DYNAMICS OF INDEXES OF SPIROMETERY AND TOLERANCE TO PHYSICAL ACTIVITIES AT THE PATIENTS OF BRONCHIAL ASTHMA IN COMBINATION WITH CORONARY HEART DISEASE THAT USING SPELEOTHERAPY
We analyzed the research results of patients with asthma combination with coronary heart disease, who received treatment on the basis of the Center for Reconstructive and Rehabilitation Medicine (Clinic of the Odessa National Medical University (ONMEDU)) : 40 women and 31 men. The average age of the examined was: for women – 49.30 ± 3.45, for men – 51.28 ± 3.24 years. Bronchial asthma had intermittent (21.13%) or persistent flow of mild (45.07%) and moderate (33.80%) severity in the state of remission. Basal therapy of patients with asthma in the stage of remission in combination with СHD I-II FС (control group – CG) included the use of a metered aerosol for inhalations in a combination of salmaterol (25/50 mcg) with flutikazole propionate (125-250 мg), hypolipidemic therapy. Treatment group-1 (TG1) was 41 patients, with which the basic medication complex was supplemented with the appointment of a speleotherapy course. Speleotherapy was performed in a speleo-chamber of natural salts (Na, Cl, K, Mg). The course of treatment consisted of 10-15 procedures, which were conducted in the morning (from 9-00 to 14-00), lasting 40-50 minutes.
Additional appointment to the basic medication complex of speleotherapy during the remission period allowed to significantly improve bronchial passages, effectively reduce the risk of complications from the cardiovascular system, and increase tolerance to physical activity.
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