Evaluation of the effectiveness of rehabilitation of patients before coronary bypass surgery using dry carbon dioxide baths and respiratory training

BACKGROUND: Preoperative rehabilitation of patients before coronary bypass surgery using non-drug technologies is aimed at increasing adherence to treatment, improving psychoemotional stability and the results of surgical intervention and subsequent postoperative rehabilitation.

AIMS: the aim of the study was to evaluate the effectiveness of pre-rehabilitation of patients before coronary bypass surgery, including dry carbon dioxide baths and respiratory training in a day hospital.

MATERIALS AND METHODS: Under observation were 36 male patients aged 34–55 years before surgery for coronary heart disease. Depending on the activities carried out, the subjects are divided into two groups. Patients in the control group (n=18) received a basic complex of a lipid-lowering diet with salt restriction, therapeutic exercises in a small group method, dosed walking, sessions with a psychologist, and drug therapy. Patients of the main group (n=18) received, in addition to the basic complex, dry carbonic baths and respiratory training using breathing simulators.

RESULTS: The use of dry carbon dioxide baths and respiratory training in prehabilitation before coronary bypass surgery is accompanied by an increase in physical performance, improvement of clinical, hemodynamic and psychological parameters.

CONCLUSION: The inclusion of dry carbon dioxide baths and respiratory training in the complexes of preoperative rehabilitation of patients with coronary artery disease contributes to an increase in their adherence to treatment and surgical intervention, as well as to an increase in the effectiveness of postoperative rehabilitation.