ASSESSMENT OF THE TREATMENT OF PATIENTS WITH DISEASES OF THE CARDIOVASCULAR SYSTEM FOR MEDICAL CARE IN UNFAVORABLE WEATHER FACTORS DAYS

Kolyagina N.M., Berezhnova T.A., Kulintsova Ya.V., Elistratova O.S., Drapalyuk M.A.
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Abstract

Relevance. The impact of weather factors on the occurrence of exacerbations of diseases in weather-dependent people is currently one of the actively studied problems of medicine. A number of authors draw attention to the need to correct the functional status of weather-dependent patients with cardiovascular diseases in unfavorable weather conditions. Aim: to assess the possible relationship between the manifestations of exacerbations of cardiovascular pathology and adverse weather factors. Material and methods. The materials of the regional center for Hydrometeorology and environmental monitoring were used, and a database was formed that includes information on the average daily, maximum and minimum atmospheric air temperatures, and atmospheric pressure for each day of 2018. Results. Meteorological risk factors for exacerbation of cardiovascular diseases in the Central European part of Russia include uncharacteristic heat (above +30 0C) or severe frost (below -20 0C), sudden changes in air temperature (by 8 0C or more, both in the direction of its increase and decrease), atmospheric pressure drops of more than 6 mm Hg during the day. It is established that the range of changes in meteorological indicators during the annual cycle is quite wide. Conclusions. Evaluation of the relationship between the treatment of patients with leading forms of cardiovascular diseases for medical care and meteorological indicators (average daily, maximum and minimum atmospheric air temperatures, atmospheric pressure) showed that with the advance of the case of the disease by 1 day (hypertensive disease without heart failure, brain vascular lesions, cerebrovascular disease, hypertensive disease with heart failure, angina pectoris), statistically significant links of weak and moderate strength were revealed.
评价心血管系统疾病患者在恶劣天气条件下的医疗护理效果
的相关性。天气因素对天气依赖性人群疾病加重发生的影响是目前医学研究的热点问题之一。一些作者提请注意,需要纠正天气依赖的心血管疾病患者在不利的天气条件下的功能状态。目的:探讨心血管病理恶化的表现与恶劣天气因素之间的可能关系。材料和方法。利用区域水文气象与环境监测中心的资料,建立了2018年逐日平均气温、最高最低气温和逐日气压的数据库。俄罗斯中欧地区心血管疾病加剧的气象风险因素包括异常高温(高于+30℃)或严重霜冻(低于-20℃),气温突然变化(上升和下降的方向均为80℃或更高),白天大气压力下降超过6毫米汞柱。结果表明,各气象指标在年周期内的变化幅度较大。评价主要形式心血管疾病患者的医疗护理与气象指标(日均、最高、最低大气温度、大气压)之间的关系表明,随着病情提前1天(高血压病无心力衰竭、脑血管病变、脑血管病、高血压病合并心力衰竭、心绞痛),结果显示,弱强度和中等强度之间存在统计学意义上的联系。
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