OUTPATIENT STAGE OF REHABILITATION OF PATIENTS WITH CHRONIC PYELONEPHRITIS
In recent decades the world community has faced global issue that has not only medical, but also a huge socio-economic importance - the pandemic of chronic non-communicable diseases. Kidney diseases occupy an important place among them because of the high prevalence, a sharp decrease in the quality of life, high mortality of patients. Decrease in renal function, according to modern concepts, is an independent and important cause of rapid progression of pathological changes in the cardiovascular system. Purpose of research. To evaluate the preventive nephroprotective program in the course of rehabilitation of patients in a polyclinic with one of the most common renal pathologies encountered in outpatient practice - chronic pyelonephritis. Under our supervision there were 124 outpatient patients aged from 29 to 72 years, 78 women, 46 men diagnosed with "secondary chronic pyelonephritis", with a slight renal dysfunction (GFR 51-89 ml/min). During two years of outpatient observation (2013-2014) all patients were divided into two groups, comparable in sex and age. As a result of the studies it was found that in patients of the first group by the end of the observation period significantly improved renal function in the form of an increase in GFR with 59.1± 2.1 ml/ min at the beginning of observation to 67.2 ±2.4 ml/ min by the end of the second year of treatment (p<0.05). In the second group, the rate at the beginning and at the end of treatment differed inaccurately and amounted to 59.7± 2.2 ml/ min and 58.3±2, 1 ml/min, respectively. The use of non-drug methods of rehabilitation and reducing the frequency of hospitalizations significantly reduces the cost of treatment of this category of patients.Improvement of renal function revealed in patients receiving rehabilitation program is a proven factor not only in nephroprotection, but also in cardioprotection, which will further reduce the frequency of cardiovascular complications in this category of patients. The rehabilitation program developed by us can be used in outpatient link for complex therapy of patients with chronic pyelonephritis.