Razumov A N, Ponomarenko G N, Badtieva V A
Sechenov First Moscow state medical University, Ministry of health of Russia, Moscow, Russia.
Moscow scientific and practical center for medical rehabilitation, rehabilitation and sports medicine, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2020;97(3):5-13. doi: 10.17116/kurort2020970315.
Effective medical rehabilitation of patients with pneumonia caused by the new SARS-CoV-2 coronavirus is critical for the recovery and optimization of emergency and specialty care outcomes. In this regard, it is relevant to develop a scientifically based medical rehabilitation program for patients with the coronavirus infectious disease COVID-19, whose composition and structure includes methods and tools that have proven effectiveness.
To develop evidence-based approaches to medical rehabilitation for patients with pneumonia associated with the new COVID-19 coronavirus infection.
The clinical effects and suggested mechanisms of action of rehabilitation technologies in patients with pneumonia, including those associated with the new COVID-19 coronavirus infection, are considered in Detail. The most studied of the physical methods that have a proven effect are physical exercises, breathing exercises, the complex effect of factors of resort therapy, hydrotherapy, which affect the main clinical manifestations of the underlying disease, astheno-neurotic syndrome and increasing immunity. Clinical recommendations for medical rehabilitation are proposed and its promising methods are considered.
Regular generalization and analysis of high-quality randomized controlled clinical trials to evaluate various physical methods of treatment of patients with pneumonia associated with the new COVID-19 coronavirus infection is Necessary, which serve as a basis for the development of future valid clinical recommendations. Timely and adequate specialized medical rehabilitation care is critical to maintaining the health, reducing disability and mortality of patients with pneumonia associated with the new COVID-19 coronavirus infection.
对新型SARS-CoV-2冠状病毒引起的肺炎患者进行有效的医学康复,对于急诊和专科护理结果的恢复和优化至关重要。在这方面,为冠状病毒感染疾病COVID-19患者制定基于科学的医学康复计划具有重要意义,该计划的组成和结构包括已证明有效的方法和工具。
为与新型COVID-19冠状病毒感染相关的肺炎患者开发基于证据的医学康复方法。
详细考虑了康复技术在肺炎患者(包括与新型COVID-19冠状病毒感染相关的患者)中的临床效果和建议的作用机制。已证明有效果的物理方法中研究最多的是体育锻炼、呼吸锻炼、疗养疗法因素的综合作用、水疗法,这些方法会影响基础疾病的主要临床表现、虚弱神经症综合征并增强免疫力。提出了医学康复的临床建议并考虑了其有前景的方法。
有必要定期汇总和分析高质量的随机对照临床试验,以评估治疗与新型COVID-19冠状病毒感染相关的肺炎患者的各种物理方法,这些试验可作为未来制定有效临床建议的基础。及时且充分的专业医学康复护理对于维持与新型COVID-19冠状病毒感染相关的肺炎患者的健康、降低残疾率和死亡率至关重要。