Malyutin D S, Koneva E S, Achkasov E E, Kostenko A B, Tsvetkova A V, Elfimov M A, Eremenko A A, Bazarov D V, Shestakov A V, Korchazhkina N B
Group of companies MEDSI, Otradnoe, Russia.
Sechenov First Moscow State Medical University, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2022;99(4. Vyp. 2):43-50. doi: 10.17116/kurort20229904243.
To analyze the efficacy and safety of therapeutic exercises and chest hardware massage in electrostatic field in patients with COVID-associated viral pneumonia.
We retrospectively analyzed 1551 patients admitted to the Clinical Hospital No. 1 (MEDSI Group JSC) with COVID-associated pneumonia between April 01, 2020 and June 15, 2021 (ICD-10 U07.1 and U07.2). Considering inclusion and exclusion criteria, we enrolled 153 patients. All patients were divided into comparable groups and subgroups depending on the methods of rehabilitation treatment and CT stage of viral pneumonia. Lung damage was assessed semi-automatically using Philips Portal v11 COPD software. Rehabilitation measures included therapeutic exercises and chest hardware massage in electrostatic field. therapeutic exercises.
Therapeutic exercises significantly reduced severity of lung damage in patients with viral pneumonia CT-2 and no oxygen support (from 28.05% [28; 29.5] at admission to 15.3% [14.2; 19.3] at discharge). It was not observed in patients without rehabilitation treatment and in patients undergoing therapeutic exercises and massage in electrostatic field.
Therapeutic exercises in patients with COVID-19 and baseline lung damage > 25% and < 50% (CT-2 stage) significantly reduce severity of lung damage at discharge compared to the control group.
分析治疗性运动及静电场下胸部器械按摩对新型冠状病毒肺炎相关病毒性肺炎患者的疗效及安全性。
我们回顾性分析了2020年4月1日至2021年6月15日期间在第一临床医院（MEDSI集团股份公司）收治的1551例新型冠状病毒肺炎相关肺炎患者（国际疾病分类第十版编码U07.1和U07.2）。根据纳入和排除标准，我们纳入了153例患者。根据康复治疗方法和病毒性肺炎的CT分期，将所有患者分为可比组和亚组。使用飞利浦Portal v11慢性阻塞性肺疾病软件半自动评估肺损伤情况。康复措施包括治疗性运动及静电场下胸部器械按摩。治疗性运动。
治疗性运动显著降低了CT-2期且无需氧疗的病毒性肺炎患者的肺损伤严重程度（入院时为28.05%[28；29.5]，出院时为15.3%[14.2；19.3]）。未接受康复治疗的患者以及接受治疗性运动和静电场下按摩的患者未观察到这种情况。
与对照组相比，新型冠状病毒肺炎且基线肺损伤>25%且<50%（CT-2期）的患者进行治疗性运动可显著降低出院时的肺损伤严重程度。
