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© 暑腚尻蜩 噔蝾痤, 2012

项耱箫桦 11.03.2013 .

.. 旁忍温, .. 倘怯形吕,

 .. 依欣晾, .. 崖乓宋吕,

.. 呤温伺吕, .. 世邢温

 

信懒人纫乐冗 世心任宋萌着咽日 廖塑哇
  子吕匮饰 信严恿巳逝

 

绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴, 族犷犟囵

 

耱囹 疣耨爨蝠桠帼蝰 镱蜩 耋铖螯 赅痄桀疱噌桦栩圉梃. 物桉帼蝰 耦怵屐屙睇 镱漉钿 耦玟囗棹 镳钽疣祆 赅痄桀腩汨麇耜铋 疱噌桦栩圉梃 犷朦睇 玎犷脲忄龛扈 皴痄鬻眍-耦耋滂耱铋 耔耱屐. 橡邃耱噔脲 铒 疣犷螓 赅痄桀腩汨麇耜钽 铗溴脲龛 3 劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴» 镱 漕脲麒忄龛 忸耨蜞眍忤蝈朦眍祗 脲麇龛 犷朦睇, 镥疱礤聒桴 赅痄桀蹊痼疸梓羼觇 铒屦圉梃 铖蝠 桧羿痍 扈铌囵溧.

孰邂 耠钼: 赅痄桀疱噌桦栩圉, 镳钽疣祆 疱噌桦栩圉梃, 翳玷麇耜桢 蝠屙桊钼觇, 翦牝桠眍耱.

 

项 疱噌桦栩圉桢 镳桧蝾 镱龛爨螯 耠铈睇 觐祜脲犟 戾滂鲨眈觇 耦鲨嚯 戾痤镳蜩, 磬镳噔脲眄 磬 脲麇龛, 忸耨蜞眍怆屙桢 蝠箐铖镱耦犴铖蜩, 腓黜铖蝽钽 耦鲨嚯钽 耱囹篑 犷朦睇.

橡钽疣祆 赅痄桀腩汨麇耜铋 疱噌桦栩圉梃 磬鬣腓 疣玮桠囹 60- 泐潲 20 耱铍弪. 襄疴梓磬 鲥朦 耦耱豚 蝾, 黩钺 箪屙栩 铗痂鲟蝈朦睇 翦牝 镱耱咫钽 疱骅爨 翳玷麇耜铋 溴蝠屙桊钼囗眍耱. 项珂, 觐沅 镟鲨屙螓 镱耠 铖蝠 觐痤磬痦 耦猁蜩 耱嚯 嚓蜩忤玷痤忄螯 疣睃 镱腠邋, 忸玮疣龛 蝠箐 磬皴脲龛 蝠箐铖镱耦犴铎 忸琊囫蝈 耱嚯 忄骓彘 鲥朦 疱噌桦栩圉梃. 磬鬣腩 21 忮赅 汶噔眍 鲥朦 镳钽疣祆 赅痄桀疱噌桦栩圉梃 耱嚯 怛铕梓磬 镳铘桦嚓蜩赅.

项 怛铕梓眍 镳铘桦嚓蜩觐 镱龛爨弪 觐祜脲犟 戾痤镳蜩, 磬镳噔脲眄 磬 镳邃箫疱驿屙桢 镳钽疱耨桊钼囗 桁妣泐 玎犷脲忄龛, 疣玮栩 镱怛铕睇 皴痄鬻眍-耦耋滂耱 耦猁蜩, 镱耠邃簋 泐耧栩嚯桤圉栝 耢屦蝽铖蜩 铗 皴痄鬻眍-耦耋滂耱 镳梓桧 [6].

橡钼邃屙 5 犷朦 桉耠邃钼囗栝, 箨噻帼, 黩, 镳桁屙 赅痄桀疱噌桦栩圉棹 怛铕梓眢 镳铘桦嚓蜩牦, 祛骓 箪屙栩 钺 皴痄鬻眍-耦耋滂耱簋 耢屦蝽铖螯 磬 20-26% (Oldridge, 1988.; O.Connor, 1989 .; Joliffe, 2001 .; Taylor, 2003 .)

忤潴 忭 镳彖祗耱 疣眄彘 嚓蜩忤玎鲨 犷朦睇  铖蝠 桧羿痍蝾 80- 泐溧 20 耱铍弪 耱疣礤 溴轳蜮钼嚯  镱囡磬 耔耱屐 疱噌桦栩圉梃, 怅膻鬣 耱圉桀磬痦, 襦磬蝾痦 滂耧囗皴痦 囡.

袜 赅驿铎 囡 恹溴 礤耜铍 囫镥牝钼 疱噌桦栩圉梃: 戾滂鲨眈觇, 翳玷麇耜栝, 锺桴铍钽梓羼觇, 镳铘羼耔铐嚯, 耦鲨嚯 铐铎梓羼觇.

1989. 疱耧筢腓赍 磬 徉珏 绣耧筢腓赅眈觐泐 赅痄桀腩汨麇耜钽 滂耧囗皴疣 铗牮嚯铖 囔狍豚蝾痦-镱腓觌桧梓羼觐 铗溴脲龛 镳铘桦嚓蜩觇 疱噌桦栩圉梃 犷朦睇 皴痄鬻眍-耦耋滂耱 玎犷脲忄龛扈, 1997 . - 玎泐痤漤铄 铗溴脲龛 漕脲麒忄龛 疱噌桦栩圉梃 犷朦睇, 镥疱礤聒桴 赅痄桀蹊痼疸梓羼觇 铒屦圉梃 铖蝠 桧羿痍 扈铌囵溧 (忉腓玷 . 奏礓痤忸), 觐蝾痤 镱耠邃簋 猁腩 蝈痧栩铕栲朦眍 镥疱礤皴眍 镥疱桁屙钼囗 赅痄桀腩汨麇耜铄 铗溴脲龛 3.

锑瘌痼蜩玎鲨 赅痄桀腩汨麇耜桴 犷朦睇 (镳邃耱噔脲磬 磬 痂耋黻).

1997 . 铗溴脲龛  镳铠腓 忸耨蜞眍忤蝈朦眍 脲麇龛 犷脲 10000 麇腩忮, 桤 龛 63% 耦耱噔桦 犷朦睇  桧羿痍蝾 扈铌囵溧 29 % -  镱耠 赅痄桀蹊痼疸梓羼觇 铒屦圉栝.

橡钽疣祆 赅痄桀腩汨麇耜铋 疱噌桦栩圉梃 怅膻鬣 耠邃簋 屐屙螓:

铞屙牦 桉躅漤钽 耦耱龛 镟鲨屙蜞 (踵疣牝屦 汶筢桧 镱疣驽龛 扈铌囵溧, 忤 耠铈眍耱 铒屦囹桠眍泐 忪屮囹咫蜮, 觌桧梓羼牦 恹疣驽眄铖螯 镳怆屙栝 躔铐梓羼觐 觐痤磬痦铋 礤漕耱囹铟眍耱, 耱屣屙 嚓蜩忭铖蜩 疱忪囹桤爨, 铖腩骓屙 铖眍忭 耦矬蝰蜮簋 玎犷脲忄龛 磬 祛戾眚 镱耱箫脲龛 铗溴脲龛, 豚犷疣蝾痦-桧耱痼戾眚嚯 溧眄), 脲赅瘃蜮屙眢 蝈疣镨, 觐眚痤腓痼屐 翳玷麇耜桢 蝠屙桊钼觇, 觐痧尻鲨 锺桴铍钽梓羼觐泐 耱囹篑, 戾痤镳蜩 镱  怛铕梓眍 镳铘桦嚓蜩赍 羿牝铕钼 痂耜 皴痄鬻眍-耦耋滂耱 玎犷脲忄龛 (眍痨嚯桤圉 囵蝈痂嚯钽 溧怆屙, 箴钼 腓镨漕, 忮襦, 觐眚痤朦 襦踵痦钽 滂噌弪, 铗赅 铗 牦疱龛).

橡钽疣祆  疱噌桦栩圉梃 镱 痼觐忸漶蜮铎 怵圜-赅痄桀腩汔 铖簌羼蜮 怵圜 嗽, 桧耱痼牝铕 嗽, 翳玷铗屦囡邂, 戾滂鲨眈觇 锺桴铍钽, 锺桴铗屦囡邂, 桡腩疱綦尻耦蝈疣镥怛, 怵圜 趔黻鲨铐嚯铋 滂嚆眍耱桕, 怵圜 豚犷疣眚, 漕牮桧铍钽, 皴痄鬻眍-耦耋滂耱 蹊痼疸.


务眍忭 耦溴疰囗桢 脲麇犴-疱噌桦栩圉桀眄铋 镳钽疣祆 磬 耱圉桀磬痦铎 囡 怆 疣珉梓睇 戾蝾潲 翳玷麇耜铋 疱噌桦栩圉梃. 橡钽疣祆 翳玷麇耜铋 疱噌桦栩圉梃 耦耱噔 桧滂忤潴嚯 篦弪铎 镳桧噤脲骓铖蜩 犷朦眍泐 钿眍祗 桤 4- 觌囫耦 驽耱 [4, 5].

 

 

鲥朦 犷脲 镱腠铋 踵疣牝屦桉蜩觇 耦耱龛 犷朦眍泐 篦栩噱蝰 桧滂忤潴嚯 蝾脲疣眚眍耱 翳玷麇耜铋 磬沭箸赍, 觐蝾疣 铒疱溴弪 磬沭箸铟眍 镳钺铋 磬 忮腩泐戾蝠. 秒噔睇 牮栩屦桢 漕玷痤忄龛 磬沭箸铌 犷朦睇 桫屐梓羼觐 犷脲珥 皴痄鲟 怆弪 箴钼屙 镱痤泐忸 籽, 耦耱噔栝 50-60% 爨犟桁嚯铋 籽, 漕耱桡眢蝾 镳 忮腩泐戾蝠梃. 橡钽疣祆 翳玷麇耜桴 蝠屙桊钼铌 耱痤栩 镱 镳桧鲨矬 镱耱屣屙眍泐 筲咫梓屙 磬沭箸铌 耱痤泐 桧滂忤潴嚯桤桊钼囗 忤溴 脲麇犴铋 汨祉囫蜩觇, 漕玷痤忄眄铋 躅潼猁, 躅潼猁 镱 脲耱龛鲥, 翳玷麇耜桴 蝠屙桊钼铌 磬 忮腩蝠屙噫屦圊 [1, 3, 7].

务钺铄 戾耱 忸耨蜞眍忤蝈朦眍 脲麇龛 玎龛爨弪 蜞赕 镳噔桦 镱耱痤屙睇 疱骅 溻桡囹咫铋 嚓蜩忭铖蜩 蝈麇龛 漤 (镳钽箅觇, 溻桄屙 疋玷 襦祛钺耠箧桠囗桢 脲麇龛屐), 耱痤泐 耦铗忮蝰蜮梃 磬珥圜屙眍 耱箫屙 嚓蜩忭铖蜩. 令朦睇 忮潴 漤邂龛觇 襦祛觐眚痤.

橡桁屙屙桢 疣珉梓睇 忤漕 蝠屙桊钼铌 铗溴脲龛 漕脲麒忄龛 漕镱腠弪 耧弼梏梓羼觇扈 羿牝铕囔: 襻嚯囗耔痤忄眄铄 滂弪梓羼觐 镨蜞龛; 铒蜩爨朦磬 戾滂赅戾眚铉磬 蝈疣镨; 觐痧尻鲨 羿牝铕钼 痂耜 (腓镨潲, 囵蝈痂嚯 汨镥痱屙玷, 铈桊屙桢, 襦踵痦 滂噌弪, 牦疱龛).

澡玷铗屦囡 脲麇犴 爨耨噫 玎龛爨 漕耱铋眍 戾耱 疱噌桦栩圉桀眄铎 觐祜脲犟 磬镳噔脲睇 磬 箅篦龛 趔黻鲨铐嚯钽 耦耱龛 皴痄鬻眍-耦耋滂耱铋 礤疴眍 耔耱屐. 佯邃 翳玷铗屦囡邂蜩麇耜桴 戾蝾漕 恹耦觐 蝈疣镥怛梓羼觐 翦牝桠眍耱 钺豚溧 戾蝾潲 豚珏痦钽 桤塍麇龛, 龛珀铟囫蝾蝽铄 爨沩栩眍 镱脲, 尻蝠铖铐蝈疣镨.

吾疣珙忄蝈朦磬 镳钽疣祆 怅膻鬣弪 痤觇 耧尻蝠 忸玟彘耱忤: 铗 镳钽疣祆 镱 铗赅珞 铗 牦疱龛 漕 箴铌钼 镳噔桦铋 滂弪 邋 镱朦珏. 橡钼钿蝰 疱泱痦 玎蜩   铍圊 潆 犷朦睇 桫屐梓羼觐 犷脲珥 皴痄鲟, 躔铐梓羼觐 疱忪囹梓羼觐 犷脲珥 皴痄鲟, 囵蝈痂嚯铋 汨镥痱屙玷彘.

埋屐 镟鲨屙蜞 磬珥圜帼蝰 觐眈箅圉梃 戾滂鲨眈觐泐 锺桴铍钽, 怵圜-锺桴铗屦囡邂蜞, 镳钼钿蝰 锺桴铗屦囡邂蜩麇耜桢 徨皴潲, 囿蝾沐眄 蝠屙桊钼觇, 镳桢禧 襦祛忭篪屙 禧黜铋 锺桴梓羼觐 疱豚犟圉桢, 祗琨觐蝈疣镨彘, 囵蝌屦囡.

蔫嚆眍耱梓羼觇 祛龛蝾痂磴 镳钼钿栩 镟痦 耧铖钺铎 (漕 磬鬣豚 疱噌桦栩圉梃 镥疱 铌铐鬣龛屐 镱腠钽 牦瘃), 黩 镱玮铍弪 铒疱溴腓螯 翦牝桠眍耱 疱噌桦栩圉桀眄 戾痤镳蜩, 滂磬扈牦 趔黻鲨铐嚯钽 耦耱龛 镟鲨屙蜞.

蒴翦牝桠眍耱 忸耨蜞眍忤蝈朦眍泐 脲麇龛 铒疱溴弪  觐眦 镳遽囗 犷朦眍泐 铗溴脲龛. 务眍忭铄 珥圜屙桢 镳桎噱蝰 滂磬扈赍 趔黻鲨铐嚯钽 耦耱龛 犷朦眍泐. 项耠 玎忮瘌屙 耱圉桀磬痦钽 囡 疱噌桦栩圉梃 镳铊珙 筲咫梓屙桢 翳玷麇耜铋 嚓蜩忭铖蜩,  镱 溧眄 螺, 32% 犷朦睇 铖蝠 桧羿痍蝾 扈铌囵溧.

朽耧疱溴脲龛 犷朦睇 镱 趔黻鲨铐嚯 觌囫襦 (允) 镱耠 镳钼邃屙 疱噌桦栩圉桀眄 戾痤镳蜩 疋桎弪咫蜮箦 钺 筲咫梓屙梃 镟鲨屙蝾 2 允 箪屙屙梃 3 允. 悟戾麇眍 箅篦龛 锺桴铍钽梓羼觐泐 耱囹篑 87% 犷朦睇.

项 耦忸牦镯铖蜩 牮栩屦桢 恹镨襦眍 箅篦龛屐 98  % 犷朦睇 桧羿痍蝾 扈铌囵溧: 箴邃桦桉 (桉麇珉) 镳桉蝮稃 耱屙铌囵滂; 筲咫梓桦囫 蝾脲疣眚眍耱 翳玷麇耜桁 磬沭箸赅; 箪屙桦桉 镳桤磬觇 礤漕耱囹铟眍耱 牮钼铑狃帙屙.

橡 囗嚯桤 滂磬扈觇 镱赅玎蝈脲 赅麇耱忄 骅珥 铒屦桊钼囗睇 犷朦睇, 镱塍鬣桴  镱腠铞屙睇  滂趑屦屙鲨痤忄眄 觐祜脲犟 忸耨蜞眍忤蝈朦眍泐 脲麇龛 磬 耱圉桀磬痦铎 囡 疱噌桦栩圉梃, 恹怆屙 漕耱钼屦眍 耥桄屙桢 蜞觇 觌桧梓羼觇 耔祜蝾祛, 赅 犷朦, 礤汔蜩忭 镥疱骅忄龛, 篑蜞腩耱, 铗戾鬣腩顸 箅篦龛 耥, 磬耱痤屙, 箴彐屙桢 矬朦襦, 耱噌桦桤圉 滥, 镱恹龛 翳玷麇耜铋 疣犷蝾耧铖钺眍耱 觌桧梓羼觇 磬犭嚯铖 85% 镟鲨屙蝾, 箅篦龛 耦牮囹栩咫铋 趔黻鲨 扈铌囵溧 66% 镱 溧眄 菡-恃.

亦觇 钺疣珙, 疣琊噌铗囗磬 磬扈 觐祜脲犟磬 镳钽疣祆 囡眍 疱噌桦栩圉梃 犷朦睇, 镥疱礤聒桴 赅痄桀蹊痼疸梓羼觇 铒屦圉梃 桧羿痍 扈铌囵溧, 镱玮铍弪 翦牝桠眍 忸耨蜞磬怆桠囹 磬痼眄 趔黻鲨 觐痤蜿桢 耩铌 耥桤栩 爨蝈痂嚯 玎蝠囹 镳遽囗 犷朦眍泐 磬 耱圉桀磬痦铎 镱耱耱圉桀磬痦 囡圊 疱噌桦栩圉梃.

 

严妊问 巳遗欣矣雄

1.    鲤铐钼 .. 绣噌桦栩圉 怛铕梓磬 镳铘桦嚓蜩赅 犷朦睇 桫屐梓羼觐 犷脲珥 皴痄鲟: 疱鲥矧 潆 蓄耨梃 / .. 鲤铐钼 // 隋鬣 怵圜. — 2007. - 3. - .2-7.

2.    鲤铐钼 .. 泽黻鲨铐嚯 镳钺  赅痄桀腩汨 / .. 鲤铐钼, .. 梭镟眍. - .: 膛娘疱耨-桧纛痨, 2003. - 295 .

3.    令泐膻犷 .. 体滂鲨眈赅 疱噌桦栩圉: 痼觐忸漶蜮 潆 怵圜彘 / .. 令泐膻犷. - .-2007. - . 3. - . 3-146.

4.    项耱耱圉桀磬痦 囡 疱噌桦栩圉梃 犷朦睇 桫屐梓羼觐 犷脲珥 皴痄鲟 / .. 鲤铐钼 漯.// 彦痄鲥. - 2005. – . 4, 2 (20). - . 12-15.

5.    绣噌桦栩圉 赅痄桀腩汨麇耜桴 犷朦睇 / 镱 疱. .. 漕忄, .. 橡孱狃噫屙耜钽. - .: 幂我佬-体滂, 2005. - 277 .

6.    绣噌桦栩圉  犷朦睇  桫屐梓羼觐 犷脲珥 皴痄鲟 / .. 丸觐豚邂, .. 鲤铐钼.  – .: 体滂鲨磬, 1988. - 288 .

7.    洋滏噱忄 .. 绣噌桦栩圉 镱耠 疱忄耜箅痂玎鲨 扈铌囵溧 / .. 洋滏噱忄, .. 洋滏噱忄. - .: 体. 腓., 2009. - 128 .

 

崖拍磐冗 瘟 缆椅欣:

鹏桁钼 瑞桧 摒忭

玎忮潴 赅痄桀腩汨麇耜桁 铗溴脲龛屐 3, 怵圜-赅痄桀腩 劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴» 惕礴漯噔耦鲳噻忤蜩 左忄

惕珞痤忄 亦螯磬 丸觐豚邂磬

汶噔睇 忭屮蜞蝽 赅痄桀腩 惕礴漯噔耦鲳噻忤蜩 左忄, 汶噔睇 怵圜 劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴», 玎耠箧屙睇 怵圜 左忄觐 绣耧筢腓觇,

亦疣徉 亦螯磬 离尻襦礓痤忭

玎戾耱栩咫 汶噔眍泐 怵圜 镱 戾滂鲨眈觐 鬣耱  劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴», 玎耠箧屙睇 怵圜 左忄觐 绣耧筢腓觇, 怵圜 恹聒彘 赈嚯梏桕圉桀眄铋 赅蝈泐痂

砚弪腩忄 袜蜞朦 离尻皴邂磬

玎戾耱栩咫 汶噔眍泐 怵圜 镱 铕汔龛玎鲨铐眍-戾蝾滂麇耜铋 疣犷蝈  劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴», 怵圜-赅痄桀腩

哧钼脲忄 瑞桧 缅眄噤忭

玎戾耱栩咫 汶噔眍泐 怵圜 镱 觌桧桕-耧屦蝽铋 疣犷蝈 劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴», 怵圜-赅痄桀腩

枢痫钼 理磬 麇耠噔钼磬

玎忮潴 铕汔龛玎鲨铐眍-戾蝾滂麇耜桁 铗溴腩  劣 «绣耧筢腓赅眈觇 赅痄桀腩汨麇耜栝 滂耧囗皴», 怵圜-赅痄桀腩

 

冷疱 潆 镥疱镨耜:

冷疱: . 族犷犟囵, 箅. .秒噤觐忄, . 29

义. 620855, 620486, 620844

Email: ipkard_2@medinform.su, rkd-omo-002@med.cap.ru

 

INFORMATION ABOUT THE AUTHORS:

Efimova Irina Yuryevna

head of cardiologic department No.3 at the BI “The Republican Cardiologic Dispensary”, cardiologist

Mizurova Tatyana Nikolayevna

chief cardiologist of HCSD Ministry of Chuvashia, chief doctor BI “The Republican Cardiologic Dispensary”, Honored Doctor of the Chuvash Republic, doctor of higher category

Taraban Tatyana Aleksandrovna

chief doctor’s deputy of medical work at the BI “The Republican Cardiologic Dispensary”, Honored Doctor of the Chuvash Republic, doctor of higher category

Svetlova Natalya Alekseevna

chief doctor’s deputy of organizational work at the BI “The Republican Cardiologic Dispensary”, Honored Doctor of the Chuvash Republic, cardiologist

Yakovleva Irina Gennadyevna

chief doctor’s deputy of clinical and expert work at the BI “The Republican Cardiologic Dispensary”, Honored Doctor of the Chuvash Republic, cardiologist

Karpova Anna Vyacheslavovna

head of organizational and methodological department , at the BI “The Republican Cardiologic Dispensary”, cardiologist

 

Address for correspondence:

Gladkov str., 29A, Cheboksary, the Chuvash Republic 

义l.: +7(8352) 620855, 620486, 620844

E-mail: ipkard_2@medinform.su, rkd-omo-002@med.cap.ru

 

I.Y. EFIMOVA,
T.N. MIZUROVA, T.A. TARABAN,
N.A. SVETLOVA, I.G. YAKOVLEVA,A.V. KARPOVA

 

REHABILITATION OF CARDIOLOGIC PATIENTS IN THE CHUVASH REPUBLIC

 

The Republican Cardiologic Dispensary, Cheboksary

 

The article is devoted to the problem of cardiologic rehabilitation, modern approaches to development of cardiologic rehabilitation programmes for the patients with cardiovascular diseases. Here is the experience of cardiologic department No.3 at the BI “the Republican Cardiologic Dispensary” in rehabilitation of the patients after cardiologic operations and acute myocardial infarction.

Key words: cardiologic rehabilitation, rehabilitation programme, physical training, efficiency. 

© 埋 镳噔 玎睇. 锐镱朦珙忄龛 爨蝈痂嚯钼 徨 镨顸戾眄钽 耦汶囫 - 玎镳妁屙..