A method for the treatment of erysipelas

 

(57) Abstract:

The invention relates to medicine, and is intended for the treatment of erysipelas. The antibiotic is administered by electrophoresis on the affected area. After the above introduction impose cuff (except for the head, trunk, and external genitalia) with a pressure of 40 mm RT. Art. for 2 h and at the same time when the primary erysipelas spend the impact of low-energy laser radiation in a pulsed infrared range with a wavelength of 0,81-0.98 μm, a frequency of 10-100 Hz, 2.5 mW to inflammation and regional lymphonodi and lymph nodes for 20 minutes With repeated and recurrent disease spend intravenous laser irradiation of blood in the red range with a wavelength of 0.67 microns, the flow capacity at the end of the light guide 1-2 mW, in the course of treatment prescribed 10 daily procedures. The method allows to increase the effectiveness of the treatment of erysipelas.

The invention relates to medicine, namely to infectious diseases, and can be used to treat erysipelas of different localization.

The prototype of the invention is a method of treating erysipelas (RV) of the lower extremities with primenet. 24-26, "Clinical surgery" No. 1, 1987, page 67, "Clinical medicine" N 4, 1998, pp. 17-20). However, this method of treatment does not cover other localizations RV, in addition to lower limbs, limits the choice of antibiotics, and may also lead to complications such as necrosis of the skin and subcutaneous tissue at the injection site (the magazine "Soviet medicine", No. 3, 1988, pp. 102-104).

The technical result - the coverage of different locations RV, expanding the choice of antibiotic treatment, prevention of complications.

A method for the treatment of PB as follows: by electrophoresis on the affected skin area, mainly along the transverse method, enter the antibiotic with the anode or cathode depending on the polarity of the current part in the dissociation or both electrodes at the same time, exposure time from 15 to 300 min, 6-10 sessions and gradually increase the exposure time. Strip on both sides of the electrodes moistened with distilled water, and by the introduction of drug 3-4 layers of gauze moistened with a solution of the antibiotic. When applying electrode on damaged skin (bullous form PB with revelations of bubbles) wound treatment with 3% hydrogen peroxide solution and furacin (1:5000) use serodine antibiotic by electrophoresis impose cuff apparatus of the Riva-Rocci with the pressure in the cuff 40 mm RT.article for 2 hours in a horizontal position of the patient. Thus carry out electrophoretic saturation antibiotic lymphatic system (ANALS) due to the difficulty of venous outflow and stimulation lymphogenous suction in the area of the RV. Applying the cuff is not used in those parts of the body where this is not possible (torso, genitals) or harmful (head). The antibiotic is selected depending on the multiplicity of the disease (primary, recurrent, recurrent) and allergological anamnesis. In primary and re-used RV sodium salt of benzylpenicillin 1 million from the cathode, with recurrent PB - cefamezin sodium salt, 0.5 oz, from cathode dissolved in water for injection or distilled water. Simultaneously with ANALS apply the effects of low-energy laser radiation (NELI) devices "ACLR-01M" and "ALTO" (therapist). The methodology of treatment NELI choose depending on the multiplicity of the disease, severity of local manifestations, severity of condition and the condition of the blood coagulation system. Indications for use NELI on the severity of the condition and status of the coagulation system are common for laser therapy. When the primary PB is more often used by mastectomy from 10 to 100 Hz, installed capacity of 2.5 mW to inflammation and regional lymphonodi and lymph nodes 1 times a day 20 min for 10-15 days. When repeated and recurrent RV - intravenous laser irradiation of blood (ILIB) apparatus", ALTO" (therapist) in the red range (wavelength of 0.67 μm), flow capacity at the end of the light guide 1-2 mW, exposure time 20 min 1 time a day for 10 days. In some cases, used RV combined treatment NELI (local and vlok). All patients receiving treatment NELI, appoint vitamin "Aevit" or "Trivet" 2 hours before laser therapy 2/3 therapeutic doses and over 6 hours - 1/3, alkaline mineral water without gas to 1.5-2.0 liters per day. After the laser therapy is prescribed bed rest for 2 hours.

When the localization of PB in the foot, medial and lateral part of the thigh, inner thigh, one of the electrodes with a solution of antibiotic impose on the back side with a capture cross-section of the foot, the second electrode is on the bottom part. The patient is placed in a horizontal position with a slightly raised foot end superimposed on the lower third of the thigh cuff apparatus of the Riva-Rocci.

When the localization of PB on the rear surface of the tibia, the inner and the tibia, a second electrode on the front surface, and the apparatus Riva-Rocci - on the lower third of the thigh.

When the localization of PB on the outer thigh, one electrode with a solution of antibiotic is placed on the lower third of the outer thigh, the second electrode is on the inner part, and the cuff apparatus of the Riva-Rocci - on the upper third of the thigh.

When the localization of PB on the wrist, forearm, inner surface of the shoulder one electrode with a solution of antibiotic impose on the back side of the brush, the second - on the Palmar side, and the cuff apparatus of the Riva-Rocci - on the lower third of the shoulder.

When localization on the outer part of the shoulder one electrode placed on the outer part of the lower third of the shoulder, the other on the inner part, and the cuff apparatus of the Riva-Rocci in the upper third of the shoulder.

When the localization of PB on the face of one electrode placed on the affected side, the other on the back of the head or the outer surface of the shoulder.

When the localization of PB on the scalp one electrode placed on the affected area, the second - on the back of the head or sides of the neck, or the outer surface of the shoulder.

When the localization of PB on the body, one electrode nakladyvaya organs in men with a primary lesion of the skin of the scrotum one electrode with a solution of antibiotic is placed on the scrotum, the second is above the fold. When the localization of PB on the skin of the penis a single electrode with a solution of antibiotic impose on one side of the penis, the other on the opposite.

When the localization of PB on external genital organs in women one electrode with a solution of the antibiotic is applied to the skin of the vulva, the second is above the fold.

Example 1. Patient C and F. M. 40 years. Complaints at admission to pain, swelling, itching, burning, redness of the left tibia, General weakness. Ill sharply with 19.11.99 he felt weakness, chills, fever, body aches. 22.11.99 year, redness, swelling of the left leg and pain in the groin and inner thigh on the left. Has addressed to the surgeon on a residence, conducted local treatment dressing with ointment Vishnevskogo". 24.11.99, in connection with the deterioration sent in 4 GCIB (city clinical hospital for infectious diseases), hospitalized at 18.00. When entering a serious condition, expressed intoxication, the temperature of 38.5oC, in the region of the left lower leg edema, hyperemia of the skin with clear contours, irregular borders, internal ankle pale education with serous-hemorrhagic content, regional lim bolesno-hemorrhagic form. 26.11.99, notes increased pain and swelling in his left Shin, bubbles was found to be temperature 38,0oC. With 26.11.99, the patient initiated ANALS affected limb by applying electrodes on foot: the cathode with a solution of benzylpenicillin 1 million Units. on the backside of the foot, the anode is at the bottom.

The exposure time was gradually increased from 15 to 30 minutes Immediately after the procedure on the lower third of the thigh overlap cuff apparatus of measuring blood pressure with a pressure of 40 mm RT.article for 2 hours. The patient was placed horizontally with a slightly raised foot end. In parallel were local laser therapy apparatus "ACLR-01M" in IR mode with a frequency of 100 Hz, the time 2 min 10 fields on the affected area and regional lymph nodes. After the treatment the next day the temperature was normalized, feel better, pain and swelling in the left leg slightly decreased, flushing bright. The redness disappeared after the 3rd session, and after the 8th - significant positive trend, on the spot revealed bubbles necrotic crust, pain and no swelling. The patient was discharged in good condition.

UAC admission (25.11.99,) ESR = 27 mm/h, lake. = 7,610, Tr = 18110, limp. = 15.7 per cent, Nate is Tr = 38710, limp. = 23.7% of neutrons. = 76,3%.

The KLA at the end of treatment (09.12.99,) ESR = 15 mm/h, lake. = 6,210, Tr = 32210, limp. = 27,4%, neutral. = 72.6 per cent.

Example 2. The patient is in A. C. 24. Complaints at admission for pain, swelling, redness of the right hand, swelling of the forearm, shoulder. Ill acutely 08.12.99, with chills, fever to 39.0oC, aches all over the body, ailments. Then came the swelling, redness right hand, pain in the hand, her right armpit. The temperature was kept at high numbers prior to admission. I went to the doctor, 08.12.99, took aspirin, 10.12.99, hospitalized in 4 GCIB. When entering a state of moderate severity, temperature 37,2oC, right hand edematous, hyperemic skin palpation tenderness, symptoms of lymphangitis, regional lymphadenitis. History of similar symptoms was in the summer of 1999, for the honey. advice did not apply. Diagnosis: recurrent erysipelas right hand - erythematous form 15.12.99, started conducting ANALS affected limb by applying electrodes on the right hand: a cathode with a solution of benzylpenicillin 1 million Units. on the back side of the brush, the anode is on the Palmar surface. The exposure time from 15 to 20 minutes Immediately after the procedure was applied cuff from Appollo raised right hand. In parallel had a common laser therapy apparatus", ALTO" (therapist) in the red spectrum vlok, the flow capacity of 1 mW, and a treatment time of 20 minutes the next day, the redness is gone, swelling and tenderness in the right hand decreased, the temperature is normalized. After the second session of combined treatment no complaints, temperature is normal, the swelling and pain is absent, the skin brush flakes. After the 6th session, the patient was discharged home in good condition.

In the KLA at the beginning of treatment: ESR = 25 mm/h, lake. = 5,810, Tr = 19610, limp. = 43%, neutral. = 57%.

In the KLA at the end of treatment: ESR = 9 mm/h, lake. = 7,910, Tr = 27310, limp. = 41%, neutral. = 59%.

In this way treated 11 patients, of them with erysipelatous inflammation of the lower extremities 7 people, upper limb - 1, person - 3. Complications from the use of this technique was not reported positive clinical and laboratory dynamics.

A method for the treatment of erysipelas by the introduction of the antibiotic against the background of traditional therapy, characterized in that the antibiotic is administered by electrophoresis on the affected area, then the above introduction impose cuff (except for the head, trunk, and external genitalia) with a pressure of 40 mm RT. Art. for 2 h and the eat-in pulse infrared range with a wavelength of 0,81 - 0.98 μm, a frequency of 10 Hz and 100 Hz, 2.5 mW to inflammation and regional lymphonodi and lymph nodes for 20 min, and after repeated and recurrent spend intravenous laser irradiation of blood in the red range with a wavelength of 0.67 microns, the flow capacity at the end of the optical fiber 1 to 2 mW, and the course of treatment prescribed 10 daily procedures.

 

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FIELD: medical engineering.

SUBSTANCE: device has container for keeping product to be applied, dosing unit for distributing the product, power supply element placed near the dosing unit. The dosing unit is designed as rotating element and is apiece of felt. Container walls are flexible. The dosing unit is manufactured from electric conducting material and connected to the power supply element.

EFFECT: enhanced effectiveness in carrying out viscous product iontophoresis.

8 cl, 7 dwg

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