ЭФФЕКТИВНОСТЬ ФИЗИОТЕРАПИИ У РАБОТНИКОВ РЕЧНОГО ТРАНСПОРТА, ИМЕЮЩИХ ДОКЛИНИЧЕСКИЕ СТАДИИ СЕРДЕЧНО-СОСУДИСТЫХ ЗАБОЛЕВАНИЙ, И ФАКТОРЫ РИСКА ИХ РАЗВИТИЯ

Abstract

Aim. The primary objective of this study was to evaluate the effect of physical therapy on blood pressure, dyslipidemia, the level of somatic and mental health, and cardiovascular risk in river transport workers with preclinical stages of cardiovascular disease and risk factors for their development. Methods. Sixty-two employees of JSC "Tomsk Shipping Company" who were divided into 2 groups were studied. The first group consisted of riverboat workers with risk factors for cardiovascular disease, and the second group included workers with preclinical stages of cardiovascular disease and risk factors for their development. In the river transport crew, the correction of the main risk factors for cardiovascular disease was carried out following the DASH diet, moderate physical activity, application of physical factors, preventive talks, and biofeedback training. In preclinical forms of cardiovascular disease (AH of the 1st degree), complex hypotensive therapy was also applied. To study the effectiveness before and after physical therapy, BP was recorded, the level of somatic health and psychoemotional status was evaluated, the adaptation potential was calculated, the contents of total cholesterol and low density lipoprotein cholesterol, as well as absolute or relative cardiovascular risk were determined. Results. Therapeutic and prophylactic measures allow to increase adaptation and psychological capabilities of rivermen, to normalize blood pressure in all workers of the river transport crew under 40 years old, to reduce the degree of arterial hypertension in workers over 40 years old, to reach target values of total cholesterol and low density lipoprotein cholesterol in 18% of cases, to increase the level of somatic health in 1/3 of workers, and to reduce the level of cardiovascular risk in 38% of workers. Conclusion. The therapeutic and prophylactic measures carried out on the seafaring personnel had positive hypotensive, antispastic, antianginal, hemodynamic, lipid-correcting, and adaptogenic effects.