Experience in the use of rehabilitation treatment for patients who have undergone COVID-19, on the basis of the branch "Sanatorium "Sosnovy Bor"

Since June 2020, the branch "Sanatorium" Sosnovy Bor "of JSC" Belagrozdravnitsa "has been providing sanatorium treatment for patients with pneumonia associated with COVID-19 infection. spa treatment and rehabilitation of more than 800 patients with pneumonia associated with COVID-19 infection.
In accordance with the Program, depending on the length of stay in the sanatorium, the patients were assigned an appropriate frequency of examinations and medical appointments: doctor's appointment, diet therapy, herbal medicine, mineral water intake, morning hygienic gymnastics, gentle exercise therapy with elements of breathing exercises, dosed therapeutic walking , including Scandinavian, workout in the gym, electric light therapy up to 2 procedures (magnetotherapy, nadvenous laser therapy, electrophoresis on the chest with drugs, polarized light on the chest), amber aeroionotherapy, speleotherapy, inhalation, dry carbon dioxide baths, individual or collective psychotherapy, manual or hardware massage on the chest, etc. Balneotherapy was prescribed in the form of immersion baths (1.5 months after the infection) and thermal procedures using local methods. According to indications, individual patients received intravenous drip infusions of ozonized saline and hirudotherapy. From April 2021, it is planned to supplement the program with the “Sleep on hives” health improving method, which will enhance the immune status of patients.
The average frequency of the provision of medical services was 8-10 procedures for each item.
Of the laboratory and instrumental methods, the studies were performed according to the indications: OAC, OAM, LAC, hemostasiogram, ECG, spirometry, heart rate, RR, NIBP were controlled, thermometry 2 times a day, SpO2. The median duration of treatment was 18 days.
The majority of patients, according to the results of the past rehabilitation, noted significant improvements, namely: increased exercise tolerance, normalized sleep, decreased shortness of breath, improved psycho-emotional state (especially in patients staying in intensive care units during treatment, as well as those who have suffered thromboembolic complications).
Based on our experience, it should be noted that the efficiency and significance of the sanatorium-resort stage of treatment of patients who have undergone COVID-19 infection is quite high. It is necessary to add that only a comprehensive approach to the conduct of rehabilitation treatment maximally normalizes the impaired functions of organs and systems, prevents possible complications, significantly improves the patient's quality of life, and reduces the risk of disability, especially among the working-age population.
Carrying out rehabilitation treatment in a sanatorium-resort institution reduces the load on the outpatient and inpatient network, and allows you to complete the course of treatment in full.