Сибирский научный медицинский журнал (Feb 2019)
TRANSCRANIAL MAGNETOTHERAPY IN THE REHABILITATION OF PATIENTS WITH ARTERIAL HYPERTENSION COMBINED WITH CHRONIC CEREBROVASCULAR PATHOLOGY
Abstract
Purpose of the study - to evaluate the effectiveness of transcranial magnetotherapy in the rehabilitation of patients with arterial hypertension (AH) combined with chronic cerebrovascular diseases (CCVD). Material and methods. Fifty patients with AH combined with CCVD aged 20 to 75 years, with an average age of 62.1 ± 2.0 years were examined and treated. Clinical examination included: collection of complaints and anamnesis of life, clinical laboratory and instrumental methods of examination, assessment of quality of life related to health (according to the SF-36 questionnaire). All patients were randomized into 2 groups, comparable in age, sex, clinical and functional parameters: experimental ( n = 24) and control ( n = 26). Patients of the control group received basic medicinal therapy for 2 weeks. Patients of the experimental group, on the background of basic medicinal therapy, received transcranial magnetotherapy. Course of 10 procedures. The effectiveness of rehabilitation was carried out before and after the course on the dynamics of hemodynamic and clinical parameters; indicators of quality of life. Results. In patients of the experimental group, in comparison with the control group, there was a more pronounced positive dynamics with a greater reduction in blood pressure, the frequency of characteristic clinical symptoms; a more pronounced improvement in the quality of life after a course of action. Thus, the mean value of pulse blood pressure decreased in the experimental group by 24.7 %, in the control group by 18.7 %. The frequency of occurrence of vertigo after the course was statistically significantly decreased in the main group by 45.9 %, in the control group by 23.1 %. Conclusion. The effectiveness of transcranial magnetotherapy in the rehabilitative treatment of patients with AH combined with CCVD is shown, which makes it possible to recommend this physiotherapeutic method for personified non-medicinal rehabilitation of this category of patients in a hospital.
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