emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2024.8.2.2252emcardio-40Research ArticleОригинальные научные публикацииOriginal Scientific ResearchВыбор методов медицинской реабилитации пациентов после реваскуляризации миокарда в сочетании с болями в нижней части спиныSelection of medical rehabilitation methods for patients after myocardial revascularization combined with low back painКобылкоЛ. А.KabylkaL.

 Гомель 

Gomel

ГалиновскаяН. В.HalinouskayaN.

 Гомель 

Gomel

НиколаеваН. В.NikalaevaN.

 Гомель 

Gomel

ТабаньковаЮ. В.TabanjkovaY.

 Гомель 

Gomel

ЦиткоЕ. В.TsitkoE.

 Гомель 

Gomel

ПальцеваМ. Ф.PaltsavaM.

 Гомель 

Gomel

Учреждение образования «Гомельский государственный медицинский университет»; Учреждение здравоохранения «Гомельская университетская клиника-областной госпиталь инвалидов Великой Отечественной войны»Gomel State Medical University; Gomel University Clinic – Regional Hospital For Disabled People of the WW IIУчреждение образования «Гомельский государственный медицинский университет»Gomel State Medical UniversityУчреждение образования «Гомельский государственный медицинский университет»; Филиал открытого акционерного общества «Гомсельмаш» Санаторий «Машиностроитель»Gomel State Medical University; The branch of the OJSC «Gomselmash» Sanatorium «Mashinostroitel»Филиал открытого акционерного общества «Гомсельмаш» Санаторий «Машиностроитель»The branch of the OJSC «Gomselmash» Sanatorium «Mashinostroitel»Учреждение здравоохранения «Гомельская университетская клиника-областной госпиталь инвалидов Великой Отечественной войны»Gomel University Clinic – Regional Hospital For Disabled People of the WW II202420062025822252–2261Copyright © Кобылко Л.А., Галиновская Н.В., Николаева Н.В., Табанькова Ю.В., Цитко Е.В., Пальцева М.Ф., 20252025Кобылко Л.А., Галиновская Н.В., Николаева Н.В., Табанькова Ю.В., Цитко Е.В., Пальцева М.Ф.Kabylka L., Halinouskaya N., Nikalaeva N., Tabanjkova Y., Tsitko E., Paltsava M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/40

Цель. Формирование дифференцированной программы медицинской реабилитации у пациентов после реваскуляризации миокарда в сочетании с неврологическими проявлениями повреждения межпозвонковых дисков.Материалы и методы. Проведено когортное исследование 55 (48 мужчин и 7 женщин) пациентов после реваскуляризации миокарда в сочетании с неврологическими проявлениями повреждения межпозвонковых дисков (средний возраст 60 [64;66] лет). Пациентам выполнено клиническое обследование, функциональные пробы и лабораторное обследование. Все пациенты были разделены на группы случайным образом. В основной группе применен метод медицинской реабилитации, основанный на разделении пациентов по сочетанию выраженности кардиогенного и вертеброгенного болевого синдрома.Результаты. Использование метода дифференцированной медицинской реабилитации на основании градации болевого синдрома выявило более значимое функциональное улучшение (ограничение жизнедеятельности в категории трудоспособность 35% и 98%, р = 0,004), субъективно (по данным ВАШ, кардиогенный болевой синдром 1,9 и 0,65 балла, p < 0,01; вертеброгенный болевой синдром 3,5 и 1 балл, p < 0,001). Выявлена стабилизация систолического артериального давления после реабилитации в более низком диапазоне 130 [120; 140] и 120 [110; 120] мм.рт.ст., р < 0,01.Заключение. Применение метода дифференцированной медицинской реабилитации с учетом сочетания болевого синдрома кардиогенного и вертеброгенного генеза выявило более значимое улучшение состояния пациентов.

Objective. To develop a differentiated program of medical rehabilitation for patients after myocardial revascularization associated with neurological manifestations of intervertebral disc damage.Materials and methods. A cohort study of 55 (48 males and 7 females) patients after myocardial revascularization combined with neurological manifestations of intervertebral disc damage (mean age 60 [64; 66] years) was performed. Patients underwent clinical examination, functional tests, and laboratory examination. All patients were divided into groups randomly. In the main group, a method of medical rehabilitation based on the division of patients according to the combination of cardiogenic and vertebrogenic pain syndrome severity was applied.Results. The use of the method of differentiated medical rehabilitation based on the gradation of pain syndrome revealed more significant functional improvement (limitation of life activity in the category of ability to work 35% and 98%, p = 0.004), subjectively (according to VAS, cardiogenic pain syndrome 1.9 and 0.65 points, p < 0.01; vertebrogenic pain syndrome 3.5 and 1 point, p < 0.001). Stabilization of systolic blood pressure after rehabilitation was found in the lower range of 130 [120; 140] and 120 [110; 120] mm. Hg., p < 0.01.Conclusion. Application of the method of differentiated medical rehabilitation taking into account the combination of pain syndrome of cardiogenic and vertebrogenic genesis revealed a more significant improvement of the patients’ condition.

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The authors declare that there are no conflicts of interest present.