ABSTRACT
How intensive rehabilitation influences external respiration function, central and peripheral hemodynamics in the injured with a severe multitrauma was investigated in 71 injured. Intensive rehabilitation in combined treatment is shown to improve external respiration function, central hemodynamics, tissue blood flow, sleep, appetite, healing of bedsores, to enhance cough reflex.
Subject(s)
Multiple Trauma/rehabilitation , Physical Therapy Modalities , Respiratory Insufficiency/therapy , Adult , Hemodynamics , Humans , Massage , Middle Aged , Multiple Trauma/physiopathology , Multiple Trauma/therapy , Respiratory Insufficiency/physiopathology , Respiratory Insufficiency/rehabilitation , Vital CapacityABSTRACT
Blood linear velocity in inferior cava vein was measured in 74 persons (men and women) aged from 18 to 55 years including 29 healthy volunteers and 45 patients with various severity of trauma and different assessment of its severity by APACHE-2 scale. Correlation between APACHE-2 index and changes of ratio of blood linear velocities in inferior cava vein was demonstrated. It is concluded that ratio of blood linear velocities in inferior cava vein can be used as a criterion of treatment efficacy in patients with combined trauma in early postoperative period.
Subject(s)
Blood Flow Velocity , Multiple Trauma/diagnosis , Vena Cava, Inferior/physiology , APACHE , Abdominal Injuries/diagnosis , Adolescent , Adult , Brain Injuries/diagnosis , Female , Humans , Male , Middle Aged , Multiple Trauma/mortality , Multiple Trauma/therapy , Respiration, Artificial , Risk Factors , Spinal Injuries/diagnosis , Thoracic Injuries/diagnosis , Time FactorsABSTRACT
A hundred and twenty six patients with infiltrative destructive pulmonary tuberculosis were examined. In 62 patients of them, the vertebroosteosternal joints were exposed as part of multimodality treatment in order to arrest an exacerbation of chronic bronchitis. A control group included 64 patients. The exposure of vertebroosteosternal joints was found to enhance the efficiency of treatment for chronic bronchitis in patients with pulmonary tuberculosis. This treatment promotes lower inflammatory intensity, diminished antigenemia and anti-protein antibody production. To arrest lesions in the bronchial tree with the proposed package of methods also favours a higher efficiency of treatment of a tuberculous process.
