THE COMBINED SULPHIDIC BALNEOPELOIDOTHERAPY OF VARIOUS DURATION AT PATIENTS WITH THE ARTERIAL HYPERTENSION WITH DIFFERENT RISK FACTORS OF CARDIOVASCULAR DISEASES
The purpose of this study was to evaluate the effectiveness of different lengths of treatments patients with essential hypertension with application of sulfide balneopeloidotherapy and local alternating magnetic field depending of the presence of risk factors - obesity and smoking.First comparative evaluation of the hypotensive effect of the 21-day and 14-day courses of Spa treatment using the therapeutic complexes of mineralized sulfide baths and applications silt sulfide mud on the collar area is carried out. It is established that 21-day course of Spa therapy causes a decrease in blood pressure, normalizes daily blood pressure variability, reduce endothelial dysfunction, reduced tone of the sympathetic division of the autonomic nervous system, has a hypocholesterolemic effect. The shortening of the Spa treatment up to 14 days reduces the severity and duration of the hypotensive effect, and reduces a positive effect on the autonomic nervous system, eliminates the endothelial-protective and cholesterol-lowering effect. First established that the inclusion of local magnetic therapy for the shortened course of balneopeloidotherapy sulfide potentiates hypotensive effect, increases the impact of treatment on hemodynamic, autonomic, and endothelial mechanisms regulating blood pressure. It is established that Smoking and obesity decrease the hypotensive effect of sulfide balneopeloidotherapy.