Petrova M S
Federal State Budgetary Institution of Additional Postgraduate Education «Central State Medical Academy» of the Administration of the President of the Russian Federation, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2022;99(3):5-9. doi: 10.17116/kurort2022990315.
Evaluation of the effectiveness of sanatorium-and-spa treatment of patients who have undergone a new coronavirus infection (COVID-19), taking into account the polymorphism of symptom complexes.
The study included 56 patients (22 men, 34 women; mean age 64.9±8.21 and 64.76±9.12 years, respectively) who had COVID-19 and were treated at a spa. The mandatory program of rehabilitation and rehabilitation sanatorium treatment included: exercise therapy with elements of breathing exercises, general massage with an emphasis on the chest, halo and speleotherapy, hydrotherapy, inhalations, as well as psychotherapeutic methods. The length of stay in the sanatorium was at least 2 weeks. We assessed the dynamics of indicators characterizing the activity of the cardiovascular and respiratory systems (BP, heart rate, Stange test), exercise tolerance (6-minute walk test), as well as psycho-emotional state (test «Health, Activity, Mood», SAN) up to and after treatment.
Against the background of sanatorium-and-spa treatment in patients who underwent COVID-19, the number of complaints significantly decreased: in men from 6.2±2.4 to 3.4±1.3, in women from 7.7±1.5 to 4.12±1.5 (≤0.05). A similar dynamics of indicators characterizing the activity of the cardiovascular system was noted: the level of systolic blood pressure in men decreased by 7.3%, in women - by 10.3%; the level of diastolic blood pressure - by 4.1 and 1.4%, respectively. Heart rate in men decreased from 83.69±15.2 to 75.54±12.24 beats/min; in women - from 92.16±14.16 to 76.4±11.68 beats/min. The distance traveled for men (6-minute walk test) increased from 384.15±108.78 to 408.92±97.30 m; in women - from 371.84±75.9 to 397.12±76.2 m (≤0.05). The breath holding time on inspiration (Stange test) in men increased from 38.00±10.64 to 45.69±9.51 s; in women - from 39.96±9.31 to 43.60±6.93 s. The values of the «Well-being» indicator (SAN test) in men significantly increased - from 4.5±1.8 to 5.1±0.9 points (≤0.05); «Activity» - from 4.8±0.8 to 5.4±0.5 points (≤0.05); «Mood» - from 4.7±1.4 to 5.4±0.6 points. Similar dynamics were observed in women.
Against the background of the sanatorium stage of treatment, a stable positive dynamics of the indicators of the functional state of the body was noted in both men and women. The analysis carried out confirms the need to develop and implement rehabilitation programs in sanatorium-resort conditions for patients who have had a new coronavirus infection.
评估疗养院-温泉治疗对新型冠状病毒感染（COVID-19）患者的有效性，同时考虑症状复合体的多态性。
该研究纳入了56例曾感染COVID-19并在温泉疗养院接受治疗的患者（22名男性，34名女性；平均年龄分别为64.9±8.21岁和64.76±9.12岁）。康复和疗养康复治疗的强制性方案包括：结合呼吸练习元素的运动疗法、以胸部、颈部和洞穴疗法为重点的全身按摩、水疗、吸入疗法以及心理治疗方法。在疗养院的停留时间至少为2周。我们评估了治疗前后表征心血管和呼吸系统活动的指标（血压、心率、斯坦格试验）、运动耐力（6分钟步行试验）以及心理情绪状态（“健康、活动、情绪”测试，SAN）的动态变化。
在接受COVID-19治疗的患者进行疗养院-温泉治疗的背景下，主诉数量显著减少：男性从6.2±2.4减少到3.4±1.3，女性从7.7±1.5减少到4.12±1.5（≤0.05）。观察到表征心血管系统活动的指标有类似动态变化：男性收缩压水平下降7.3%，女性下降10.3%；舒张压水平分别下降4.1%和1.4%。男性心率从83.69±15.2次/分钟降至75.54±12.24次/分钟；女性从92.16±14.16次/分钟降至76.4±11.68次/分钟。男性（6分钟步行试验）行走距离从384.15±108.78米增加到408.92±97.30米；女性从371.84±75.9米增加到397.12±76.2米（≤0.05）。男性吸气屏气时间（斯坦格试验）从38.00±10.64秒增加到45.69±9.51秒；女性从从39.96±9.31秒增加到43.60±6.93秒。男性“幸福感”指标（SAN测试）值显著增加——从从4.5±1.8分增加到5.1±0.9分（≤0.05）；“活动”——从4.8±0.8分增加到5.4±0.5分（≤0.05）；“情绪”——从4.7±1.4分增加到5.4±0.6分。女性也观察到类似动态变化。
在治疗的疗养院阶段背景下，男性和女性身体功能状态指标均呈现稳定的积极动态变化。所进行的分析证实了为曾感染新型冠状病毒的患者制定并在疗养胜地条件下实施康复计划的必要性。
