A method for the treatment of patients with essential hypertension
(57) Abstract:The invention relates to medicine, cardiology and physical therapy and can be used for the treatment of hypertension. Determine the acrophase blood pressure. All patients after 14.00 h hold hydrosulphuric baths. Patients with morning acrophase blood pressure additionally for 1.5-2 h before acrophase realize the impact of decimeter waves with a power of 20 W, 10 min on the cervical-collar zone. The method allows to increase the efficiency of treatment of patients with essential hypertension. table 1. The invention relates to medicine, namely to physical therapy and cardiology.There is a method of treatment of patients with hypertensive disease (HD) using hydrogen sulfide baths (N.In. Lviv, E. I. Sorokina, A. S. Bobkov. The use of hydrogen sulfide baths for the treatment of patients with essential hypertension//Matters. balneology, physiotherapy and Medi. of physical education.1988 at M.V.Lomonosov.- 3.-C. 10-13). 78 hypertensive patients stage II was applied to the total hydrogen sulfide baths with a concentration of hydrogen sulfide 100 and 150 mg/l, temperature 36oWith 10-15 min, 10-12 baths of treatment (3-4 times per week). It is shown that hydrogen sulfide baths have a positive effect on ill the t to reduce the dose of antihypertensive drugs.However, according to these authors, hydrogen sulfide baths such concentrations often (40,9 of 45.4% of cases) cause baldereschi. In hypertensive patients on treatment may develop hypertensive crises, often increased blood pressure, can increase the arrythmia. Often (in 10.0% of patients) have to cancel Spa therapy because of adverse reactions.The objective of the proposed method of treatment is the elimination of the negative impact of hydrogen sulfide baths on the cardiovascular system; reduce the frequency and decrease the severity of balneology.This task is solved in that in patients with GB pre-determine acrophase HELL; hydrogen sulfide baths for all patients is carried out after 14.00 h, and sick with morning acrophase HELL additionally, in the days of bathing, for 1.5-2 h before acrophase AD spend impact decimeter waves with a power of 20 W for 10 min at cervical-collar zone.Was studied circadian rhythm of blood pressure in 100 hypertensive patients, of which there were 28 hypertensive patients in stage I and 72 hypertensive patients stage II. Revealed that the majority of hypertensive patients stage I, acrophase (time of maximum values of HELL) was observed in the afternoon, mostly on the period from 16 to 20 h, which coincides with the normal circadian rhythm of the hypertensive patients in stage I.In patients with GB II stage acrophase HELL had for that afternoon in 66.7% of cases, and in 33.3% of the patients in the morning.Observations showed that patients GB as with the morning acrophase HELL and evening acrophase HELL better tolerate balneotherapy in the afternoon (after 14.00 h). Poor tolerance of balneotherapy was observed in patients with morning acrophase HELL when conducting balneological treatment in the morning; so from 27 hypertensive patients with morning acrophase HELL when conducting balneological treatment in the morning of 24 patients (88,9%) developed adverse reactions in the form of weakness, headaches, palpitations, rise in blood pressure in the treatment process, and 7 patients (25.9 per cent) increase in blood pressure was high (30 mm RT.article and above).When conducting balneotherapy in patients with morning acrophase HELL in the second half of the day the AD was only 11.1% of patients.In patients with evening acrophase HELL (73 people) tolerability of treatment in most cases was good. However, during balneotherapy in the morning (21 people) in 2 patients (9,5%) there was an increase of HELL and in 1 patient (4.8 per cent) - heartbeat during procedures.When conducting hydrotherapy patients with evening acrophase And the Art.) increase in BP was observed only in 1 patient (1.9 per cent) (see table.1).Considering the obtained data, it was proposed to carry out hydrogen sulfide baths sick GB I and stage II after 14.00 o'clockThe method is as follows. Previously in patients with GB is determined by the diurnal rhythm of blood pressure (within three days are really measuring blood pressure in a normal state after a 30-minute rest every 2-4 h) and release time maximum values of HELL (acrophase). Hydrogen sulfide baths concentrations of 100-150 mg/l, temperature 36oWith spend 10-15 minutes every other day (3-4 times a week) in the afternoon (after 14.00 h); patients GB with morning acrophase HELL undergo additional effect of decimeter waves with a power of 20 W for 10 min at cervical-collar zone, through to the days of bathing). The treatment is carried out in the face of adequate antihypertensive therapy.Example 1.Excerpt from the history 356. Patient M., 54 years of age, with a diagnosis of arterial hypertension, mild arterial hypertension. Arrived for treatment in the medical Department on may 17, 1994, complaining of headaches, dizziness, aching pain in the heart, almost constantly high blood pressure (140/90 to 180/100). Constantly taking antihypertensive therapy.Accent II tone of the aorta, the left border of the heart - the left srednechrochnoy line.On electrocardiogram (ECG) - against the backdrop of sinus rhythm with a frequency of 65 in 1 min registered 2 ventricular extrasystoles. Myocardial hypertrophy of the left ventricle.The patient received 10 hydrogen sulfide baths with a concentration of hydrogen sulfide 100-150 mg/l, temperature 36oWith 10-15 minutes a day. Procedures were performed after 14.00 o'clock in Addition, the patient received 10 treatments impact decimeter waves (from device "Wave-2") on the cervical-collar zone, power 20 W, with a duration of 10 minutes Procedure was carried out through the day, in the days of bathing in the range from 10.00 to 10.30.The patient suffered a good treatment, after 2 baths HELL decreased to 140/90, after 4 baths HELL was slightly increased (up to 150/90), then after 5 baths HELL decreased to 130/80 and remained within normal limits until the end of the course of treatment.At the time of discharge no patient had no complaints.Objective: heart sounds are clear, correct rhythm, decreased the severity of accent II tone of the aorta.ECG sinus rhythm, 60 in 1 min myocardial Hypertrophy of the left ventricle. PVCs are not registered.The dose of antihypertensive therapy day is in - 7 months.Example 2.Excerpt from the history 578. Patient B., 56 years of age, with a diagnosis of arterial hypertension, mild hypertension was admitted for treatment to the medical Department on October 19, 1998, complaining of headaches, aching pain in the heart, almost constantly high blood pressure (140/90 to 180/100). Constantly taking antihypertensive therapy.Objective: heart rate irregular (50-58 1 min), AD - 150/90, acrophase AD - 16.00, muffled heart sounds, the left border of the heart is shifted by 0.5 cm outwards from the left srednechrochnoy line.ECG - sinus bradyarrhythmia (54 in 1 minute). Myocardial hypertrophy of the left ventricle. Incomplete blockade of the left bundle branch. Degenerative changes in the myocardium in the anterolateral wall of the left ventricle.The patient received 10 hydrogen sulfide baths with a concentration of hydrogen sulfide 100-150 mg/l, temperature 36oWith 10-15 minutes a day. The bath was held after 14.00 o'clockPatient well bore treatment, after 2 baths HELL decreased to 130/80, after 3 baths HELL was slightly increased up to the original digits (150/90), then after 4 baths fell to 125/80 and remained within normal limits until the end of the course of treatment.At the time the P> ECG sinus rhythm, 55 in 1 min myocardial Hypertrophy of the left ventricle. Incomplete blockade of the left bundle branch. Improvement of metabolic processes in the myocardium.Dose antigipertenzivnoe therapy was reduced by 25.0%.The result of treatment is "improving".Resistance long-term results - 6 months.Example 3.Excerpt from the history 431. Patient G., 54, with a diagnosis of essential hypertension stage I, mild hypertension was admitted for treatment in therapeutic departments of 11 June 1992, complaining of headaches, aching pain in the heart, periodic rises HELL up to 160/90. Constantly taking antihypertensive therapy.Objective: the rhythmic pulse, 54 in 1 min, AD - 155/80, acrophase HELL - 8.00 p.m heart sounds clear, borders of the heart is within normal limits.ECG: sinus bradycardia (54 in 1 min). Diffuse degenerative changes in the myocardium.The patient received 10 hydrogen sulfide baths with a concentration of hydrogen sulfide 100-150 mg/l, temperature 36oWith 10-15 minutes a day. Baths were conducted in the interval from 9.00 till 10.00 o'clockIn the process of healing after 3 baths rebounded HELL to 160/90 (above the original digits) after 3 baths, then after 5 the PCA treatment, this required increasing doses of antihypertensive therapy 2 times (compared with baseline).At the time of discharge remained complaints about headaches, aching pain in the heart. HELL at discharge - 170/100.Objective: heart sounds irregular, muffled.On ECG arrhythmia (from 42 to 70 strokes per 1 min), supraventricular extrasystole.After discharge, the patient is directed under the supervision of cardiologycardiology.Thus, the above examples demonstrate the inappropriate use hydrogen sulfide baths in patients with GB in the morning hours. At the same time, when conducting balneotherapy after 14.00 h the portability of it in most cases is good. Patients with morning acrophase HELL to improve tolerability of treatment is recommended for the impact of decimeter waves on the cervical-collar zone (1.5-2 h before acrophase HELL).The proposed method of treatment helps to eliminate the negative impact of hydrogen sulfide baths on the cardiovascular system and significantly reduce the incidence of balneology.References
1. Zaslavskaya P. M., Iskakova MT, Heiblum M M Preventive createradiobutton patients artenie rhythms of the cardiovascular system//Chronobiology of cardiovascular system. -M, 1988.-S. 47-55.3. Lviv N. Century, Sorokina, E. I., Bobkova, A. C. the Use of hydrogen sulfide baths for the treatment of essential hypertension //Matters. balneology, physiotherapy and Medi. physical training.-1980 - 3. C. 10-13.4. Ouran I. E. Biological rhythms and balneotherapy. -M.: Medicine, 1977.-120 C. The method of treatment of hypertension with the use of hydrogen sulfide baths, characterized in that the patients pre-determine the acrophase blood pressure, hydrogen sulfide baths for all patients is carried out after 14.00 h, and sick with morning acrophase blood pressure additionally, in the days of bathing, for 1.5-2 h before acrophase blood pressure conducting impact decimeter waves with a power of 20 W, 10 min on the cervical-collar zone.
FIELD: medicine, in particular, physiotherapy.
SUBSTANCE: the tampon has an envelope filled with mud, head with the recess built in the cavity of the rear section of the envelope, limiter placed on the recess of the tail, socket screwed in the threaded section of the tail and two electrodes. One of them is installed in the cavity of the head, and the other - in the cavity of the tail. The electric wire is positioned in the cavity of the envelope in the longitudinal axis. One end of it is connected to the head electrode, and the other - to one of the terminals of the socket. The wire couples the tail electrode to the second terminal of the socket. The electric cord with a plug connects the socket to the current source. The electrodes are positioned opposite each other. The electric wire is placed in a non-conducting tube.
EFFECT: facilitated procedure of use.