Medical-Social Expertise and Rehabilitation Indicators in Patients with Chronic after Roascularization
Journal Title: Український журнал медицини, біології та спорту - Year 2017, Vol 5, Issue 3
Abstract
Current research is a part of "Development of expert clinical approaches to assessing disability and disabled patients with rheumatic impressions joints, internal organs and the definition of rehabilitation potential in various stages of diseases» study, № state registration 0105U007832, IN.05.06 code. Objectives. The article is based on the analysis of disability and rehabilitation indicators in the Dnipropetrovsk region from 2015-2016 years. (KO "ITU Regional Clinical Center DOR" (chief doctor, PhD VM Kontsur. M. Dnipro) The paper examines the possibility of rehabilitation cardiac surgical treatment of CHD and to determine medical and social approaches to the definition of disability groups in patients with coronary heart disease after CKD. Results and discussion. According to the analysis of ITU documents (Forms 088 and a history) disabled due to coronary artery disease patients were examined. They underwent surgery on the heart in 2016 in Dnipropetrovsk region, stated that satisfactory results in the first year were: the complete disappearance of angina - in 31% of patients reduction of FC angina - in 69% of operated (of which more than half in two classes). Ability to work was restored in 32.5% of patients. Thus, the percentage of rehabilitation of disabled people with coronary heart disease after surgery in 2016 in Dnipropetrovsk region was 42.4%, indicating high potential of rehabilitation operations to restore coronary circulation. Conclusions. CHD, along with the diseases of the CCS, is the main cause of death and disability, both in Ukraine and all over the world. Myocardial revascularization in patients with coronary heart disease is a recognized and effective mean of treating progressive and resistant to medical treatment forms of coronary insufficiency and is considered an effective rehabilitation factor. Analysis of expert examination of people with disabilities in the Dnipropetrovsk region for the 2014-2016 demonstrated that myocardial revascularization in patients with coronary artery disease is an effective factor for rehabilitating people with disabilities. The percentage of rehabilitation of invalids with coronary heart disease after surgical interventions in 2016 in the Dnipropetrovsk region was 42.4%, which indicates that high rehabilitation potential of revascularization operations. The management of surgical methods of revascularization in patients with coronary heart disease leads to an improvement in the quality of life by increasing tolerance to physical activity. However, the results of surgical treatment not always lead to a complete recovery of the patients. Approximately 20% of patients undergoing revascularization do not restore their ability to work. The success of surgical restorative treatment depends on many factors: age, sex, and even material well-being. Such issues can be an acute topic for the further research.
Authors and Affiliations
L. Naumenko, I. Borisova, V. Berezovsky
Keywords
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