Possibilities of comprehensive rehabilitation in combination with vitamin and mineral preparations for patients who have undergone hospitalization COVID-19 form
Authors:   Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, Moscow, Romanov A. O. , Epifanov A. V. ,   Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, Moscow, Arkhangelskaya A. N. ,   Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, Moscow, Ivkina M. V. ,   Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, Moscow, Levchenko O. V. ,   Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, Moscow, Glazkova I. I. ,   Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, Moscow
Published: October 2024

Relevance. Rehabilitation of patients who have suffered severe and moderate COVID-19 is an urgent task of modern medicine. Today, the most important are rehabilitation measures for people who have undergone hospitalization. The goal is to study. The possibility of comprehensive rehabilitation of patients who have suffered hospital-acquired COVID-19, incl. using vitamin and mineral preparations. Materials and methods. A total of 195 consecutively recruited patients were examined. There were 2 groups of patients: with moderate severity (111 (56.92 %)) and severe severity (84 (43.0 %)). After discharge from the hospital, patients were randomly divided into 4 groups: Group A — 47 patients who received a rehabilitation complex, including therapeutic physical education (therapeutic and breathing exercises), physiotherapeutic treatment (inhalation and respiratory support) in accordance with the recommendations of the Ministry of Health Russian Federation, drug therapy in accordance with the recommendations of the Ministry of Health of the Russian Federation (anticoagulant therapy, if indicated — HMG-CoA reductase inhibitors, oral hypoglycemic therapy, ACE inhibitors and sartans); Group B — 49 patients who, in addition to the above methods, received vitamin preparations (vitamin D 1500 IU/day and vitamin C 30 mg/day); Group B — 48 patients who, in addition to the above methods, received mineral preparations (zinc 15 mg/day and selenium 70 mcg/day); Group D — 51 patients who, in addition to the above methods, received vitamins and mineral preparations in the previously indicated doses for groups B and C. The dynamics of mineral metabolism parameters were assessed. Results. During the examination of patients upon discharge from the hospital, a change in the content of macroelements was established: an increase in the level of potassium, sodium, sulfur and a decrease in calcium, as well as microelements: an increase in antimony and barium and a decrease in zinc, selenium and silicon. The most pronounced positive effect in terms of increasing the levels of essential macro- and microelements in the body (zinc, selenium and iron) in patients who had hospitalized COVID-19 was observed when using rehabilitation complexes in combination with vitamin and mineral preparations.