Key result
Adding interval normobaric hypoxic therapy to basic rehabilitation increased the frequency of positive restorative results by 13.1% and target blood pressure achievement by 9.7%.
Why the study?
The effect of adding interval normobaric hypoxic therapy to basic cardio-respiratory rehabilitation on effectiveness and quality of life in hypertensive patients with dust COPD was not well established.
Does the addition of interval normobaric hypoxic therapy to basic rehabilitation improve quality of life and clinical outcomes in hypertensive men with dust-induced COPD?
Does the addition of interval normobaric hypoxic therapy to basic rehabilitation improve quality of life and clinical outcomes in hypertensive men with dust-induced COPD?
The addition of interval normobaric hypoxic therapy to standard rehabilitation improves blood pressure control, reduces hypertensive crises, and enhances quality of life in hypertensive men with dust-induced COPD.
May support adjunctive hypoxic therapy in hypertensive dust-induced COPD; leaves open causal benefit pending randomized confirmation.
The aim of the study was to analyze the effect of two rehabilitation regimens on the effectiveness and quality of life in hypertensive patients with dusty chronic obstructive pulmonary disease (COPD). The study included 73 hypertensive patients (all men) with dust COPD. Patients of group 1 (n = 38) received only the basic cardio-respiratory complex of rehabilitation measures, and the representatives of group 2 (n = 35) received sessions of interval normobaric hypoxic therapy (INBHT) in addition to the basic complex. The control group included 40 practically healthy men of the same age. The basic program included a set of methods: electrosleep, magnetotherapy, sinus module currents, diadynamic currents, franklinization, darsonvalization, laser therapy, electrophoresis, kinesitherapy, massage, reflexotherapy. For INBHT, daily 15-day sessions were used in the Bio-Nova 204AF installation (manufactured by the Scientific and Technical Association Bio-Nova, Moscow, Russia). Statistical data processing was carried out using the software package for statistical analysis Statistica 6.0. The result of a comprehensive cardio-respiratory rehabilitation program was an increase in the effectiveness of restorative measures and an improvement in quality of life indicators, which was achieved through the synergistic effect of traditional approaches with INBHT sessions. Such a comprehensive program had a more pronounced beneficial effect on both the course of hypertensive and respiratory syndromes. The proposed rehabilitation approach can further improve the effectiveness of restorative measures (by 13.1 % increase the frequency of positive results), increase the frequency of reaching the target level of blood pressure by 9.7 %, reduce the frequency of complicated and 7.9 % uncomplicated hypertensive cases by 4.1 %. Crises, improve bronchial patency and diffusion capacity of the lungs, partially restore the complex of psychological, social and pain parameters of the quality of life.
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Ignatenko et al. (2023) studied Hypertension and chronic obstructive pulmonary disease of dust etiology (n=113). Interval normobaric hypoxic therapy (INBHT) plus basic rehabilitation vs. Basic cardio-respiratory complex of rehabilitation measures was evaluated on Effectiveness of restorative measures and target blood pressure achievement. Adding interval normobaric hypoxic therapy to basic rehabilitation increased the frequency of positive restorative results by 13.1% and target blood pressure achievement by 9.7%.
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