[Physical factors in the medical rehabilitation of patients with chronic cerebral ischemia in the outpatient stage].

Autor:	Cherevashchenko LA; North-Caucasian Federal Research and Clinical Center of the Federal Medical and Biological Agency of Russia, Essentuki, Russia., Dadova LY; City Polyclinic No. 1, Nalchik, Russia., Tsogoev AS; North Ossetian State Medical Academy, Vladikavkaz, Russia., Bobrik YV; Georgievsky Medical Academy of the Vernadsky Crimean Federal University, Simferopol, Russia., Efimenko NV; North-Caucasian Federal Research and Clinical Center of the Federal Medical and Biological Agency of Russia, Essentuki, Russia., Starokozhko LE; Stavropol State Medical University, Stavropol, Russia., Amiyants VY; North-Caucasian Federal Research and Clinical Center of the Federal Medical and Biological Agency of Russia, Essentuki, Russia., Gaidamaka II; Stavropol State Medical University, Stavropol, Russia.
Jazyk:	ruština
Zdroj:	Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury [Vopr Kurortol Fizioter Lech Fiz Kult] 2022; Vol. 99 (6. Vyp. 2), pp. 12-18.
DOI:	10.17116/kurort20229906212
Abstrakt:	Chronic cerebral ischemia is an urgent problem of modern medicine due to high disability of this contingent of patients and requires new approaches to the treatment and medical rehabilitation. Objective: To develop a new technology for medical rehabilitation of the patients with chronic cerebral ischemia on an outpatient basis using therapeutic physical factors (such as ozone therapy and magnetic field in combination with endomassage) against the background of rational pharmacotherapy and psychocorrection. Material and Methods: There have been observed 122 patients with chronic cerebral ischemia stage I. They were divided into three groups by simple randomization. The patients of the group of comparison 1 (GC1) ( n =39) had neurotropic pharmacotherapy (Cerepro and Mexidol) and a group psychotherapy; the rehabilitation programme of the patients of the group of comparison 2 (GC2) ( n =41) included ozone therapy (intravenous infusions of ozone-oxygen mixture) in addition to the treatment program of GC1; the patients of the main group (MG) ( n =42) received a combination of magnetic field exposure and endomassage in addition to the treatment program of GC2. Clinical monitoring, coagulation hemostasis, and cerebral vascular ultrasound were used to assess the treatment efficiency. Results: The rehabilitation treatment performed on an outpatient basis with the inclusion of ozone therapy and the combined effect of magnetic field and endomassage in MG ensured the leveling of clinical symptoms in 91.2% of cases ( p <0.01). The efficiency of rehabilitation in GC1 was 74.4%, with the additional use of ozone therapy in GC2 - 82.6%. Conclusion: The use of the new technology with the use of intravenous infusions of ozone-oxygen mixture and magnetic field in combination with endomassage against the background of rational pharmacotherapy and psychocorrection in medical rehabilitation of the patients with chronic cerebral ischemia on an outpatient basis provides a reliably significant increase in the effectiveness of rehabilitation measures.
Databáze:	MEDLINE
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