Preview

Lechaschi Vrach

Advanced search

Voronezh State Medical University named after N. N. Burdenko

https://doi.org/10.26295/OS.2020.19.74.014

Abstract

Lung damage caused by the SARS-CoV-2 virus and the depletion of the immune system is a serious obstacle to recovery patients with COVID-19-associated pneumonia. Stimulating regeneration factors can help repair damaged lung tissue. Prognostically significant indicators of the effectiveness of restorative treatment of patients after the acute stage of COVID-19-associated pneumonia should be based on the criteria for lung tissue regeneration and restoration of the immune system. Patients with COVID-19 should be examined to select a rehabilitation treatment program, taking into account individual indications and to assess the safety of the planned measures. The experience of the practical use of an immunomodulator with a reparative effect of sodium deoxyribonucleate in programs for the rehabilitation treatment of patients with communityacquired pneumonia with confirmed or suspected COVID-19, DN0 or DN1 with CT-1-2 or CT-2-3 (mild, moderate and moderate course), undergoing the stage of rehabilitation treatment in the conditions outpatient medical organizations. The presented rehabilitation treatment programs, tested in outpatient medical institutions, can be fully applied in the conditions of sanatorium-resort rehabilitation of phthisiopulmonary sanatoriums, which will significantly increase the overall quality of medical care not only at the stages of treatment, but also at rehabilitation. 

About the Authors

A. A. Zuikova
Voronezh State Medical University named after N. N. Burdenko
Россия

Voronezh



D. Yu. Bugrimov
Voronezh State Medical University named after N. N. Burdenko
Россия

Voronezh



O. N. Krasnorutskaya
Voronezh State Medical University named after N. N. Burdenko
Россия

Voronezh



Yu. A. Kotova
Voronezh State Medical University named after N. N. Burdenko
Россия

Voronezh



References

1. Zuykova A. A., Krasnorutskaya O. N., Kotova YU. A. s soavt. Effektivnost' vklyucheniya dezoksiribonukleata natriya na stadii medikamentoznogo dolechivaniya patsiyentov s vnebol'nichnoy pnevmoniyey [The effectiveness of the inclusion of sodium deoxyribonucleate at the stage of drug follow-up treatment of patients with community-acquired pneumonia] The Lechaschi Vrach Journal. 2020. № 6. Pp. 80-84.

2. Profilaktika, diagnostika i lecheniye novoy koronavirusnoy infektsii (COVID-19). Vremennyye metodicheskiye rekomendatsii. [Prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Temporary guidelines.] Versiya 9 (26.10.2020). MZ RF. 236 p.

3. Bartlo P., Bauer N. Pulmonary Rehabilitation Post-Acute Care for Covid-19 (PACER) / Available at: https://youtu.be/XjY_7O3Qpd8_accessed11.05.2020.

4. Konig M. F., Powell M., Staedtke V., Bai R.-Y. at al. Preventing cytokine storm syndrome in COVID-19 using α-1 adrenergic receptor antagonists // J Clin Invest. 2020; 130 (7): 3345-3347. https://doi.org/10.1172/JCI139642.

5. Patologicheskaya anatomiya legkikh pri COVID-19. Atlas [Pathological anatomy of the lungs in COVID-19. Atlas] Pod red. O. V. Zayrat'yantsa. Ryazan': izdatel'stvo GUP Ryazanskaya oblastnaya tipografiya, 2020. 52 p., 62 il.

6. Zaytsev A. A., Chernov S. A., Kryukov Ye. V. s soavt. Prakticheskiy opyt vedeniya patsiyentov s novoy koronavirusnoy infektsiyey COVID-19 v statsionare (predvaritel'nyye itogi i rekomendatsii) [Practical experience in managing patients with a new coronavirus infection COVID-19 in a hospital (preliminary results and recommendations)] The Lechaschi Vrach Journal. 2020. № 6. Pp. 74-79.

7. Woods D. R., José R. J.Current and emerging evidence for immunomodulatory therapy in community-acquired pneumonia // Ann Res Hosp. 2017; 1: 33. DOI: 10.21037/arh.2017.08.01.

8. Simpson R., Robinson L. Rehabilitation following critical illness in people with COVID-19 infection [published online ahead of print, 2020 Apr 10] // Am J Phys Med Rehabil. 2020; 10.1097.PHM.0000000000001443.

9. Pis'mo Ministerstva zdravookhraneniya RF i Federal'nogo fonda obyazatel'nogo meditsinskogo strakhovaniya ot 12 dekabrya 2019 g. № 11-7/№/2-11779, 17033/26-2/i «O metodicheskikh rekomendatsiyakh po sposobam oplaty meditsinskoy pomoshchi za schet sredstv obyazatel'nogo meditsinskogo strakhovaniya». [Letter of the Ministry of Health of the Russian Federation and the Federal Mandatory Medical Insurance Fund of December 12, 2019 No. 11-7/No./2-11779, 17033/26-2/i «On methodological recommendations on methods of paying for medical care at the expense of compulsory medical insurance funds»]

10. Chuchalin A. G., Sinopal'nikov A. I., Kozlov R. S. i dr. Vnebol'nichnaya pnevmoniya u vzroslykh: prakticheskiye rekomendatsii po diagnostike, lecheniyu i profilaktike. Posobiye dlya vrachey. [Community-acquired pneumonia in adults: practical recommendations for diagnosis, treatment and prevention. A guide for doctors.] M., 2010. 84 p.

11. Gvozdenko T. A., Cherpak N. A., Volkova M. V., Belik L. A. Sotsial'noekonomicheskiye aspekty vosstanovitel'nogo lecheniya bol'nykh respiratornoy patologiyey [Socio-economic aspects of rehabilitation treatment for patients with respiratory pathology] Trudy NII meditsinskoy klimatologii i vosstanovitel'nogo lecheniya. Vladivostok: DVFU, 2014. Pp. 6-18.

12. Zuykova A.A., Krasnorutskaya O. N., Bugrimov D. YU. Effektivnost' primeneniya programm vosstanovitel'nogo lecheniya patsiyentov s COVID-19 [The effectiveness of the use of rehabilitation treatment programs for patients with COVID-19] Sbornik trudov XXX Natsional'nogo kongressa po boleznyam organov dykhaniya. M.: 2020. P. 54.

13. Minayeva N. V., Syutkina Ya. A. Sravnitel'nyy analiz taktiki vedeniya perioda reabilitatsii posle vnebol'nichnoy pnevmonii u detey [Comparative analysis of the tactics of the rehabilitation period after community-acquired pneumonia of children] Permskiy meditsinskiy zhurnal. 2014. № 4 (t. 32). Pp. 39–44.

14. Meditsinskaya reabilitatsiya pri novoy koronovirusnoy infektsii (COVID 19). Vremennyye metodicheskiye rekomendatsii. Versiya 1 (21.05.2020 g.). [Medical rehabilitation for new coronavirus infection (COVID 19). Temporary guidelines. Version 1 (May 21, 2020).] Soyuz reabilitologov Rossii. 103 p.


Review

For citations:


Zuikova A.A., Bugrimov D.Yu., Krasnorutskaya O.N., Kotova Yu.A. Voronezh State Medical University named after N. N. Burdenko. Lechaschi Vrach. 2020;(12):72-79. (In Russ.) https://doi.org/10.26295/OS.2020.19.74.014

Views: 270

JATS XML

ISSN 1560-5175 (Print)
ISSN 2687-1181 (Online)