The treatment method polyesterwith

 

(57) Abstract:

The invention relates to medicine, arthrology and can be used for the treatment of polyesterwith. Spend amplipulse 3% solution of sodium thiosulfate locally on two of the most affected joint. Previously, by amplipulse therapy effect to the corresponding segmental spine. The first two treatments every other day, then every day on the background of the total hydrogen sulfide baths. Course 10 physio - and 8 hydrotherapy. After a period of adaptation. The method allows to increase the effectiveness of treatment of polyesterwith. 6 table.

The invention relates to medicine, namely to arthrology.

The share of osteoarthritis accounts for 10-12% of cases among the population surveyed. An important pathogenetic factor in its development is a disorder of the blood supply to the cartilage and subchondral of sections of bone, leading to destructive and degenerative processes in the epiphysis of the articulated bones. These changes are supported by disorders of vascular tone, the deterioration of the microcirculation and reactive inflammation in the joints.

There is a method of treatment of osteoarthritis by applying hydrogen sulfide baths with postoiannyi clinical effect only in 53% of cases. Means, potentiate the effect of balneotherapy, physiotherapy is a local effect, in particular electrotherapy sinusoidal modulated currents on segmental-local methods with simultaneous foretical the introduction of medicinal substances directional - sodium thiosulfate solution (TSN) on the area most affected joints.

The purpose of the invention is to increase therapeutic efficacy, reduce treatment time and the exception paleopathological reaction.

This objective is achieved in that after a period of adaptation to the background of mos balneotherapy first 2 procedures a day, and then daily for patients with poliosteoartroz assigned amplipulse therapy on segmental-local methods with simultaneous CMT-phoresis 3% solution TSN on two of the most affected joint.

The method is as follows. The procedure is performed using the apparatus of low frequency physiotherapy "Amplipulse-5" and set the standard plate of lead electrodes and the corresponding hydrophilic gauze pads. Vacation procedure occurs in two stages:

- the first stage - the impact on Sonesta at the level of C5-Th3, lower extremities - L2-S1). Standard electrodes 4 + 12 cm are placed paravertebral - one left, the other right. Mode, range, duration parcels, type of operation, the frequency and depth of modulation, the time of exposure are given in tables 1.1 and 1.2. Current is set at the level at which the patient feels pronounced painless vibration;

the second stage is the local impact on the most affected joints with simultaneous amplipulse 3% solution of TSN. The standard plate electrodes 4+8 cm overlap no more than two of the most affected joint with gaskets, pre-moistened with a solution TSN (30% solution) diluted with saline to 3%). Parameters vacation procedures are listed in table 2.

The prevalence of diseases of musculoskeletal system (up 42%) determines the relevance of search methods and means of pathogenetic therapy, primarily non-drug. From 40 to 80% of the working age population aged 25-55 years suffer multiple degenerative diseases of joints (C., Yumashev, 1984; J. Y. Popeljanskij, 1995).

Accompanying osteoarthritis osteoarthritis is Oia, which in turn exacerbates the progression of aging cartilage. In these cases, more effective are impulse currents of low frequencies, in particular sinusoidal modulated currents. The latter stimulates peripheral circulation, improve the functional state of the neuromuscular system, have parasympathicotonia action. Expanding the scope of coverage of the affected joints allows segmental-local technique amplipulse therapy. Promising to increase the effectiveness of physical therapy while phoresis drugs directed action. The choice of the drug TSN caused chondroprotective property of the drug.

A specific example of the way

Patient A. , 50 years, within 10 years, suffering from poliosteoartroz with mainly affecting the small joints of the hands, elbow, and shoulder joints, Ro 2 tbsp., FTS 1-2 with a concomitant osteochondrosis of the cervical-thoracic spine with severe pain.

Treated as an outpatient, acute relates to physical overload, hypothermia. Pain eliminates the use of nonsteroidal anti-inflammatory drugs.

Patients received a course of lecoeur the patient became significantly decrease pain, stiffness in the joints and spine. By the end of the treatment the patient noticed numbness and coldness in the hands, arthralgia stopped. The patient became more active, increased range of motion in the joints and spine.

Clinical improvement was accompanied by positive changes in laboratory values: CBC remained within normal limits. After the painting of the white blood cells was observed transition defective reaction increased activation in the reaction of "training". The protective effect of sodium thiosulfate on the metabolism of connective tissue was confirmed by biochemical studies: significantly decreased catalase activity in blood plasma from 41.4 to 33.5 ľkat/l, which was accompanied by a decrease in the number of medium molecular peptides with 0,284 to 0,261 srvc. units, the level of ceruloplasmin decreased from 0,343 to 0,299 g/l, which indirectly indicates the reduction processes of proteolysis under the influence of the treatment pulse currents on reflex-segmental method. Immunomodulatory effects of the study treatment method was confirmed by the reduction of the imbalance of subpopulations of T-lymphocytes increased helper and decreased suppressor activity of their system humoral immunity is significant utensilerie peripheral krovoobrasheniya and indirectly confirm the trophic effect of the suggested treatment: normalized eographically index of from 0.9 to 1.5, decreased the coefficient of asymmetry from 27% to 17%.

Upon completion of the course of treatment the patient was discharged with significant improvement.

The proposed method of treatment in 28 patients poliosteoartroz, I-II century, the Federal tax service of the I century associated with osteochondrosis of the spine with moderate pain (13 women and 15 men aged 30 to 60 years). The disease duration was an average of 5.4 years. On the background of the main medical complex (sudamerikanische mode of physical activity, morning and therapeutic exercises, climateprotection 1 with the transition to 2 modes, mos balneotherapy on shortened methodology to 8 baths on the course) of patients 1 (prototype) of a group of 30 people were amplipulse therapy on segmental-local methods. The 28 people tested the 2nd group major medical complex was reinforced amplipulse therapy on segmental-local methods with simultaneous phoresis 3% solution TSN on two of the most affected joint.

The effectiveness of the treatment was assessed by the dynamics of clinical data, the degree of arthralgia and its structure is based on the questionnaire results. The state of the peripheral circulation was determined by the results of the days of the limbs. Predelli the activity of the inflammatory process in the joints. Status of connective tissue metabolism to be judged by the content of medium-sized molecules. The level of catalase in the blood characterized and the own activity of the antioxidant system of the human body. The immune status was assessed by standard immunological blood of the patient. The state of protective-adaptive forces of the body reflected the expanded formula of white blood and its evaluation by the Christ-Quaking.

Analysis of therapeutic efficacy study of resort complexes in a sufficient therapeutic effect of sanatorium rehabilitation visitors (an average of 89.3 per cent clinical laboratory "improvements") revealed an increase in average 6-7% in combination with amplipulse solution TSN on the area affected joints while reducing paleopathological reactions in 4.6% of patients (see table 4).

Results clinical and laboratory studies have clarified the mechanisms of therapeutic action of the studied medical factors. Additional inclusion in integrated mos balneotherapy of amplipulse solution TSN on the affected joints provided more pronounced than in the control group, the stimulation of protective-adaptive forces of the body, trophic action of tarmogen the patients in 17.6% of cases "defective" adaptation reactions were transformed into "full". Anti-inflammatory effect of therapeutic complex in addition to a significant reduction of pain (according to the questionnaire pain) confirmed a significant decrease in the content of acid mucopolysaccharides with 0,241+0.013 to 0,196+0,012 g/L. sick Note to the end of treatment, reduced sense of coldness of extremities, numbness accompanied by positive dynamics of indicators of peripheral blood: the peak amplitude of rheovazogram acquired a rounded shape, increased eographically index of 1.13+0.11 to 1,86+0,17, P<0,05. Trophic effect of comprehensive rehabilitation braking processes of proteolysis was accompanied by a significant decrease in the level of medium-sized molecules with 0,258 0,011 to 0,203+0,005%, P<0.05 and, as a result, the tendency to normalization of the level of catalase blood from 44.6+2,8 to 35.3+1,3 ľkat/l, P<0,05. About reducing autoimmune bias indicates a tendency to normalize the number of T-lymphocytes and their subpopulations.

Thus, in cases of multiple degenerative joints, including joints of the spine, especially in the early stages of the appointment of the complex Spa treatment including a shortened course mos balneotherapy and segmental-local methods Ampl Velicina therapeutic efficacy resort rehabilitation of patients on average 6-7% shortened to 16-37 days with a significant reduction in the number of cases paleopathological reaction.

From table 5 it is seen that the proposed method 3 times decreased the number of "defective" reactions of adaptation due to the increase mainly reactions "calm activation".

The proposed method of treatment allows to increase therapeutic effects of traditional treatment by 6-7%, reducing % paleopathological reaction, the time of onset of clinical improvement on average for 5 days and the duration of the resort rehabilitation to 17-18 days.

The source of information

1. The tsarfis P., Nature and man. - M., 1980. - S. 275.

The treatment method polyesterwith by mos balneotherapy held through the day and the physical impact factor sinusoidal modulated currents from device "Amplipulse-5" by the local method, characterized in that after an adaptation period of conduct amplipulse 3% solution of sodium thiosulfate locally on 2 most of the affected joint with a preliminary impact amplipulse therapy to the corresponding segmental spine the first two treatments a day, and then daily for the overall hydrogen sulfide baths, course 10 physio - and 8 hydrotherapy.

 

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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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