RESUMEN
The efficacy of physiotherapy (induction therapy, microwave irradiation, acupuncture) for chronic bronchitis with obstructive syndrome (254 patients) was evaluated in relation to the disease genesis and the nature of bronchial obstruction by clinical, functional and biochemical evidence. The best results in restoration of the bronchial patency were obtained in patients with transient obstruction of allergic origin. This fact can be attributed to enhancement of the activity of proteinase alpha 1-inhibitor and kininogenase inactivation. Of all the modalities used, induction therapy and acupuncture proved the most efficient. The authors propose differentiated indications for the physiotherapy variants with regard to pathogenetic specificity of the disease.
Asunto(s)
Bronquitis/rehabilitación , Modalidades de Fisioterapia/métodos , Adulto , Bronquios/fisiopatología , Bronquitis/diagnóstico , Bronquitis/etiología , Bronquitis/fisiopatología , Enfermedad Crónica , Estudios de Evaluación como Asunto , Femenino , Humanos , Masculino , Persona de Mediana Edad , RespiraciónAsunto(s)
Bronquitis/terapia , Colonias de Salud , Enfermedad Crónica , Femenino , Humanos , Masculino , MatemáticaRESUMEN
Clinico-x-ray-laboratory investigation, bronchoscopy were performed, respiratory function and ECG were studied in 212 patients with different forms of chronic bronchitis. Six groups of patients were defined with relation to the presence or absence of obstruction, its nature (permanent, transient), prevalence (small, medium and large bronchi), genesis of disease (inflammatory, allergic). The characteristics of the groups and their clinico-x-ray, functional and immunological features were presented. Treatment including methods of climatotherapy, exercise therapy, pharmacological agents (antibacterial, broncholithic and antihistaminic), physiotherapy and administered with relation to the defined groups, proved to be effective. The improvement of bronchial permeability was noted in 49.5% (ranging from 40.0 to 68.7% in different groups).