Evaluation of the effectiveness of rehabilitation of patients before coronary bypass surgery using dry carbon dioxide baths and respiratory training

Abstract

BACKGROUND: Preoperative rehabilitation of patients before coronary bypass surgery using non-drug technologies is aimed at increasing adherence to treatment, improving psychoemotional stability and the results of surgical intervention and subsequent postoperative rehabilitation.

AIMS: the aim of the study was to evaluate the effectiveness of pre-rehabilitation of patients before coronary bypass surgery, including dry carbon dioxide baths and respiratory training in a day hospital.

MATERIALS AND METHODS: Under observation were 36 male patients aged 34–55 years before surgery for coronary heart disease. Depending on the activities carried out, the subjects are divided into two groups. Patients in the control group (n=18) received a basic complex of a lipid-lowering diet with salt restriction, therapeutic exercises in a small group method, dosed walking, sessions with a psychologist, and drug therapy. Patients of the main group (n=18) received, in addition to the basic complex, dry carbonic baths and respiratory training using breathing simulators.

RESULTS: The use of dry carbon dioxide baths and respiratory training in prehabilitation before coronary bypass surgery is accompanied by an increase in physical performance, improvement of clinical, hemodynamic and psychological parameters.

CONCLUSION: The inclusion of dry carbon dioxide baths and respiratory training in the complexes of preoperative rehabilitation of patients with coronary artery disease contributes to an increase in their adherence to treatment and surgical intervention, as well as to an increase in the effectiveness of postoperative rehabilitation.

Keywords

coronary artery bypass grafting / prehabilitation / dry carbon dioxide baths / respiratory training

References

[1] Ivanova I. “Prehabilitation” as a necessary stage of surgical treatment. Head Doctor. 2019;(6):72–75. (In Russ).

[2] Иванова И. «Преабилитация» как необходимый этап хирургического лечения // Главврач. 2019. № 6. С. 72–75.

[3] Argunova YA, Pomeshkina SA, Inozemtseva AA, et al. Clinical effectiveness of prehabilitation in patients undergoing coronary bypass grafting. Complex Problems Cardiovascular Dis. 2018;7(4S): 15–23. (In Russ). doi: 10.17802/2306-1278-2018-7-4S-15-23

[4] Аргунова Ю.А., Помешкина С.А., Иноземцева А.А., и др. Клиническая эффективность преабилитации у пациентов, подвергшихся коронарному шунтированию // Комплексные проблемы сердечно-сосудистых заболеваний. 2018. Т. 7, № 4S. С. 15–23. doi: 10.17802/2306-1278-2018-7-4S-15-23

[5] Argunova YA, Pomeshkina SA, Zvereva TN, et al. Optimization of a comprehensive prehabilitation program for patients with stable coronary heart disease during coronary bypass grafting. Rational Pharmacotherapy Cardiol. 2020;16(4):508–515. (In Russ). doi: 10.20996/1819-6446-2020-08-06

[6] Аргунова Ю.А., Помешкина С.А., Зверева Т.Н., и др. Оптимизация комплексной программы преабилитации пациентов со стабильной ишемической болезнью сердца при выполнении коронарного шунтирования // Рациональная фармакотерапия в кардиологии. 2020. Т. 16, № 4. С. 508–515. doi: 10.20996/1819-6446-2020-08-06

[7] Gilmutdinova LT, Galimullina EN, Bagautdinov AA, et al. Efficiency of physical rehabilitation of patients after coronary artery stenting in a sanatorium. Resort Med. 2020;(2):14–21. (In Russ).

[8] Гильмутдинова Л.Т., Галимулина Е.Н., Багаутдинов А.А., и др. Эффективность физической реабилитации пациентов после стентирования коронарных артерий в условиях санатория // Курортная медицина. 2020. № 2. С. 14–21.

[9] Pasyuga VV, Demin DA, Demina EV, et al. Prehabilitation in cardiac surgery. Clin Experimental Sur. J Named After Academician B.V. Petrovsky. 2020;8(1):112–121. (In Russ). doi: 10.33029/2308-1198-2020-8-1-112-121

[10] Пасюга В.В., Демин Д.А., Демина Е.В., и др. Преабилитация в кардиохирургии // Клиническая и экспериментальная хирургия. Журнал имени академика Б.В. Петровского. 2020. Т. 8, № 1. С. 112–121. doi: 10.33029/2308-1198-2020-8-1-112-121

[11] Gilmutdinova LT, Kamaletdinov SK, Yanturina NK, Ayupov IM. Optimization of sanatorium rehabilitation of patients with coronary heart disease after reconstructive operations on the vessels of the heart. Bulletin Res Med. 2008;(5):99–101. (In Russ).

[12] Гильмутдинова Л.Т., Камалетдинов С.Х., Янтурина Н.Х., Аюпов И.М. Оптимизация санаторной реабилитации больных ишемической болезнью сердца после реконструктивных операций на сосудах сердца // Вестник восстановительной медицины. 2008. № 5. С. 99–101.

[13] Ditmyer MM, Topp R, Pifer M. Prehabilitation in preparation for orthopaedic surgery. Orthop Nurs. 2002;21(5):43–45. doi: 10.1097/00006416-200209000-00008

[14] Ditmyer M.M., Topp R., Pifer M. Prehabilitation in preparation for orthopaedic surgery // Orthop Nurs. 2002. Vol. 21, N 5. Р. 43–51. doi: 10.1097/00006416-200209000-00008

[15] Faizova ER, Gilmutdinova LT. Influence of dry carbon dioxide baths on the functional state of the endothelium and parameters of intracardiac hemodynamics in patients with myocardial infarction at the stages of rehabilitation. In: Innovative Res Med Rehabilitation: collection. Ufa; 2016. Р. 200–204. (In Russ).

[16] Фаизова Э.Р., Гильмутдинова Л.Т. Влияние сухих углекислых ванн на функциональное состояние эндотелия и параметры внутрисердечной гемодинамики у больных инфарктом миокарда на этапах реабилитации // Инновационная курортная медицина и реабилитация: сборник. Уфа, 2016. С. 200–204.

[17] Faizova ER, Gilmutdinova LT. Analysis of clinical and hemodynamic parameters when using dry carbon dioxide baths in the complex rehabilitation of patients with myocardial infarction. In: Innovative Res Med Rehabilitation: collection. Ufa; 2016. Р. 205–208. (In Russ).

[18] Фаизова Э.Р., Гильмутдинова Л.Т. Анализ клинико-гемодинамических показателей при использовании сухих углекислых ванн в комплексной реабилитации больных инфарктом миокарда // Инновационная курортная медицина и реабилитация: сборник. Уфа, 2016. С. 205–208.

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