Карандашов Владимир Ивановичд-р мед. наук, профессор, академик РАЕН, руководитель отделения лазерных биотехнологий и клинической фармакологии 2 Шатохина Светлана Николаевнад-р мед. наук, заведующая клиникодиагностической лабораторией 1 Санина Наталья Петровна-д-р мед. наук, профессор, декан факультета усовершенствования врачей 1 Рыжкова Оксана Юрьевна-врач поликлиники 1 Горбунова Елена Михайловна-мл. науч. сотр. кафедры терапии факультета усовершенствования врачей 1 Палеев Николай Романовичакадемик РАН, д-р мед. наук, профессор, заведующий кафедрой терапии факультета усовершенствования врачей 1

No abstract

It is known that neurotic disorders can be independent risk factors for the development of complications in patients with cardiovascular diseases. This requires the creation of new rehabilitation programs that include not only medicines but also physiotherapy. To this end, an analysis was made of the effect of complex treatment, including visual color impulse therapy, on the psychoemotional state of 80 patients with cardiovascular diseases, hypertensive disease and coronary heart disease, who also have asthenic-depressive symptoms. In this case, patients in two control groups received standard drug therapy, and in the two main groups received additional color pulse therapy from the «Mellon» apparatus. Dynamics of the psychoemotional state of patients was studied with the help of a test that determines the quantitative changes in the state of health, activity and mood, as well as the stress index that characterizes the regulation of the heart rhythm under stress. Prior to the start of treatment, functional disintegration of regulatory mechanisms was characteristic for all patients, which was accompanied by psychoemotional disorders that indirectly reflected the state of highly organized nervous processes in the cerebral cortex, which altered the values of SI stress index indicators and the «well-being, activity, mood» test. The regression statistical analysis was used in this work. As a result, the indications and contraindications to the use of this method of treatment were determined. After the course of complex treatment, including drug and visual color impulse therapy, positive dynamics in the patients’ state was revealed, which indicates an increase in the functional capabilities of their body, and also, given the good tolerability of visual color impulse therapy, the feasibility of including this method in complex treatment at any stage of rehabilitation.

The article presents the results of the application of photochemotherapy for the combined rehabilitation treatment of the patients suffering from bronchial asthma. The assessment of the effectiveness and the impact of this treatment was made on the basis of changes of the indicators of blood rheology as one of the components of pathogenesis of this disease with due regard for the signs and symptoms characterizing the clinical course of this condition. It has been demonstrated that 74 patients presenting with bronchial asthma experienced the statistically significant restoration of the altered rheological parameters of blood and the general improvement of the clinical course of the disease under the influence of photochemotherapy in comparison with the results of the baseline treatment obtained in the remaining 42 patients. The effect of optical radiation of blue and red light on the clinical course of bronchial asthma was more pronounced than that of the conventional treatment. The two therapeutic modalities were virtually identical when evaluated based on the effectiveness criteria, but differed in terms of the mechanism of action on the body.