Treatment of children with functional cardiopathy

 

(57) Abstract:

The invention relates to medicine, particularly cardiology. Spend mos balneotherapy. Assign shared bath every other day. The concentration of hydrogen sulfide 25-100 mg/L. Exercise magnetophoresis alternating magnetic field of low frequency. The magnetophoresis spend 2% solution of Dibazol. The inductor is placed on segmental interscapular region6-Th4left in continuous mode. The induction of a magnetic field of 10, 20 MT, frequency of 12.5 Hz, 17 Hz. Mos balneotherapy spend a day on the days free from magnetophoresis. The method reduces the time of treatment. 5 table.

The invention relates to medicine, namely Pediatrics, and can be used in the treatment of children (boys and girls) aged 12-14 years cardialysis syndrome psychogenic origins of easy flow.

Functional cardiopathy is a disease neurogenic nature, based adaptation failure or disorders of the neuroendocrine regulation of the cardiovascular system, which is manifested multiple cardiovascular symptoms (cardialgia, tachycardia, vascular dystonia and other ) in the absence of visible pathology in the heart.

Known methods of treatment of children with functional cardiopathy by exposure to hydrogen sulfide baths (2), which are released when the concentration of hydrogen sulfide 25-50-100 mg/l, the and the rate of 12-15 baths regardless of the sex of the baby.

However, the known method does not give the desired result, the treatment extended to 45 days, without regard to the sex of the baby.

Scientific research of the previous years in the children's Department of the Sochi Institute of balneology and physiotherapy in the study of the influence of hydrogen sulfide water (shared baths) in different modes according to the concentration of hydrogen sulfide in the organism of children of different sex with functional cardiopathy, established disparate impact on the processes of lipid peroxidation. Girls were more resistant to low concentrations. That can be associated with several early hormonal changes, and therefore the girls was the recommended course of hydrogen sulfide baths with a concentration of hydrogen sulfide 25-50 mg/l In boys as the use of dilute hydrogen sulfide water balneotherapy caused an increase in the activity of processes of lipid peroxidation, resulting in them appropriate designation of high 50-100 mg/l of hydrogen sulfide concentrations at the holiday shared baths.

The purpose of the invention is the reduction of treatment time up to 22-28 days due to the combined use of magnetophoresis 2% solution d is eBanka, increased therapeutic efficacy by increasing the body's resistance to stressful situations, physical and mental health, in reducing symptoms of cardiomyopathy, the prolongation of remission.

This objective is achieved in that the adaptation period of two days in a row spending magnetophoresis apparatus of the alternating magnetic field of low frequency pole-3" 2% solution of Dibazol with pre-treatment skin 30% aqueous solution of Dimexidum with the location of the inductor at the segmental interscapular region WITH6-Th4left in continuous mode, and the first and tenth procedures released when the magnetic field of 10 MT, and a repetition rate of parcels to 12.5 Hz. With a duration of 10 minutes; the second and the ninth when the magnetic field of 20 MT of the same frequency and time of exposure; the third and eighth - when the magnetic field of 20 MT and a frequency of 17 Hz and duration of exposure 15 minutes; fourth, fifth, sixth and seventh procedure when the magnetic field of 30 MT, a repetition rate of parcels fourth procedure 17 Hz, fifth, sixth and seventh - 25 Hz with a duration of the fourth and fifth treatments - 15 minutes, sixth and seventh - 20 minutes.

The parameters bacnetarray spend days free from magnetophoresis girls when hydrogen sulfide concentration of 25-50 mg/l, and boys - 50-100 mg/l duration from 4 to 10 minutes with the increase in each subsequent procedure 1 min, rate 10 physio - and 8 hydrotherapy.

The vacation scheme procedures are presented in table 2.

The method is as follows.

In the period of adaptation of the child to the resort, after clinical examination, spend two days in a row magnetophoresis 2% solution of Dibazol, then every other day (T. 1). In the days free from magnetophoresis spend mos balneotherapy at the concentration of hydrogen sulfide boys 50-100 mg/l, the girls 25-50 mg/l as total baths when water temperature is 36-37oC. Duration from 4 to 10 minutes, increasing the subsequent procedure for 1 minute.

In the course of 10 physiotherapy and 8 hydrotherapy.

The purpose of magnetophoresis 2% solution of Dibazol children with functional cardiopathy pathogenetically justified, since the alternating magnetic field of low frequency has a mild sedative effect, gives a low energy load on the body, increases the body's resistance to hypoxia, physical activity due to adaptation to the rebuilding of the body.

The autonomic nervous system vysokochuvstvitel is defined by the magnetic field is increased tissue blood circulation at the level of microcirculation, the intensity of oxidative processes, immunological reactivity, increasing inhibition in the nervous processes. Due to this activates compensatory-adaptive processes and are formed of an adaptive response of the organism increases its resistance (10).

Note that the Dibazol inherent not only salts but also the ability to increase protective and adaptive capacity of the organism by stimulating the function of the pituitary-adrenal system.

Therefore, in the treatment of children with functional cardiopathy justified using magnetophoresis of drugs directed action of adaptogens when emotional stress to improve processes of adaptation to physical loads, albeit with favorable dynamics of subjective manifestations, kardeogemodyinamiki.

Moreover, given the adaptogenic effect magnetophoresis 2% of Dibazol, you can assign it from the first days of the child's stay at the resort to exclude pathological baldereschi.

30% solution of Dimexidum is in this case as a penetrant, which promotes better penetration of drugs by certame of the proposed method is the availability, simplicity of execution, atraumatic and increase therapeutic effects by gradual adaptation of the child to powerful factor - mos balneotherapy.

Example.

Patient Katia C. , age 13, was in the children's Department of the center of balneology and rehabilitation 22.08. - 18.09.98 year. Was admitted to our Department with a diagnosis of functional cardiopathy. Astheno-neurotic syndrome. Chronic compensated tonsillitis.

At the time of admission complained of stabbing pain in the heart when emotional and physical stress, headache, fatigue, emotional lability.

History of present illness: there is kardeorevmatologii since 1997, when, after the transferred Psychotrauma (death of brother), appeared the above complaints. Received outpatient treatment for functional cardiopathy; sedative herbs, vitamin and restorative therapy. Sanatorium-resort treatment for the first time.

Data of objective examination: satisfactory condition. The shape right, medium, skin and visible mucous clean pink. Subcutaneous fat moderately developed. Index Kea palpation. Borders of relative heart dullness within the age norm. Heart sounds are clear, rhythmic, heard a short systolic murmur at VTand the top. Hell 110/60 m RT. Art. , pulse 100 beats per minute, satisfactory filling of the voltage. From the respiratory organs, digestion, excretion revealed no pathology, monarchies was not.

Data applied survey methods (before treatment).

Complete blood count: HB - 125 g/l, L - 5,0109/l, e - 3%, With 66% Of L - 21%, M - 7%, ESR - 5 mm/hour.

Biochemical blood tests: weight peptides - 0,300 srvc. units , catalase serum - 41.6 Ákat/l, ceruloplasmin - 0,402 g/l, total lipids totaling 3.04 g/l, diene conjugates of plasma lipids and 1.8, malonic dialdehyde red - 73,9 nmol/ml, malonic dialdehyde lipid - 24,3 nmol/mg

ECG: sinus rhythm, poluvirtualnogo the position of the electrical axis of the heart. Violation of intraventricular conduction.

Clinorotation sample: simpaticotonici variant samples.

The survey diagnosed with functional cardiopathy with cardialysis syndrome, psychogenic origin, and easy for. Chronic compensated tonsillitis.

is the overarching mode;

-mode of physical activity - gently-trainee;

-adaptation 5 days;

-diet 15;

-physiotherapy in cardio-vascular system by gently-training mode;

-magnetophoresis 2% solution of Dibazol with a 4-day adaptation two days in a row, the subsequent treatments were given every other day for a course of 10 treatments;

-General hydrosulphuric baths at a concentration of hydrogen sulfide 25-50 mg/l, water temperature 36-37oWith a duration of 4 to 10 minutes with an increase in each subsequent procedure for 1 minute, a day, a course of 8 baths. The treatment scheme is given in table 2.

During treatment, the girl was examined by a doctor 12 times, was well tolerated as first procedure magnetophoresis 2% solution of Dibazol, and subsequent. On the first, fifth and tenth procedures magnetophoresis was conducted measurement of blood pressure and heart rate as before the procedure and after. Significant fluctuations in blood pressure and heart rate are not registered. Adaptation of the organism to the influence of physical factors went well, without side effects, which allowed to connect to therapeutic complex of hydrogen sulfide baths. During treatment the child has received complete scheduled course consisting of 10 physiotherapy and 8 balne increased efficiency, improved mood.

Survey data after treatment.

Complete blood count: HB - 135 g/l, L - 4,7109/l, uh - 1, P - 2, p - 64, L - 27, M-6, ESR-4 mm/h.

After treatment from the red blood increased hemoglobin, white - improved formula blood.

Biochemical blood test: weight peptides - 0,218 srvc. units , catalase serum - 51.8 Ákat/l, ceruloplasmin - 0,308 g/l, total lipids 5.53 g/l, diene conjugates in plasma lipids blood - 1,52, malonic dialdehyde erythrocyte - 63,4 nmol/ml, malonic dialdehyde lipids of 11.4 nmol/mg After treatment significantly decreased the content of diene conjugates of lipids in blood plasma, there is a tendency to decrease in malondialdehyde lipid, increased catalase activity.

ECG changes have occurred. Clinorotation sample - normostenichesky option.

After treatment has come a positive change in the reaction of the cardiovascular system to physical activity, accelerated recovery period HR, on average 3,91,5 per minute, which indicates the increase of tolerance to physical activity.

Positive changes otvet who was obstvovala to improve muscular endurance work, resulting in increased power of the performed work, increased physical performance, to ensure 108,76,37. After treatment 135,75,06 (p< 0,001).

Thus, during the treatment by the proposed method has improved their health, well-rested and was discharged with significant improvement. On the remote results in a period of 6 months the girl had not sought medical assistance in a hospital about cardiopathy.

Example.

Patient Sasha So , 14 years old, was in the children's Department of the center of balneology and rehabilitation 22.08. -18.09.98, was Admitted to our Department with a diagnosis of autonomic neuropathy in cardiac type.

At the time of inspection complained of pain in the heart, a sense of "awe", periodic headaches, fatigue, irritability.

Passed the physical examination, and biochemical study of blood lipid peroxidation conducted clinorotation test, graded exercise test. Examined by an ENT doctor, dentist.

The survey diagnosed with functional cardiopathy, kardiologicheskie form, easy for. Chronic hypertrophic pharyngitis. Chronic hypertrophic ringit.

the deposits.

Clinorotation sample - giperkatolichesky variant samples.

He was assigned to the treatment by the proposed method:

-climatefriendly on gently-trenirueshsia mode;

-mode of physical activity - gently-trainee;

-adaptation 5 days;

-diet 15;

-gymnastics on gently-training mode in the group of cardiovascular diseases;

-magnetophoresis 2% solution of Dibazol with 4 days of adaptation period of two days in a row, the subsequent treatments were given every other day for a course of 10 treatments;

-General hydrosulphuric baths at a concentration of hydrogen sulfide boys - 50-100 mg/l, water temperature 36-37oWith, the duration of the procedure from 4 to 10 minutes with the increase in each subsequent procedure for 1 minute, a day, a course of 8 baths.

After treatment clinorotation sample - normostenichesky option.

Biochemical blood test: decreased diene conjugates 2,62 to 0.80, malondialdehyde from 32.3 to 16.6 nmol/mg lipid, catalase has not changed, was 45.8 Ákat/l, decreased performance ceruloplasmin with 0,346 to 0,296 g/L.

During treatment, the boy was examined by 12 times, marked by good eating, which resulted in the disappearance of complaints increased efficiency.

To evaluate the effectiveness of the proposed method of treatment comparative characterization of two groups of patients.

Group I - 40 children (control). 20 girls and 20 boys with functional cardiopathy received total hydrogen sulfide baths 25-50-100 mg/l depending on age, on a course of 10 treatments a day.

Group II - 40 children (20 girls and 20 boys) received magnetophoresis 2% solution of Dibazol on a course of 10 treatments in combination with hydrogen sulfide baths concentration of hydrogen sulfide for boys 50-100 mg/l For girls 25-50 mg/l, through the day, at the rate of 8 baths.

All groups are identical disease, age (children pubertal period of 12-14 years old).

Table 3 presents the dynamics of indicators of lipid peroxidation and antioxidant protection in groups.

From the table we can conclude that under the influence of the proposed method of treatment in group II has been a significant reduction of diene conjugates in plasma lipids and malondialdehyde in the stroma of erythrocytes. Thus, when using hydrogen sulfide baths in combination with magnetophoresis patients nikeplus at the depot, provides a constant therapeutic effect, reducing the intensity of peroxidation at the initial stage, apparently, by neutralizing the formed hydrogen peroxide.

Table 4 presents the dynamics of indicators of physical health under the action of therapeutic complexes.

Thus, after treatment occurred, positive changes in the indicators of the functioning of the cardiovascular system and its response to physical activity: establish favorable type her responses, increased physical performance. As can be seen from table 5, the most reliable indicators were in group II patients.

As can be seen from the table, there is a high performance all medical facilities. Several high percentage of improvement of treatment in group II patients is explained by the stimulating effect of the proposed complex, improving adaptive processes.

Thus, the proposed method for the treatment of children with functional cardiopathy aged 12-14 years using magnetophoresis 2% solution of Dibazol (adaptogene) in combination with hydrogen sulfide balneotherapy with the concentration of hydrogen sulfide for boys 50-100 mg/l, for devoc the Xia physical performance through adaptive adjustment of the organism. The proposed method of treatment allows to reduce time of treatment of children with 45 to 22-28 days.

Sources of information

1. Functional cardiopathy, Method. recommendations. - 1979, - compilers Century. And. Makolkin with co-authors.

2. Sanatorium-resort treatment of functional cardiomyopathy in children. - Method. recommendations. - Odessa. - 1980.

3. Handbook of sanatorium-resort selection, edited by Professor C. M. Bogolyubov. - 1986. - S. 342.

4. Mikhno L. E. experience in the use of balneotherapy in treatment of patients with functional cardiomyopathy. - Yalta. - 1978.

5. Bogolyubov C. M. , Ponomarenko, N. General physiotherapy. -Moscow. - St.-Petersburg, 1997.

6. Groshev Century. N. Krivosheev N. A. and other Neurocirculatory dystonia in adolescence. // Pediatrics. - 1995. - 6. - S. 33-35.

7. Konow O. M. , Khan M. A. Influence of low-frequency AC field on the autonomic nervous system of children with primary hypertension. // The. balneology, physiotherapy and exercise therapy - 1996. - 2. - S. 8-10.

8. Ulaschyk B. C. New methods and techniques of physical therapy. - Minsk Belarus, 1996. - S. 31-34.

9. Tsaregorodtseva L. Century. and other Characteristics of the psychovegetative syndrome is in cardiology. - M. , 1989. - S. 39-45.

Treatment of children with functional cardiopathy by mos balneotherapy as public baths, conducted through day concentration of hydrogen sulfide 25-50-100 mg/l, characterized in that the adaptation period of two days in a row spending magnetophoresis apparatus of the alternating magnetic field of low frequency pole - 3" 2% solution of Dibazol with pre-treatment skin 30% solution Dimexidum with the location of the inductor at the segmental interscapular region WITH6-Th4left in continuous mode, and the first and tenth procedures released when the magnetic field of 10 MT, and repetition rate parcels of 12.5 Hz with a duration of 10 minutes; the second and the ninth when the magnetic field of 20 MT of the same frequency and time of exposure; the third and eighth - when the magnetic field of 20 MT and a frequency of 17 Hz and duration of exposure 15 min; fourth, fifth, sixth and seventh procedure when the magnetic field of 30 MT, a repetition rate of parcels fourth procedure 17 Hz, fifth, the sixth and seventh - 25 Hz with a duration of the fourth and fifth treatments of 15 min, the sixth and the seventh - 20 min, and hydrogen sulfide balneotherapy spend the days free from magnetophoresis of devoc the

 

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