Features of motor activity as a leading indicator of efficiency OF ERAS-program implementation in patients of surgical profile with excess

Abstract

The results of treatment of overweight patients according to the ERAS-program are presented. We compared different intensive care protocols and proved that it is best to add colecalciferol and sodium D-fructose-l,6-diphosphate hydrate to the main protocol. An increase in the amount of secretory active adipose tissue in the body is accompanied by a decrease in the bioavailability of vitamin D, a decrease in the level of 25(OH)D in the blood increases the level of parathyroid honnone. This leads to secondary changes in calcium-phosphorus metabolism, which makes it impossible to meet the mandatory conditions of the ERAS-program. Among the most important of them is the motor regime, which makes it necessary to fulfill the conditions of physical activity by the patient for at least 8 hours out of bed with full self-care. It was found that the addition of a solution of colecalciferol and a solution of D-fructose-l,6-diphosphate sodium salt of hydrate to the main protocol of perioperative intensive care directly affects the effect of rapid recovery after elective surgery, the quality of motor activity of patients by restoring lost muscle function. This is due to improving the quality of muscle activity as a powerful energy-dependent process against the background of improving the body’s adaptation to exercise, which promotes faster recovery of the cardiovascular response (heart rate) motor activity for 8 hours daily postoperatively.

Keywords: overweight, intensive care, ERAS-program, colecalciferol, D-fructose-1,6-diphosphate, motor activity’, heart rate, prognosis.