FIELD: medicine.
SUBSTANCE: invention relates to medicine, particularly to physiotherapy, rehabilitation, and can be used for outpatient rehabilitation of patients with chronic obstructive pulmonary disease (COPD). Patients suffering exacerbation of chronic obstructive pulmonary disease, treated on an outpatient basis, on 25th day from the onset of the aggravation and after the relief of the aggravated symptoms, rehabilitation is carried out in an outpatient setting with underlying two-staged basic therapy. At the first stage, therapeutic exercises are performed daily for 10 days under the supervision of an instructor of the physiotherapeutic department. In 10 minutes after gymnastics, longidase drug electrophoresis is performed in a transverse technique on a projection of lungs for 15 minutes, current intensity 3 mA – 10 procedures. Then, 10 minutes after the end of the electrophoresis procedure, a hyperbaric oxygenation procedure is performed in course of 10 procedures for 20 minutes, pressure 20 kPa, oxygen flow 20–25 l/min. In 10 minutes after the end of the hyperbaric oxygenation procedure, the inhalation oxygen therapy is carried out with the use of oxygen cocktails with underlying oxygen supply at a flow rate of 10 l/min with the help of an oxygen concentrator JAY-10. Graduated walking is performed daily – 150 m 2 times a day in mode of 75 steps per minute at speed of 3 km/h. At the second stage, therapeutic exercises are carried out for 14 days 4 times a week, as well as daily graduated walking of 300 m and ascending one flight of stairs twice a day in mode of 75 steps per minute at speed of 3 km/h.
EFFECT: method provides an increase in the effectiveness of the outpatient stage of rehabilitation of patients by reducing the severity of clinical symptoms of the disease, increasing functional capacity of bronchopulmonary apparatus, positive dynamics of tolerance to physical activity with reduced level of systemic hypoxia, which, in turn, improves the quality of life of patients.
1 cl, 2 tbl, 1 ex
