Method of correction of residual phenomena after suffering a cerebral circulation in the recovery period

 

(57) Abstract:

The invention relates to medicine, and neurology. The method includes medical therapy, massage, laser therapy. Laser therapy is three courses. The first course begins one month after acute disorders of cerebral circulation. Affect the projection of the center at the point the basic recipe: GJ4E36VC12MC6RP6. The second course was conducted one month after the first. Affect the projection of the carotid sinus on the right and left. Then expose to the point of fire" paravertebral. Further work on the area of projection of the aorta and pulmonary trunk in the second intercostal space to the left. Finish the procedure with acupuncture points on the basic recipe. The third course in 1.5 - 2 months after the previous one. Affect the projection of the cervical plexus C3- Th1right and left, then paravertebral LII- LIVthe right and left. Next on the pain points in the course precicesly limbs. Finish impact on basic receptor". The method shortens hospital stay. table 2.

The invention relates to medicine, namely to neurology. Restorative treatment when the consequences rasstroistvom, the correction of speech defects. To this end, the following types of treatment: medikamente - nootropil (piracetam) 10.0 V/N 10, Cavinton/(drip) 10 mg (2 mg in 0.5% aq) in breeding 200-300 ml of isotonic sodium chloride N 10, Actovegin/m 2.5 mg daily N 5, trental (pentoxifylline), 5 ml of 2% in 250 ml of isotonic R-RA or 5% aq glucose/(drip) within 90-150 min N 10, instenon/m 2.5 mg or 1-2 pills 3 times a day during the meal (Charles C. A. Therapy of neurological diseases, M., 1996, S. 187-190); Massage, physiotherapy, physiotherapy (Schmidt E. C. Vascular diseases of the nervous system. M.: Medicine, 1975 , S. 600-611).

Closest to the claimed method is the use of different devices for laser therapy for the correction of disorders of motor functions (Kozlov Century. And. , Bolin Century A. Laser therapy with the use of the "MUSTANG", M, 1998 , S. 143). Irradiation is carried out in the fields: in the paravertebral area of greatest tenderness to palpation (or movement), and 2 fields above and below the painful area (right and left). If necessary, influence of laser radiation along the trunk or in the area of projection of the nerve exit. Methodology: the contact, the wavelength of 0.89 μm, pulse frequency of 80 Hz, the power and impact of the 2-3 zone, without exceeding the dose of radiation in a single session of 0.3 j/cm2. After local exposure to applied laser reflexology zones basic recipe continuous emission wavelength of 0.89 μm, 5 watt. The treatment is 12-15 procedures, one procedure per day, 2 times per year with an interval of 6 months. However, this treatment has several disadvantages: there is no clear effect on the lesion, this technique corrigida only musculoskeletal disorders in the absence of positive dynamics in other systems, the treatment is too long, resulting in a total irradiation dose increases, the positive effect brightly expressed.

The aim of the invention is to increase the effectiveness of treatment, shorter hospital stay, reduced total dose of radiation.

This goal is achieved by the fact that patients who have had ischemic stroke, early recovery period (1 month after stroke) are laser treatment, consisting of three courses with an interval of 1-2 months. To ensure you can use the device "MUSTANG" or its analogs, 1 year - focal zone of projection of the focus. Impact PR area for 1-2 minutes. Course of 10 treatments, one treatment per day. Then apply laser acupuncture points "basic recipe", the head MLO, the wavelength of 0.89 μm continuous wave or modulated frequency of 2 Hz. Point GJ4E36VC12MC6RP6. The treatment is carried out on the background of traditional drug therapy with the inclusion of: vitamins B, C, A; angioprotectors; vasodilator tissue preparations; biogenic stimulators, 2 course is 1 month after the first in the outpatient setting. Methods - contact scanning. The irradiation head LO the following areas: first, the effect on the projection of the carotid sinus on the right and left, pulsed power 2-4 W, pulse frequency of 1500 Hz, the exposure duration of 1 minute; then irradiated points of fire paravertebral 3-4 fields to the right and to the left at the level of C1-Th3the wavelength of 0.89 μm, pulse power 2-4 W, pulse frequency of 150 Hz, the exposure time for a single zone 30 seconds, the translational movement is reflexive, then is the impact on the area of projection of the aorta and pulmonary trunk in the second intercostal space on the left with the pulse frequency of 1500 Hz, the exposure time is 30 seconds. Ends the session of laser acupuncture points "base R is CA after the previous one. Method of remotely scanning. Head LO. Point of impact: first, the projection of the cervical plexus C3-Th1right and left, the wavelength of 0.89 μm, pulse 4 W, pulse frequency of 1500 Hz, the exposure time is 2 minutes, the translational movement is reflexive; then paravertebral LII-LIVright and left pulse 4 W, pulse frequency of 80 Hz, the exposure duration of 2 minutes, the translational motion is recurrent, then the pain points in the course precicesly extremities, pulse power 3-5 W, pulse frequency 80-150 Hz, the exposure time per point 30 seconds; after affect "basic recipe" for 16 seconds at one point. The third course includes 10-15 procedures, one procedure per day, against the backdrop of massage precicesly limbs (10-12 massages). If necessary, repeated courses are in 1-1,5 years. Evaluation of the effectiveness of the treatment was carried out by clinical signs - the improvement of the General condition, decrease headaches, decrease in the severity of paresis and paralysis, complete or partial recovery of lost function of the extremities, increased tolerance to physical activity, the disappearance of weakness, eliminating emotional lability, norm is CLASS="ptx2">

Example. Patient R., 1943 birth, AMB.to. N 220327. In February 1996, he suffered a cerebral vascular accident in the ischemic type. Hospitalized in VAT, Semiluki, where he was treated by standard methods. (in/trental, aminophylline, Cerebrolysin, piracetam, soda scheme,/m Actovegin, vitamin therapy; massage precicesly limbs). Discharged after 2 months. On an outpatient receiving complaints about violations of the functions of the right hand and feet, impaired speech, weakness, disturbed sleep, emotional instability About-but: pale Skin, moderate cyanosis. In light vesiculae breath Cor - tone deaf, systolic murmur at the apex. HR-120 in 11satisfactory qualities HELL 150/75 mm RT.article The abdomen is soft, painless. Stool, urination is normal. Special status: the survey draws attention to the following. Pupils S= D, response to light saved, moderate weak convergence, pronounced asymmetry of the nasolabial folds, the language rejected to the left, pharyngeal reflex saved, motor aphasia. From other cranial nerves without pathology. Tendon reflexes D > S, hypertonicity right pyramidal type, active movements are absent on the right, the passive is difficult, the strength of extremities - right hand 2.0 points, privatescope type in the pool of the left middle cerebral artery, the recovery period. Pronounced hemiparesis of the right side of the body. Motor aphasia. Cerebral atherosclerosis, cardio GB II senior Patient treatment: medical therapy (nootropics, drugs, improves microcirculation), massage the right side of the body each day for 10 days, laser - 3 course. Laser therapy was performed with the apparatus "MUSTANG 016 1 course - focal area (the projection of the left middle cerebral artery). The exposure was carried out by the head LO (wavelength of 0.89 μm, it is 4 watts, frequency of 1500 Hz, the exposure time for zone 1-2 minutes). Course of 10 treatments, one treatment per day. Then used laser acupuncture points "basic recipe" (head MLE 3, the wavelength of 0.89 μm, pulse frequency of 2 Hz). Point GJ4E36VC12MC6RP6. The treatment was carried out on the background of traditional drug therapy with the inclusion of: vitamins B, C, A; angioprotectors; vasodilator tissue preparations; biogenic stimulators. 2 the course was conducted 1 month after the first in the outpatient setting. Methods - contact scanning. The irradiation head LO the following areas: first affect the projection of the carotid sinus on the right and left, the emission frequency of 1500 Hz, the duration of who is Th3(wavelength of 0.89 μm; 4 W, CHI 150 Hz, the exposure time for a single zone 30 seconds, the translational motion is returnable); after this has had an effect on the area of projection of the aorta and pulmonary trunk in the second intercostal space on the left with the emission frequency of 1500 Hz, the exposure time is 30 seconds. Finished a session of laser acupuncture points "basic recipe". The course was 10 procedures without medical therapy, one treatment a day 3 the course was conducted in 1.5 months after the previous one. Method of remotely scanning. Head LO. Point of impact: the projection of the cervical plexus C3-Th1the right and left. The wavelength of 0.89 μm, CHI 1500 Hz, the exposure time is 2 minutes, the translational movement is reflexive; then paravertebral LII-LIVright and left, CHI 80 Hz, the exposure duration of 2 minutes, the translational motion is returnable; next pain point along the right side of the body, 3 watt, CHI 80 Hz, the exposure time per point 30 seconds; after that, hit on the "basic recipe" for 16 seconds at one point. The third course consisted of 10 treatments, one treatment per day, against the backdrop of massage precicesly limbs (12 sessions). After the laser therapy 6 months after an acute cerebrovascular cu is hand CHN without pathology. Mild motor aphasia. Tendon reflexes S<D moderate hypertonicity right, passive motion in full, active right hand 60ono flexion in the elbow joint. Right foot 60o. Walking with support. Appeared flexion of the knee joint. No extensor movement in the I-V toes of the right foot. Palanisamy test runs with difficulty. In the Romberg unstable. Results of physical examination: CT in the left hemisphere in the area of projection of the middle cerebral artery clearly formed a cyst. USDG the increased linear speed of blood flow by 20%. Index MSCH and CF is reduced.

Data USDG are given in table. 1.

Data REG are shown in table. 2.

The effect of the proposed method of treatment consists of correction of disorders in the early recovery period, the prevention of late complications of cerebral circulation by restoring the blood flow cerebral blood flow; early recovery of lost functions and health; reducing the drug load on the body. According to E. C. Schmidt such patients are treated in hospitals 2-3 months (Schmidt E. C. Vascular diseases of the nervous system. M.: Medicine, La what treatment is continued in the outpatient setting.

Method of correction of residual phenomena after suffering a cerebral circulation in the recovery period, including medication, massage, laser therapy, characterized in that the laser is 3 courses: the first course begins in the month after the stroke impact on the area of projection of the focus laser radiation wavelength of 0.89 μm, pulse power 2-4 W, pulse frequency of 1500 Hz, the exposure time of 1-2 min, then held laser acupuncture points "basic recipe" GJ4E36VC12, MS6RP6one procedure a day for 10 days in conjunction with traditional medical therapy, a second course is held one month after the first outpatient drug treatment, affecting the projection of the carotid sinus to the left and right radiation wavelength of 0.89 μm, pulse 4 W, pulse frequency of 1500 Hz, the exposure time is 1 min, then irradiated points of fire paravertebral 3-4 field (right and left) at the level1-Th3radiation pulse power 2-4 W, pulse frequency of 150 Hz, the exposure time for a single zone 30, further work on the area of projection of the aorta and pulmonary trunk in the second intercostal space to the left, casana procedure daily for 10 days the third course is conducted in 1.5-2 months after the previous effect on the projection of the cervical plexus3-Th1the left and right radiation wavelength of 0.89 μm, pulse 4 W, pulse frequency of 1500 Hz, the exposure time is 2 min, then paravertebral LII-LIVright and left pulse 4 W, pulse frequency of 80 Hz, the duration of exposure for 2 min, followed by pain points during precicesly extremities, pulse power 3-5 W, pulse frequency 80-150 Hz, the exposure time of 30 s per point, to impact on the "basic recipe" by 16 at one point, one procedure a day for 10 days on the background of daily massages precicesly limbs.

 

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