A method for the treatment of children with primary arterial hypertension 1-b stage

 

(57) Abstract:

The invention relates to medicine, and had to Pediatrics, and can be used in the treatment of children with primary arterial hypertension 1-B stage. The essence of the method consists in carrying out after adaptation mos balneotherapy by the total hydrogen sulfide baths with the addition of acupuncture daily for 10 days. The method is ready to use and requires no maintenance cost. table 2.

The invention relates to medicine, namely Pediatrics, and can be used in the treatment of children with primary arterial hypertension 2-B stage.

There is a method of treatment of children with primary arterial hypertension 1 a - B Art. by hydrogen sulfide baths with hydrogen sulfide concentration of 50 mg/l, water temperature 36oC with an exposure of 5 to 10 min at a rate of 8-10 baths every other day.

However, when using the known method of stable hemodynamic does not occur.

The purpose of the invention is the reduction of treatment time and lengthen remission by improving processes hemodynamics.

This objective is achieved in that after the five-day adaptation of the child to the resort In the days of the baths iglorefleksoterapii spend 2-3 hours after taking a bath.

The vacation scheme procedures are given in table. 1.

The method is as follows.

Children (12-14 years) with primary arterial hypertension 1-B stage after a five-day adaptation designate hydrogen sulfide baths with a concentration of hydrogen sulfide 100 mg/l (the first introductory tub 50 mg/l) at a water temperature of 36oC, duration 4 -10 min with an exposure of 1 minute Acupuncture is connected to a common treatment on the seventh day the child's stay in the resort, in 2-3 hours, if hydrogen sulfide baths coincide with acupuncture (after a bath).

Needle injected into the corporeal acupuncture points for 30-40 minutes on the second, so-called brake option, followed by a 20-minute rest. For procedures used steel needles Russian production.

Recipe conduct of acupuncture on the day of treatment:

First day: qu-no GI-II(2); Hae-GU GI-4(2); San-Yin-Jiao PP-6(2) the treatment begins with classical acupuncture points, providing a tonic and sedative effect, as well as effective for high blood pressure.

Second day: Shan-men C-7(2), nei-Guan MC-5(2), zu-San-Li E-36(2) for the normalization of the functional state of the nervous system, uluchshennoe pressure.

Third day: Wai Guan TR-5(2), Zhu Y-11(2), FEI-Shu Y-13(2) to influence collar zone centers of the sympathetic and parasympathetic nervous system, and for removing neurotic layers.

Fourth day: Wai Hui T-20, Hsin-Shu Y-15(2), GE-Shu Y-17(2) - to relieve headaches, dizziness, feeling of heaviness in the heart and heartbeat.

Fifth day: Qi-Hai-Shu Y-24(2), Da-Nan-Shu Y-25(2), Shen-Shu Y-23(2) - to restore the normal action of the kidneys, removing, neutralizing factor in renal hypertension.

Sixth day: Wai Guan TR - 5(2), Zhu Y-11(2), FEI-Shu Y-13(2) is to normalize tone of the sympathetic nervous system, effects on spinal cardiovascularly centre and provide a sedative action.

Seventh day: Wai Hui T-20, Hsin-Shu Y-15(2), the gay-Shu Y-17(2) to relieve cardiac layers, normalization of cardiac function and cerebral-vascular symptoms.

Eighth day: Qi-Hai-Shu Y-24(2), Da-Chang-Shu Y-25(2), Shen-Shu Y-23(2) in order to affect spinal kidney center, for removal of renal layers in hypertension.

Ninth day: Shen-men C-7(2), nei-Guan MC-5(2), Susani-Lee E-36(2) - for the obtained positive results, normalization and who is to normalize blood pressure, rendering sedative-normalizing, restorative actions.

Paired dots used on both sides symmetrically and simultaneously no more than six points per procedure. The combination of all the above points is the main therapeutic iglorefleksoterapevta recipe.

Example. Patient M., aged 14. Diagnosis: Primary arterial hypertension 1-B senior

The child from the second physiological pregnancy, was born full-term. Before the year grew and developed accordingly. Transfer windy pox, laryngotracheitis, 2 times per year sick colds, sore throats. The burdened heredity; hypotonic disease suffering mother, sisters in adolescence was observed raising HELL.

From 1992 began to be troubled with headaches, dizziness. HELL 170/100 mm RT Art. Boy surveyed institutions endocrinology and surgery to them. Bakulev - excluded symptomatic hypertension. Received anti-hypertensive drugs. Ambulatory received symptomatic treatment.

Upon admission to the clinic of the Institute, the complaints of headache, dizziness, drowsiness, fatigue. Height 168 cm, weight of 63.7 kg Skin clean, moderately wet is s heart: relative cardiac dullness left +1 cm from the liners of the line. Apical impulse in the Y-intercostal space, the colours are muted, rhythmic accent of II tone of the aorta. On top short systolic murmur of moderate intensity, outside of the heart is not carried out, after the load is weakened. Pulse 80 BPM 1 min AD (right hand) 150/90 mm RT. century AD (left hand) 140/80 mm RT.article.

The results of the survey: blood Hb 144,4 g/l, er-4,51012/l CPU is 0.86, L-7,05109/l, ESR-3 mm/h, C/I-46, C/I-2, e-2, M-12, L-38. Clinical analysis of urine within normal limits. Weight peptides 0,364 srvc. ed, catalase serum 16,73 ľkat/l ceruloplasmin - 0,217 mg/l, diene conjugates 1,67 Rel.ed., malonic dialdehyde 36,01 nmol/ml. the results of the ECG : rhythm 66 1 min, RR - 0,95", PQ - 0,16", QRS - 0,08", QT - of 0.36. Sinus rhythm, is semi horizontal position of the electrical axis of the heart. Signs of left ventricular hypertrophy, incomplete blockade of the right leg PA GIS.

Ultrasound examination of the kidneys: secretory-excretory function of the kidneys is not broken.

Indicators of Echocardiography: HR - 63 beats per 1 minute, HELL systolic 140mm RT. Art., diastolic 90 mm RT.art., srednetehnicheskoe 113 mm RT.art., UO - to 75.2 ml, MO - 47 l, SI and 2.79 g/min/m2The round - 1961 Dyne/cm/s, STS - 42,4 srvc.ed. The results of Bicycle ergometry: the heart rate of 82 beats per minute, BP of 140/90 mm is., at the 3 minute mark III load 160 BPM 1 min, 185/100 mm RT.art., Heart rate and blood pressure during the recovery period (4 minutes): 96 beats/min, 140/90 mm RT.article Index DP (Sadh HR/100 at the height of the load) - 296.

Physical performance - 503,2 m/min during Bicycle ergometry III load began to complain of headache, shortness of breath, fatigue. Headache preserved during the day.

After the examination on the sixth day after the adaptation period the child receiving treatment by the proposed method: hydrogen sulfide baths with a concentration of hydrogen sulfide 100 mg/l (the first introductory bath 50 ml/l) at a water temperature of 36oC, lasting from 4 to 10 min with exposure time of 1 min, at a rate of 8 baths every other day. On the seventh day, free baths, prescribed course of acupuncture, daily N 10, in the days of baths acupuncture was released in 2-3 hours after taking a bath. In addition, in the days free from the bath, the child received medical physical culture, dosed walking, using sports games.

Acupuncture child moved well. Already after the first 4 treatments disappeared complaints about dizziness, headache. HELL decreased to 130/80 mm RT. Art. When receiving hydrotherapy patologicheskoi mm RT. Art. During physical activity complaints the child is not present, sports games did willingly. General medical complex on the proposed method, the child moved well. Clinical analyses of blood, urine, ECG after treatment by the proposed method is within normal limits. The results of echocardiography: the heart rate of 66 beats/min, BP systolic 130 mm RT.art., diastolic blood pressure is 80 mm RT.art., PP 72,5 ml, MO - 4.2 l, C-2,43 l/min/m2The round - 1923 Dyne/cm/s, STS - 40,4 services. unit Data of Bicycle ergometry: the heart rate is 72 beats/min, BP-130/80 mm RT.art., HR and BP in the 3 minutes I load 108, 150/90 mm RT.art., at the 3 minute mark II load - 125, 160/90 mm RT.art., HR and BP in the 3-minute mark III load 145, 165/90 mm RT.article During the recovery period (4 min) - 86, 130/85 mm RT.art., index DP - 239,6. Physical performance 764,3 KGM/min

As a result of the treatment, the child's positive dynamics of clinical data: there are no complaints, heart sounds become zvuchanie, systolic murmur of lesser intensity, pulse 76 beats/min, BP 120/80 mm RT.article The child was discharged with significant improvement. According to the follow-up monitoring within 12 months of trips to the hospital at the place of residence was not.

From the table it is evident that the child has 10 positive cDNA the basis of counting the number of signs (indicators) with favorable dynamics. When this is installed the following categories of assessments: a significant improvement - II signs with positive dynamics; improved - 6-10 marks; slight improvement - 1-5 signs; the worsening of adverse shifts.

In order to confirm the effectiveness of the proposed method of treatment the study and treatment of 80 patients children with primary arterial hypertension 1-B stage 12-14 years.

Depending on the received treatment of sick children were divided into 2 groups.

Group I - 40 children received treatment for the prototype, the treatment of hydrogen sulfide balneotherapy 50 mg/l concentration of hydrogen sulfide.

Group II - 40 children received treatment by the proposed method by assigning mos balneotherapy in hydrogen sulfide concentration of 100 mg/l after a day on the course 8 baths with the inclusion of acupuncture daily N 10 on the course of treatment.

Groups of patients were identical by gender, age and duration of the disease (within 2 years).

The treatment in both groups contributed to the favorable changes in subjective status. After treatment by the proposed method subjective complaints was stopped, whereas when the Le is Finance PAT in children depends on the type of hemodynamics, i.e., the coordinated relationship between cardiac output and peripheral resistance to blood flow. In most cases, were identified and hyperkinetic akineticheskie types of blood circulation.

After treatment in the group of children treated on the prototype, there was a decrease in systolic, diastolic and average dynamic AD more pronounced therapeutic effect identified in the hyperkinetic type of blood circulation by reducing the stroke volume (PP).

So, before treatment systolic blood pressure was (RUB 127.3 3,51) mm RT.art., and after treatment (117,6 2,63) (p < 0,05); diastolic: before treatment (72,7 2,45) mm RT. Art. and after treatment (65,4 2,11)(p <0,05); srednetehnicheskoe HELL - before treatment (89,3 2,82) mm RT.art., after treatment - (82,8 2,33) mm RT. Art. (p < 0,05). UO before treatment was (82,1 4,63) ml after treatment (76,7 to 3.73) ml (p < 0,05). Changes SVR were observed. Positive shifts in eugenetics type of circulation was due to the decrease in SVR (before treatment 2623,1 183,4) Dyne/cm/s after treatment (1883,0 143,7) Dyne/cm/s (p < 0,01).

In the group of children treated by the proposed method, accurate shifts marked with hyperkinetic type of circulation, and at akinetic the ski the HELL was going on in the background of a significant reduction in UO (before treatment 85,8 4,14 ml, after treatment 74,6 to 3.67 ml, p < 0,05). We also observed a decrease in minute volume (ml) from 7,51 0,49 to 5.58 of 0.36 l (p < 0,01). Significantly decreased systolic index (SI) from 4,58 0,30 to 3.56 of 0.21 (p < 0,01). SVR remained within normal limits. When eugenetics type of circulatory positive dynamics was held against the backdrop of significant decrease SVR (2283,1 162,5 before treatment and 1624,4 129,4 Dyne/cm/s after treatment (p < 0,01). Significantly decreased systolic blood pressure with 129,4 3,27 to 122,1 2,41 mm RT.art., p < 0,05; diastolic - from 73.1 2,68 to 64.5 2,47 mm RT.art., p < 0.02 and the mean diastolic blood from 92.3 3,12 to 81,5 mm 2,56 RT.art., p < 0,01. The decrease in HR was observed when the hyperkinetic type blood from 86.1 2,56 to 77.6 2,09 (p < 0,02) beats/min, and at eugenetics with 83,7 2,43 to 76,2 2,11 (p < 0,02) beats/min

Thus, the pronounced hypotensive effect, increased tolerance to physical load and consequently the improvement of the General condition and clinical benefits in the treatment of the proposed method, it was noted in 86,7 1,56% of cases, while in the treatment method-prototype - only 72,2 of 2.21%.

Periods of remission in the treatment of the proposed method was 12 months, while in the method prototype remission does not exceed 6 months.

1 treatment for children with primary arterial hypertension by common hydrogen sulfide baths at a concentration of 50 mg/l of hydrogen sulfide, characterized in that after an adaptation period of total hydrogen sulfide baths is carried out at hydrogen sulfide concentration 50 - 100 mg/l, ranging from 4 to 10 min, with an increase in each subsequent procedure for 1 minute, a day, a course of 8 baths, on the background of acupuncture, which begin after the first bath, daily for 10 days by the introduction of corporeal needles in acupuncture points on 30 - 40 min according to the second variant of the brake method.

 

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EFFECT: higher efficiency of correction.

2 ex, 5 tbl

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