THE EFFECT OF MEDICAL REHABILITATION ON THE STATE OF MICROCIRCULATION AND INFLAMMATION ACTIVITY IN PATIENTS AFTER PNEUMONIA ASSOCIATED WITH A NEW CORONAVIRUS INFECTION (COVID-19)
The new coronavirus infection (COVID-19) has acquired the status of a pandemic in a short time and remains relevant. The article examines the state of microcirculation and the activity of inflammation in patients with pneumonia associated with COVID-19 before and after rehabilitation. The object of the study: 60 patients diagnosed with pneumonia associated with COVID-19 randomized into 2 groups. The control group consisted of 30 patients who received a basic rehabilitation program. The comparison group consisted of 30 patients who received basic program procedures and additionally interval hypoxic-hyperoxytherapy. The article compares the effectiveness of both programs on the dynamics of microcirculation and inflammation activity in patients before and after rehabilitation. The authors showed that patients before rehabilitation had microcirculation disorders in the respiratory organs and the presence of moderate inflammation in the body. At the same time, the rehabilitation performed in both groups of patients significantly improved the state of microcirculation, but did not significantly reduce the activity of chronic inflammation. In addition, the authors proved that the effectiveness of the rehabilitation program optimized by the procedures of interval hypoxic-hyperoxytherapy statistically significantly has a greater positive effect on microcirculation in comparison with patients who underwent basic rehabilitation.