Trubnikov G V
Ter Arkh. 1988;60(3):26-30.
Rehabilitation of patients with nonspecific pulmonary diseases in the "Barnaulsky" sanatorium (521 patients) resulted in a 3.5-fold decrease in the number of cases of exacerbation during one year after treatment, the duration of temporary disability was decreased 2.7-fold; these indices for the Belokurikha health resort (346 patients) were 3.2- and 6-fold, respectively; for prophylactic sanatoria at factories (709 patients)--3.3- and 3-fold; for a Crimean health resort in Yalta (266 patients)--3.2- and 2.5-fold. After rehabilitation in sanatoria dysadaptation reactions were noted in 69% of the patients treated in the contrast climatic area and in 16% of the patients treated in local sanatoria. Rehabilitation efficacy in patients with dysadaptation was twice less. Dysadaptation reaction prophylaxis raised 2-fold the efficacy of treatment in sanatoria. The development of specialized pulmonologocal care of patients with nonspecific pulmonary diseases in local Siberian sanatoria and health resorts and the development of problems related to the etiology, pathogenesis and prophylaxis of dysadaptation reactions in patients during treatment in contrast climatic health resort areas hold great promise for raising the efficacy of rehabilitation of patients residing in the South of West Siberia.
在“巴尔瑙尔疗养院”(521名患者)对非特异性肺部疾病患者进行康复治疗后,治疗后一年内病情加重病例数减少了3.5倍,暂时丧失劳动能力的时长减少了2.7倍;别洛库里哈疗养地(346名患者)的这些指标分别为3.2倍和6倍;工厂的预防疗养院(709名患者)为3.3倍和3倍;雅尔塔的克里米亚疗养地(266名患者)为3.2倍和2.5倍。在疗养院进行康复治疗后,在对比气候区接受治疗的患者中有69%出现了适应不良反应,而在当地疗养院接受治疗的患者中这一比例为16%。适应不良患者的康复疗效降低了一半。预防适应不良反应使疗养院的治疗效果提高了1倍。在西西伯利亚当地的疗养院和疗养地开展针对非特异性肺部疾病患者的专业肺病护理,以及研究在对比气候疗养地区治疗期间患者适应不良反应的病因、发病机制和预防问题,对于提高西西伯利亚南部居民的康复疗效具有很大的前景。