Method for the treatment of patients with neurocirculatory dystonia
The invention relates to medicine, particularly cardiology and balneology. On the collar area and the projection nadalutti lymph nodes is carried out by the application of saline silt sulfide mud of the Dead sea with a layer of 2-3 cm at a temperature of dirt 35-36°C. Simultaneously performed in hardware-software complex, providing simultaneous and comprehensive impact factors of General thermotherapy at an ambient temperature of 35-36°C, vibration massage by the method of General wave impact, monotherapie prevail with negatively charged ions, as well as aromatherapy, ophthalmologically and therapy duration 35-40 minutes, for the treatment of 10-12 treatments a day. The proposed method improves the efficiency of treatment neurocirculatory dystonia to achieve rapid relief of acute and clinical manifestations of disease, prolonged and sustained remission, the possibility of reducing or eliminating medications.
The invention relates to the field of medicine, particularly cardiology and balneology, and can be used in institutions Praca dystonia is one of the most common clinical syndromes, in the diagnosis and treatment that involved doctors of various specialties - most therapists, psychotherapists, neurologists (A. M. Veen, 1991; C. I. Makolkin, 1995). Relevance and social importance of developing new methods of treatment and rehabilitation of patients with neurocirculatory dystonia determine extremely high prevalence of the disease has been steadily increasing in recent years, the defeat of mostly young people, working age, weighting currents and a noticeable reduction in quality of life (B. D. Carvasarski, 1980; C. D. Dosenko, N. D. Okladnikov, 1989; I. N. Mikheev, 2000).
Neurocirculatory dystonia is a functional disorder of the cardiovascular system, which is based on disruption of the neuroendocrine regulation of multiple and varied symptoms: cardialgia, rhythm and sinus tachycardia, arterial Hypo - and hypertension, respiratory disorders, and autonomic disorders. All these symptoms usually worsen or occur on a background of stress, which is particularly relevant in the context of the present socio-economic tensions.
Modern medicine uses a wide Arsenal, in addition to the painkillers and sedatives, the purpose of which is to reduce the severity of clinical manifestations of the disease, in particular false angina, frequency of vascular episodes of seizures, prevention of disease progression and development of cardiophobia and depression, prolonged remission and shortening the duration of exacerbation.
Today, however, despite significant progress in mild asthma and the treatment of exacerbations therapy neurocirculatory dystonia presents great difficulties that may be associated, primarily, with the need for a comprehensive and lasting impact and, as a consequence, the development of a number of adverse reactions to medicinal preparations in the form of their individual intolerances, allergic dependence, negative reactions from other organs and systems, which significantly reduces the effectiveness of the treatment.
These shortcomings of conventional drug therapy dictate the necessity of search of new opportunities, highly pathogenic orientation of therapeutic action and at the same time, having a smaller range of negative side effects (Ivanov, E. M., Undacova E. A., 1993).
The closest Technica impact on the collar area and the projection nadalutti lymph nodes of the patient silt sulfide mud temperature 38-40°C for 10-12-15 minutes of the procedures performed in a day, the treatment course of 8-10 treatments, pharmacotherapy (Knyshov centuries, Pohakuloa I. A. et al.: "The influence of mud therapy on hemodynamic parameters in patients with neurocirculatory dystonia on Grazia resort Sadgorod", 1995).
This method provides a favorable restructuring of autonomic regulation of cardiac activity, has a sedative effect and has a normalizing effect on blood pressure.
However, the disadvantages of this method are:
1. Insufficient normalizing effect on the cardiovascular system due to exposure to only one physical factor - mud, though having a multi-component (mechanical, thermal, chemical action) therapeutic opportunities.
2. Relatively high heat load in the appointment of these temperatures, which in some cases leads to poor portability procedures and eliminates its purpose in some patients with comorbidity (particularly in individuals with hypokinetic option circulation).
3. Insufficient duration of impacts is the most components deep into the tissues.
This leads to insufficient clinical efficacy of the applied method.
The technical result of the proposed method of treatment neurocirculatory dystonia is to increase the effectiveness of treatment with achieve rapid relief of acute and clinical manifestations of disease, prolonged and sustained remission, the possibility of reducing or eliminating medications, as well as wider application with accompanying diseases, improving portability.
This technical result is achieved by the fact that the patient is assigned to the influence of saline silt sulfide mud of the Dead sea by application to the collar region and the projection nadalutti lymph nodes layer of 2-3 cm at a temperature of dirt 35-36°C, simultaneously carried out in hardware-software complex "Alpha 2010tmSpa System", providing a simultaneous and comprehensive impact factors of General thermotherapy at an ambient temperature of 35-36°With vibratory massage by the method of General wave impact, monotherapie with a predominance of negatively charged ions, as well as aromatherapy, oftalmol the x2">A distinctive feature of this method of treatment is the use of highly mineralized (300 g/l) silt sulfide mud of the Dead sea, makoplasty and heat (0,503 of coal/g·hail), characterized by a low value grains (of the order of 40-45 MKN). The combination of different number of properties available in the dirt salts, their concentration, the presence of trace elements, specific hormones, colloidale patterns mud from the Dead sea is unique in nature. Dirt polerowanie brine of the Dead sea, put through a sieve, sealed and Packed in a waterproof container. The process of delivery of the mud is fully observed, which does not violate its physical-chemical composition.
Therapeutic effect of mud application on the collar area and the projection nadalutti lymph nodes of the patient is performed in hardware-software complex "Alpha 2010tmSpa System" affecting the General thermotherapy in a comfortable temperature in both the mud and the environment - 35-36°C, which ensures a uniform heating of the entire body and, as a consequence, korrigirovanija functional imbalance of the cardiovascular system, reducing a multi-sensory shower is camping due to vibration, which has a beneficial effect primarily on the state of the cardiovascular system, causing redistribution of the deposited blood from internal organs to the surface of the skin, muscles, peripheral vessels, increasing myocardial contractility, redox processes, eliminating congestion; monotherapie with a predominance of negatively charged ions, which causes the formation reactions of adaptation, aimed at ensuring optimum living, functional systems, normalizing homeostasis, increase immune resistance, improve metabolism, reduce muscle hypertonicity. Simultaneously the use of essential oils enhances the activity of the cardiovascular system by increasing contractility, normalize heart rhythm, improve coronary circulation, normalization of blood pressure. Playing the role of biooxidation, aromatic substances involved in the processes of lipid peroxidation, have bronchospasmolytic effect, increase the overall nonspecific resistance of the organism, improve mood and sleep, relieve fatigue, increase efficiency. Functional is esteem musictherapy and ophthalmologically.
Appointed by the temperature effects of mud application 35-36°C is less than the load, most physiological, easily tolerated by patients, including those with concomitant organ pathology and vegetative disorders of thermoregulation processes. In addition, due to the effect of warm within 36°With the ambient air, created in 2010 AlphatmSpa System", provides comfortable uniform warming of the whole body, and the preset temperature of the local mud application 35-36°C on the region one of the most important reflex zones, which is the collar area, and the projection nadalutti lymph nodes retained and maintained during the whole exposure time. This not only provides increased therapeutic efficacy and excellent tolerability of the procedure.
The choice of the exposure time of 35-40 minutes, during which the patient is in "Alpha 2010tmSpa System and receives simultaneous and comprehensive impact factors of General principle, vibrating massage, ion - and aromatherapy, ophthalmologically and music therapy, contributes to a more complete exposure of all components assigned complex and more pogo contacts with the receptor structures and the most adequate in this category of patients. In order to achieve high efficiency should be not less than 10-12 sessions per course of treatment.
Saline silt sulfide mud from the Dead sea in patients with neurocirculatory dystonia by the method of combined effects in complex with total therapy, vibration massage aeroionotherapy with a predominance of negatively charged ions, as well as aroma, aku - and ophthalmotilapia applied for the first time.
Description of method of treatment
After conducting clinical and laboratory research in the absence of contraindications start treatment.
The patient was placed on a preheated lodgement in 2010 AlphatmSpa System”. Saline (300 g/l) silt sulfide mud from the Dead sea temperature 35-36°To put on the collar region of the patient and the projection nadalutti lymph nodes layer of 2-3 cm and set the following exposure parameters: air temperature 35-36°C, vibration massage mode wavy General, a reciprocating impact. A set of essential oils include lavender, chamomile, rosewood, marjoram, pine and mint. Additionally connect the blowing ionized with preobladanie glasses, available in the kit. The procedure lasts 35-40 minutes. After exposure, the patient takes a shower comfortable temperature and rest for 30-40 minutes. Of the procedures performed in a day. Treatment is 10-12 impacts.
Examples of the method
Example 1. Patient M., 34 years. Diagnosis: neurocirculatory dystonia, medium-heavy, syndrome false angina. Osteochondrosis of the cervical spine.
Complaints at admission: pain in the heart stabbing character, not related to physical activity, noirreverie, occurring almost every day from the moment of psycho-emotional stress, as well as spontaneously, palpitations, headaches, emotional lability, fatigue, weakness, poor sleep. Ill for 5 years.
The patient's condition is satisfactory. Borders of the heart within the physiological norm. Heart sounds are clear, rhythmic. The heart rate of 78 beats per minute. Blood pressure 135 80 mm RT. Art. the Breath in the lungs vesicular, wheezing is not heard.
According to the Bicycle ergometry identified low tolerance to physical activity, which was combined with the inadequate normal values (P<0,01)). Psychological tests (lüscher Test) showed a significant decrease in the level of autonomic adaptation (0,24±0,05), health (57,2±5,7), physical activity (55,6±4,4). In addition, the lüscher test, and the Test of Spilberger revealed a high level of situational (P<0.05) and personal (P<0,05) anxiety.
The patient was assigned to the influence of saline silt sulfide mud of the Dead sea by application to the collar region and the projection nadalutti lymph nodes layer of 2-3 cm at a temperature of dirt 35-36°C, simultaneously carried out in hardware-software complex "Alpha 2010tmSpa System", providing a simultaneous and comprehensive impact factors of General thermotherapy at an ambient temperature of 35-36°With vibratory massage by the method of General wave impact, monotherapie with a predominance of negatively charged ions, as well as aromatherapy, ophthalmologically and music therapy lasting 35-40 minutes. The course of treatment consisted of 12 treatments a day.
Already after the 2nd procedure, the patient was found positive clinical dynamics of the disease. This was manifested in the improvement of General well-being, improving naaladase completely. By the end of the course the exposure has ceased to disturb pains in region of heart attacks of palpitation. Heart rate was 76 beats per minute. Heart sounds are clear, rhythmic. Blood pressure 125 and 80 mm RT. Art.
Positive dynamics on a subjective level was confirmed by the data of additional methods of examination. Due to the normalization of autonomic software (0,19±0,01) increased tolerance to physical activity (P<0,01). According to psychological testing (Tests Luscher and Spilberger) identified the reduction of situational and personal anxiety (P<0,02), and the positive dynamics of indicators characterizing the level of physical activity and health (P<0,05).
Follow-up observations showed that remission was observed in 8 months and was accompanied by a significant increase tolerance to stress factors.
Example 2. Patient O., 41. Diagnosis: neurocirculatory dystonia easy flow, the syndrome of vegetative-vascular paroxysms. Chronic obstructive bronchitis in remission. Emphysema, pneumosclerosis. Respiratory failure I. Poliosteoartroz mainly on the sweating, emerging at night or pre-dawn hours 1-2 times a week, accompanied unmotivated fear that resolve copious urination, emotional lability, poor sleep, fatigue, decreased physical activity, shortness of breath during exercise, pain in the joints. Ill for about a year.
On examination, notice the glitter in their eyes, fine hand tremor. Determined local hyperhidrosis, persistent dermographism. Muffled heart sounds, rhythmic, listen systolic murmur at the apex. Heart rate is 80 beats per minute. Blood pressure 140 and 90 mm RT. senior Border of the heart is within the physiological norm. The breath in the lungs with a hard shade, with a forced expiratory dry visokomoralniye wheezing. At the time of treatment in the clinic, the patient had been on tranquilizers, attacks were stopped receiving 40-50 drops of valocordin or 1 tablet seduksen.
According to the ECG, the patient noted an increase in heart rate 88 beats per minute, signs of arrhythmias (isolated atrial extrasystoles). These Bicycle ergometry was confirmed by reduced tolerance to physical activity (P<0,01). A psychological test, the residents of the patients with neurocirculatory dystonia of this feature (O. F. Pankov, 1982; C. D. Derided et al., 1983; A. C. Veen et al., 1996).
The patient was assigned to the influence of saline silt sulfide mud of the Dead sea by application to the collar region and the projection nadalutti lymph nodes layer of 2-3 cm at a temperature of dirt 35-36°C, simultaneously carried out in hardware-software complex "Alpha 2010tmSpa System", providing a simultaneous and comprehensive impact factors of General thermotherapy at an ambient temperature of 35-36°With vibratory massage by the method of General wave impact, monotherapie with a predominance of negatively charged ions, as well as aromatherapy, ophthalmologically and music therapy lasting 35-40 minutes. The course of treatment was 10 procedures in one day.
After treatment, the patient was observed pronounced positive dynamics of the main subjective manifestations of disease - vascular attacks were observed, sleep improved, the patient was emotionally more stable, more efficient, disappeared weakness. The patient stopped taking sedative drugs, including tranquilizers. In addition, the observed decrease shortness of breath and pain in the joints.
The proposed method of treatment was applied in the rehabilitation clinic “Mild” in 44 patients with neurocirculatory dystonia. Surveyed were 26 women and 18 men aged 17 to 49 years. Most patients (87%) identified cardiology, asthenoneurotic syndrome and vascular paroxysms. In 46% and 38% of cases, there had been consequently easy and moderate disease. In 17% of patients had concomitant pathology of the musculoskeletal, respiratory, and urogenital systems.
Portability procedures all patients was satisfactory. In the process of balneological treatment reactions and exacerbation of disease in patients was not observed. In most cases, the regression of clinical symptoms was observed already after 2-3 treatments offered by the method.
The positive dynamics of neurocirculatory dystonia symptoms was based on the incurred until the complete absence seizures vascular paroxysms, respiratory disorders. All surveyed noted positive changes in emotional status, improving sleep, reducing weakness, fatigue, a significant increase in performance.
Positive changes in the clinical picture of the disease were confirmed in a research laboratory and functional parameters. In 86% of cases revealed normalization of blood pressure (P<0.05) and frequency of heart disease (P<0,02). Restoration of normal tolerance to physical activity was observed in 92% of patients, which was achieved primarily due to adequate vegetative support. The data of psychological testing showed a highly significant decrease in deviations from autologous norms, situational and personal anxiety, a significant increase in activity and performance.
The clinical efficacy of this method of treatment neurocirculatory dystonia was 93.5%, and 47% of cases achieved positive changes regarded as a significant improvement. Cases of deterioration and the development of adverse reactions affected by impacts were noted.
Thus, predlogenij, to achieve in some cases, reduce the dosage or eliminating medications (sedatives, tranquilizers), thereby reducing the risk of side effects, prolong the period of remission of up to 8-10 months, and to increase resistance, increase the body's resistance to various stress, improve the quality of life of the patient. No baldereschi and good tolerability enable wider use of the method of treatment neurocirculatory dystonia when combined with various concomitant diseases, in particular in patients with hypokinetic option circulation, disorders of musculoskeletal system, respiratory organs.
In connection with the foregoing we can conclude that the high efficiency of this method of treatment of patients with neurocirculatory dystonia, its pathogenetic validity and feasibility of use in this category of patients that allows us to recommend its use in sanatorium-resort and rehabilitation institutions.
Method for the treatment of patients with neurocirculatory dystonia by application of silt sulfide mud on the collar area and the projection nadalutti lymphatic nodes is carried out by application of saline silt sulfide mud of the Dead sea, a layer of 2-3 cm at a temperature of dirt 35-36°C, simultaneously carried out in hardware-software complex, providing simultaneous and comprehensive impact factors of General thermotherapy at an ambient temperature of 35-36°C, vibration massage by the method of General wave impact, monotherapie with a predominance of negatively charged ions, as well as aromatherapy, ophthalmologically and music therapy duration 35-40 min, treatment of 10-12 sessions through the day.