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[新型冠状病毒肺炎康复初期患者的低氧训练]

[Hypoxic training in rehabilitation of patients at the early stages of recovery after SARS-CoV-2 pneumonia].

作者信息

Kostenko A A, Koneva E S, Malyutin D S, Tsvetkova A V, Bisheva D R, Vasilieva E S, Bazarov D V, Shestakov A V, Kotenko K V

机构信息

Group of companies «MEDSI», Otradnoe, Russia.

Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Vopr Kurortol Fizioter Lech Fiz Kult. 2022;99(4. Vyp. 2):11-16. doi: 10.17116/kurort20229904211.

DOI:10.17116/kurort20229904211
PMID:36083812
Abstract

OBJECTIVE

To evaluate efficacy and safety of hypoxic-hyperoxic therapy in rehabilitation after SARS-CoV-2 pneumonia.

MATERIAL AND METHODS

There were 44 patients aged 49-75 years in early recovery period after previous SARS-CoV-2 pneumonia (ICD-10 U07.1 and U07.2). Patients were divided into 2 groups depending on treatment strategy: group 1 (=23) - rehabilitation treatment with therapeutic exercises, massage and physiotherapy; group 2 (=21) - basic procedures with hypoxic-hyperoxic therapy.

RESULTS

At initial evaluation, we found positive tendencies of rehabilitation in both groups. There were no side effects associated with hypoxic-hyperoxic therapy in the second group. Patients positively perceived this method of rehabilitation. There were significant between-group differences in exercise tolerance (<0.05). These data indicate more favorable physical recovery in the second group and similar improvement of psycho-emotional status in both groups.

CONCLUSION

Hypoxic-hyperoxic therapy is effective and safe approach in rehabilitation of patients with previous SARS-CoV-2 pneumonia. It is necessary to continue searching for effective methods of rehabilitation and develop accurate rehabilitation methods for various groups of patients.

摘要

目的

评估低氧-高氧疗法对新型冠状病毒肺炎康复的疗效和安全性。

材料与方法

选取44例年龄在49 - 75岁之间、处于新型冠状病毒肺炎(ICD - 10编码为U07.1和U07.2)早期恢复期的患者。根据治疗策略将患者分为两组:第1组(n = 23)采用治疗性运动、按摩和物理治疗进行康复治疗;第2组(n = 21)采用低氧-高氧疗法结合基本程序进行治疗。

结果

在初始评估时,我们发现两组患者的康复均呈现积极趋势。第2组中未发现与低氧-高氧疗法相关的副作用。患者对这种康复方法评价良好。两组之间在运动耐力方面存在显著差异(P<0.05)。这些数据表明第2组患者的身体恢复情况更优,且两组患者的心理情绪状态改善程度相似。

结论

低氧-高氧疗法是既往新型冠状病毒肺炎患者康复的有效且安全的方法。有必要继续寻找有效的康复方法,并为不同患者群体制定精准的康复方案。

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