Method for the diagnosis of gastric ulcer and duodenal ulcer
(57) Abstract:The invention relates to medicine, gastroenterology. Hold the measuring skin resistance and skin temperature at the points. Phase of the disease set by the deviation of the points on the meridians TR (triple heater), C1 (colon), RP (pancreas). The method improves the accuracy of diagnosis. 2 C.p. f-crystals, 1 table, 4 Il. The invention relates to medicine, in particular to a gastroenterologist, and can be used for the diagnosis of peptic ulcer disease.Differential diagnosis of peptic ulcer disease (PUD) gastroduodenal and gastritis, duodenitis can be difficult due to the presence of similar complaints and symptoms. Usually for the diagnosis of these diseases are fibrogastroduodenoscopy (FGDs), x-ray examinations. However, FGDs, cannot be applied in a wide range of related diseases and conditions (ischemic heart disease, cerebrovascular disease, chronic and acute bronchopulmonary disease, pregnancy and so on). X-ray studies with great technical complexity, high cost, significant radial load on the body Pacinotti YAB cannot be considered universal, are expensive, can cause undesirable complications.The known method of electropuncture diagnosis of peptic ulcer disease [Kozlov Century, and others, 1984]. The state of the BATH depends on the state of the functional systems of the body. Dynamics of activity of these systems is reflected in changes in biophysical parameters BAHT. However, the most complete information about the state of the BATH is obtained by setting the standard autonomic tests (SVT cyto) but the method newschina - Gaidamakina . It is based on the determination of the electric resistance (CER) and skin temperature (TC) in the so-called points-the accomplices located in the region of the wrist and ankle joints 12 main acupuncture meridians associated with offset their bodies. The temperature of the skin reflects the state of the parasympathetic (PS), and electric resistance - sympathetic (C) ANS. The measurements are performed using Unit testing "TTOs Test" and take no more than 10 minutes. The data obtained are recorded in a test map SVT cyto with a medial levels of physiological corridors, reflecting the General state of the PS GNH and GNH, their tone on each of the acupuncture meridians. In the case of and the physiological limits of the corridor. Deviations from these parameters indicate the violation of the tone of the ANS as a whole and on individual acupuncture meridians, which are not always accompanied by the appearance of pathology it is offset in the body.The aim of the invention is to improve the accuracy of early diagnosis of gastric ulcer and duodenal ulcer.This objective is achieved in that, according to SVT cyto using Unit testing within the context of the Test is measured CT (in the attached maps marked by a solid line) and EX (in the attached maps marked with a dotted line) on fixed points 12 acupuncture meridians. The results are entered into the working map SVT cyto (see Fig. 1-4). Peptic ulcer and duodenal ulcer diagnosed by the following criteria:
1) the acute phase of the disease set to reduce the curve of the electric resistance of 30% or more from the average on the meridians TR, GI, lifting curve of the electric resistance by 50% or more from the average on the Meridian RP, reducing the temperature curve below average on the meridians TR, GI, RP;
2) the remission phase set to reduce the curve of the electric resistance of 30% or more RP, reduction of the temperature curve below average on the meridians TR, GI, RP.Dynamic observation of the patient is observed in patients with peptic ulcer 12 duodenal ulcer in the process of scarring defect of mucous tone reduction With VNS as a whole without increasing tone SS ANS. Gastritis, duodenitis, erosive gastroduodenitis curve EX may be similar to the curve in YAB, but never meets all the mentioned signs.The proposed method for the diagnosis of YAB is illustrated in the table of summary indicators SVT cyto 61 patient with stomach ulcer, 70 patients with peptic ulcer of the duodenum and in 10 healthy individuals, as well as maps SVT cyto some patients with the same disease at different stages of the disease. Along with the usual clinical examination in a specialized hospital diagnosis verified using EGD with biopsy, x-ray, electrogastrogram, determination of gastric secretion. These groups included patients with newly diagnosed disease, and suffering from them for several years. In all cases, the diagnostic curves when YAB answered these criteria and differences in the groups op is constituent of the test will give the following observations.The patient is in S. N., 41. For 14 years, suffering from gastric ulcer, the second during these years aggravation. Hospitalized in a planned manner with clinically typical acute 19.09.1997, Endoscopically (17.09.1997, on the rear wall of the channel gatekeeper is found to be defective mucous 0.7 cm in diameter, a depth of 0.3 cm, covered with a fibrinous coating, cicatricial deformity of duodenal ulcers, superficial gastritis. The results of CBT cyto shown in Fig. 2, SVT-gram meets all the above criteria YAB.As a second example, the results of the examination of the patient E.-Y. C. , 44 years old, suffering from peptic ulcer disease duodenal ulcer for about a year. Hospitalized with clinical signs of exacerbation 02.09.1997, Endoscopically 25.08.1997, on the back of the bulb of the duodenum revealed mucosal defect with a diameter of 0.8 cm, a depth of 0.3 cm, covered with a fibrinous plaque. Cicatricial deformity of the duodenal bulb. Superficial gastritis. SVT - gram of the patient from 02.09.1997, shown in Fig. 3. Visible typical change typical of YAB in the acute phase. After treatment and the normalization condition e is andcatherine ulcer, superficial gastritis. SVT - gram from 20.10.1997, is presented in figure # 4. Signs YAB visible, though, and begins the ascent of the curve EX on the Meridian TR (TR4).The proposed method for the diagnosis of ulcerative diseases of stomach and duodenum allows detection of this disease in mass examinations, such as the military commissions, preventive examinations, patients with complex comorbidities, pregnant. In the observation in the outpatient setting for patients with chronic gastroduodenitis the proposed method allows to establish the fact that the development of YAB, without resorting to the frequent use of endoscopic or radiologic technology. The method is available to any medical institution, has no contraindications, non-invasive, allows multiple dynamic studies of the patient for any period of time, does not require the use of expensive or complicated machinery.Sources of information
1. Electroacupuncture diagnosis in a complex examination of patients with peptic ulcer / Century, goats, etc. // Third all-Union Congress of gastroenterology November 19-21, 1984; - M. - L., 1984. - T. 1. - S. 416-418. 1. Method for the diagnosis of ulcerative who hold the measuring skin resistance and skin temperature, during this phase of the disease set the deviation indicators on the meridians TR (triple heater) at the point TR 4 (Yang Chi), GI (colon) at the point GI4 (Ho-Ho) and RP (pancreas) at the point RP3 (tai Bai).2. The method according to p. 1, characterized in that the acute phase set to reduce the curve of the electric resistance of 30% or more from the average on the meridians TR, GI, lifting curve of the electric resistance by 50% or more from the average on the Meridian RP, reduction of the temperature curve below average on the meridians TR, GI, RP.3. The method according to p. 1, characterized in that the remission phase set to reduce the curve of the electric resistance of 30% or more from the average on the Meridian GI, lifting curve of the electric resistance by 50% or more from the average on the Meridian RP, reduction of the temperature curve below average on the meridians TR, GI, RP.
SUBSTANCE: method involves carrying out urological examination for determining hydrodynamic resistance of ureter calculated from formula Z=8Lμ/(πR4), where Z is the hydrodynamic resistance of ureter, L is the ureter length, R is the ureter radius, μ is the urine viscosity. Angle α at which the ureter enters the urinary bladder is determined from formula cosα = 8l1μ/(ZπR4), where l1 is the perpendicular drawn from the upper edge of the ureter to the its exit projection line, μ is the urine viscosity, Z is the hydrodynamic resistance of ureter, R is the ureter radius. Vesicoureteral reflux recidivation is predicted when the angle of α+90° is less than 120°.
EFFECT: enhanced effectiveness in reducing the number of recidivation cases.
2 dwg, 1 tbl
SUBSTANCE: one should measure electric impedance of patient's middle ear. Electrodes should be applied in three localizations: auditory canal, anterior end of lower nasal concha and frontal skin. Electric impedance should be measured at the frequencies of sinusoidal signal being equal to 10, 30, 250 and 1000 Hz, the data obtained should be compared by values of electric impedance in the given area (middle ear) in the group of healthy patients. This method provides the chance to obtain comparative data for diagnostics of middle ear diseases.
EFFECT: higher accuracy of evaluation.
FIELD: medicine; medical engineering.
SUBSTANCE: method involves doing multi-channel recording of electroencephalogram and carrying out functional tests. Recording and storing rheoencephalograms is carried out additionally with multi-channel recording of electroencephalogram synchronously and in real time mode in carotid and vertebral arteries. Electroencephalograms and rheoencephalograms are visualized in single window with single time axis. Functional brain state is evaluated from synchronous changes of electroencephalograms, rheoencephalograms and electrocardiograms in response to functional test. The device has electrode unit 1 for recording bioelectric brain activity signals, electrode unit 2 for recording electric cardiac activity signals, current and potential electrode unit 3 for recording rheosignals, leads commutator 4, current rheosignal oscillator 5, synchronous rheosignal detector 6, multi-channel bioelectric brain activity signals amplifier 7, electrophysiological signal amplifier 8, demultiplexer 9, multi-channel rheosignal amplifier 10, multi-channel analog-to-digital converter 11, micro-computer 12 having galvanically isolated input/output port and personal computer 13 of standard configuration.
EFFECT: enhanced effectiveness of differential diagnosis-making.
11 cl, 6 dwg
FIELD: medical engineering.
SUBSTANCE: device has acting upon skin between electrodes with DC potential of given magnitude for producing temporary breakdown. Skin impedance is measured between measuring electrode first negatively polarized relative to control electrode and the control electrode, and then, DC current resistance is measured once more by means of measuring electrode positively polarized relative to the control electrode. Ratio of the obtained values is used for determining internal organ health state, corresponding to skin area.
EFFECT: enhanced accuracy of diagnosis.
11 cl, 14 dwg, 2 tbl
FIELD: poultry science.
SUBSTANCE: the present innovation deals with visual evaluation in chicken followed by testing them by the value of bioelectric potential. Chickens with bioelectric potential being significantly higher against average values are considered to be stress-resistant ones and those with bioelectric potential being significantly lower against average values in concrete population are concluded to be stress-sensitive ones. The method is very simple in its implementation and efficient for large-scale selection in poultry on stress-resistance.
EFFECT: higher efficiency.
1 cl, 2 dwg, 2 ex, 4 tbl
SUBSTANCE: the method deals with measuring geometric body size and electric impedances of patient's hands, body and legs at their probing with low- and high-frequency current due to current and potential electrodes applied onto distal parts of limbs, and, thus, detecting extracellular, cellular and total volumes of liquid in patient's hands, body and legs. While implementing the method one should additionally apply current electrodes onto left-hand and right-hand parts of neck, and potential electrodes - onto distal femoral parts. Body impedance (Zb) should be measured due to successive measuring the impedance of its right-hand Zrb and left-hand Zlb parts at probing current coming between electrodes of similar sides of patient's neck and legs to detect Zb, as Zb = Ѕ x (Zrb + Zlb), impedance of legs Zl should be detected due to measuring femoral impedance Zf and that of shins Zs, as Zl = Zf + Zs. At detecting the volumes of liquid in body and legs one should apply measured values of Zb and Zl, moreover, as geometric body size one should apply the distance against the plane coming through the upper brachial surface up to the middle of radiocarpal articulation in case of patient's hand being along the body.
EFFECT: higher accuracy of detection.
5 dwg, 2 ex, 3 tbl
FIELD: medicine; medical engineering.
SUBSTANCE: method involves applying electrodes to injured extremity tissue under study. The electrodes are arranged in diametrically opposite points of horizontal plane transaction to extremity surface. Two electrodes are applied to the other extremity. The electrodes are arranged in diametrically opposite points of horizontal plane transaction to extremity surface. An initial point is selected relative to which pairs of electrodes are equidistantly arranged on the extremity. Active and reactive impedance components are measured at the places of electrodes positioning. Viability condition of the injured extremity tissue under study is diagnosed depending on ratio of reactive to active impedance component on injured and intact extremity and difference between reactive impedance component on injured and intact extremity. Device has transducer unit, computer and unit for processing signals having interface units, central subscriber station, autonomous transmission center, commutator which input is connected to transducer unit output and commutator output is connected to central subscriber station input, the first input is connected to autonomous transmission center output.
EFFECT: high accuracy in diagnosing biological object condition.
5 cl, 5 dwg, 4 tbl
FIELD: medicine, psychotherapy.
SUBSTANCE: the method deals with correcting neurological and psychopathological disorders with anxiety-phobic symptomatics due to individual trainings. The method includes evaluation of body reaction to stimulating signals, seances of individual training performed due to the impact of two quasiantipodal stimulating signals of similar physical modality applied in time of sporadic character, and as a signal one should present biological feedback for the altered value of physiological parameter adequately reflecting body reaction to the impact of stimulating signal. At the first stage of training it is necessary to achieve body adaptation to the impact of quasiantipodal stimulating signals, at the second stage it is necessary to obtain conditional reflex for one out of stimulating signals, for this purpose one should accompany this stimulating signal with discomfort impact, during the third stage, finally, due to volitional efforts one should suppress body reaction to stimulating signal. The devise suggested contains successively connected a transformer of physiological parameter into electric signal and a bioamplifier, an analysis and control block with a connected block to present the signals of biological feedback, a block for presenting discomfort impact, an indication block and that of forming and presenting quasiantipodal stimulating signals. The innovation enables to have skills to control one's emotions, decrease sensitivity threshold to environmental impacts and learn to how behave during stress situations.
EFFECT: higher efficiency of training.
15 cl, 8 dwg
FIELD: medicine; medical engineering.
SUBSTANCE: method involves recording multichannel electroencephalogram, electrocardiogram record and carrying out functional test and computer analysis of electrophysiological signals synchronously with multichannel record of electroencephalogram and electrocardiogram in real time mode. Superslow brain activity is recorded, carotid and spinal artery pools rheoelectroencephalogram is recorded and photopletysmogram of fingers and/or toes is built and subelectrode resistance of electrodes for recording bioelectrical cerebral activity is measured. Physiological values of bioelectrical cerebral activity are calculated and visualized in integrated cardiac cycle time scale as absolute and relative values of alpha-activity, pathological slow wave activity in delta and theta wave bandwidth. Cerebral metabolism activity dynamics level values are calculated and visualized at constant potential level. Heart beat rate is determined from electrocardiogram, pulsating blood-filling of cerebral blood vessels are determined from rheological indices data. Peripheral blood vessel resistance level, peripheral blood vessel tonus are determined as peripheral photoplethysmogram pulsation amplitude, large blood vessel tonus is determined from pulse wave propagation time data beginning from Q-tooth signal of electrocardiogram to the beginning of systolic wave of peripheral photoplethysmogram. Postcapillary venular blood vessels tonus is determined from constant photoplethysmogram component. Functional brain state is determined from dynamic changes of physiological values before during and after the functional test. Device for evaluating functional brain state has in series connected multichannel analog-to-digital converter, microcomputer having galvanically isolated input/output ports and PC of standard configuration and electrode unit for reading bioelectric cerebral activity signals connected to multichannel bioelectric cerebral activity signals amplifier. Current and potential electrode unit for recording rheosignals, multichannel rheosignals amplifier, current rheosignals generator and synchronous rheosignals detector are available. The device additionally has two-frequency high precision current generator, master input of which is connected to microcomputer. The first output group is connected to working electrodes and the second one is connected to reference electrodes of electrode unit for reading bioelectrical cerebral activity signals. Lead switch is available with its first input group being connected to potential electrodes of current and potential electrodes unit for recording rheosignals. The second group of inputs is connected to outputs of current rheosignals oscillator. The first group of outputs is connected to current electrodes of current and potential electrodes unit for recording rheosignals. The second group of outputs is connected to inputs of synchronous detector of rheosignals. Demultiplexer input is connected to output of synchronous detector of rheosignals and its outputs are connected to multichannel rheosignals amplifier inputs. Outputs of multichannel bioelectrical cerebral activity signals amplifier, multichannel rheosignals amplifier and electrophysiological signal amplifier are connected to corresponding inputs of multichannel analog-to-digital converter. Microcomputer outputs are connected to control input of lead switch, control input of multichannel demultiplexer, control input of multichannel analog-to-digital converter and synchronization inputs of current rheosignals oscillator and synchronous detector of rheosignals. To measure subelectrode resistance, a signal from narrow bandwidth current generator of frequency f1 exceeding the upper frequency fup of signals under recording is supplied. A signal from narrow bandwidth current generator of frequency f2≠ f1>fup is supplied to reference electrode. Voltages are selected and measured at output of each amplifier with frequencies of f1, f2 - Uf1 and Uf2 using narrow bandwidth filtering. Subelectrode resistance of each working electrode is determined from formula Zj=Ujf1 :(Jf1xKj), where Zj is the subelectrode resistance of j-th electrode, Ujf1 is the voltage at output from j-th amplifier with frequency of f1, Kj is the amplification coefficient of the j-th amplifier. Subelectrode resistance of reference electrode is determined from formula ZA=Ujf2 :(Jf2xKj), where ZA is the subelectrode resistance of reference electrode, Ujf2 is the voltage at output from j-th amplifier with frequency of f2, Jf2 is the voltage of narrow bandwidth current oscillator with frequency of f2.
EFFECT: wide range of functional applications.
15 cl, 10 dwg
FIELD: medical engineering.
SUBSTANCE: device has divider, comparison unit, oscillator, acoustic radiator, controllable current source, stable constant voltage source, perspiration equivalent unit, key member, illumination source, conductivity transducer having two electrodes, the first commutator, delay unit, trigger, inverter, discharge unit, the second commutator and feeding voltage availability indicator unit. The first delay unit inputs and the first commutator inputs are connected to comparison unit output. The first commutator input is connected to the first oscillator input which delay unit, trigger and inverter are connected in series. Inverter output is connected to the second input of the first and the second commutator. The first input of the second commutator is connected to the other conductivity transducer electrode and its output is connected to device body via resistor.
EFFECT: reduced current intensity passing through patient skin; excluded negative influence upon skin during prolonged operation time on patient arm during hypoglycemia attack; low power consumption.
2 cl, 4 dwg