the subjects of the former group, significant changes in the dynamic response system were documented. 75% of MTD included in the latter group were characterized by the absence of improvement of professionally significant functions and skills that were found to deteriorate in the remaining 25%.
The balneotherapeutic treatment of MTD presenting with HR&CC disorders and I-II grade AH with the use of thermal nitrogen mineral baths proved to be a highly effective, specific, and safe method in 86.4% of the cases. The use of bromine-iodine mineral baths resulted in clinical and hemodynamic changes of the psychosomatic status in 80.0% of the drivers concomitant with the deterioration of their professional activities. It is concluded that PPT is mandatory for the mechanical transport drivers presenting with HR&CC disorders and I-II grade AH before they resume their professional activities after the balneotherapeutic treatment.
评估在纳尔奇克温泉疗养胜地对患有心律和心脏传导（HR&CC）障碍并伴有动脉高血压（AH）的机械运输司机（MTD）进行温泉疗法治疗的有效性和安全性。
共有42名患有HR&CC障碍和I-II级AH的MTD（均为男性）在纳尔奇克温泉疗养胜地接受温泉疗法治疗，采用两种主要方法，即：（a）36 - 37摄氏度的热氮矿泉浴，共22个疗程，每个疗程包括8 - 10次治疗（每隔一天10 - 15分钟）；（b）36 - 37摄氏度的溴碘矿泉浴，共20个疗程，每个疗程包括8 - 10次治疗（每隔一天10 - 15分钟）。根据一般临床检查和实验室分析结果，并辅以24小时动脉血压和心电图监测、心理和心理生理测试（PPT）来评估治疗效果。
对患有HR&CC障碍和AH的司机的总体健康状况、外周和冠状动脉血流动力学动态进行临床和仪器检查的结果表明，分别有86.4%和80.0%的病例在使用热氮和溴碘矿泉浴治疗后身心状况得到改善。在前一组受试者中，记录到动态反应系统有显著变化。后一组中75%的MTD表现为职业相关功能和技能没有改善，其余25%则出现恶化。
对于患有HR&CC障碍和I-II级AH的MTD，使用热氮矿泉浴进行温泉疗法治疗在86.4%的病例中被证明是一种高效、特异且安全的方法。使用溴碘矿泉浴使80.0%的司机身心状况出现临床和血流动力学变化，同时其职业活动恶化。得出结论，对于患有HR&CC障碍和I-II级AH的机械运输司机，在温泉疗法治疗后恢复职业活动前，PPT是必需的。
