Method of treating posttraumatic stress disorders

FIELD: physiotherapy and health resort treatment.

SUBSTANCE: before treatment, condition of vegetative nervous system is examined and, when initial vegetative tonus is regarded as sympathicotonia and hypersympathicotonia, galvanization of collar region according to Shcherbak and common-use pearl bathes are recommended. When initial vegetative tonus is regarded as vagotonia, microwave therapy and common-use radon bathes are recommended.

EFFECT: increased treatment efficiency due to improved vegetative nervous system condition as well as general hemodynamic and biochemical and hormonal investigation characteristics.

5 cl, 7 tbl, 3 ex

 

The invention relates to medicine, namely to physiotherapy and balneology.

The study of psychological effects on people in extraordinary circumstances, such as war, natural disasters, accidents, violent crimes, etc., allowed us to identify and describe the category of post-traumatic stress disorder. In 15-20% of soldiers who took part in the war in Afghanistan, military actions in Karabakh, Abkhazia, Tajikistan, Chechnya, there are "chronic post-traumatic conditions"caused by stress [1].

Known medical methods of treatment of chronic posttraumatic stress disorder. The disadvantages of these methods are toxicity, adverse reactions to the introduction of drugs and allergization of an organism.

Also there is a method of psychotherapeutic correction. However, often patients do not want to go to a therapist, which is associated with the fear of losing their job or being barred from travel hot.

The objective of the invention is to develop a differentiated methods of correction of psychosomatic disorders using the physio-balneotherapy.

This object is achieved by exposing preformed physical factors, and to determine treatment of autonomic n is rvnoy system (ANS), and when the original vegetative tonus (IWT) sympathicotonia and hypersympathicotonia use galvanized neck area by Shcherbakov and General pearl baths, and during the initial vegetative tone vagotonic appoint EHF - therapy and General radon baths.

To monitor the effectiveness of treatment in addition to determining vegetative determined the overall hemodynamics, levels of adaptation on Garkavi LH [7], the study of hormonal status and biochemical indices of blood serum.

The method is as follows. Daily for 7-10 days is galvanized by Shcherbakov in the first half of the day. Then in the afternoon have a common bubble baths at a temperature of 36-38°C for 10 minutes daily.

EHF-therapy apparatus “Stella-2” is carried out daily for 7-10 days in the scanning mode frequency radiation 37-39 used (which corresponds 60,9-61,2 GHz), the biological active points VC-17 (3/4 of the sternum above, the specific point for respiratory and metabolic), E-36 (paired, below the knee on the front surface of the body, specific point when fatigue) symmetrically for 4-5 minutes, TR-5 room, 2 CUN above the wrist joint on the back surface of the hand, hypertension) or MS-6 (steam room, 2 CUN above the wrist joint on the Palmar surface of the hand, with hypotension) and the G-20 (along the line of connection of the ears on the top, specific point in diseases of the Central nervous system) [2], the total treatment time is 30 minutes, then after 4-5 hours total spend radon baths with a concentration of 1.5 to 3.0 BCF/l, T - 36-37°With exposure time of 10 minutes daily.

EHF-therapy acts as a biological component of complex therapy aimed at restoring functionality is damaged or involved in the pathological process of tissue structures [3]. The effects of electromagnetic radiation (EMR) krainiuchenko range (EHF) cells enhances their functional activity and leads first to the active mobilization of all its ultra structures (short-term adaptation), and then to the phenomena hyperplasia (long-term adaptation). Strengthening of hyperplastic processes is a logical structure-adaptive reaction, leading to accelerated upgrading of structures, acquiring new properties become more adapted to the current factor. The development of these reactions is a consequence of the interaction energy factor nuclear and cytoplasmic ultra structures of cells, and the neurohumoral effects of different levels [4].

General radon baths have a regulating and normalizing effect on the endocrine organs nonspecific resistance, immunological reactivity of the organism, the sympathetic-adrenal system, on separate sides of carbohydrate, mineral and lipid metabolism, resulting sedative, anti-inflammatory, desensitizing, improving brain dynamics effect. Under the influence of radon baths are normalized redox reaction in tissues, including the processes of oxidative phosphorylation, metabolism and nucleic acids, lipids, macro - and micronutrients [5].

Treatment in accordance with the inventive method has received 112 people.

When analyzing dynamic range of 100 cardiocycle was determined by the following parameters: mode (Mo), the amplitude of the mode (AMO), the variation magnitude (dX), tension index (ti) of the regulatory systems. In accordance with literature data, the mode amplitude characterizes the activity of the sympathetic, the variation range of the parasympathetic division of the autonomic nervous system, and the tension index reflects the predominance of the Central (sympathicotonia) influences on autonomic (parasympathetic) [6].

When the method of treatment, including General bubble baths and galvanizing neck area by Shcherbakov, in the group - hypersympathicotonia before treatment revealed a sharp increase in the share of sympathetic regulation (AMO=38,4±1,2%), respectively, led to the General increase the tension of regulatory systems of the body (JN = 274,0± 27,3 used). After treatment, the positive dynamics in the form of lower AMO (28,8±1,1%, p <0.001) and accordingly reduction IN (137,4±15,9 used, p <0,05), indicating that positive corrective influence of complex visiblerect on the processes of Autonomous regulation of heart rhythm and, consequently, of the whole organism. Similar changes were also observed in the group with - sympathicotonia, where AMO (31,4±3,9 and 23.5±1,8, p <0.05) and IN (128,2±7.0 and 80,5±and 11.8, respectively, p<0,05) also significantly decreased after treatment (table 1).

In the group - normotone significant changes are not marked.

In the group with the OEM vagotonic treatment had the opposite effect on system regulation of heart rhythm. So, dX after treatment decreased significantly (up to 0.36±0,03 MS, after 0,28±0,03 MS, p<0.05), whereas AIA and JOHN, on the contrary, increased to normal values (to 13.1±0,04% and 18.8±2,0 used, after 20,7±3,2% and 53.5±14,6 used respectively, p<0,05). This suggests that the body was in the early state of oppression, has reached a new level of functioning (table 2).

Treatment method, including General radon baths and EHF-therapy, revealed the following results: in the group - hypersympathicotonia significant changes before and after treatment were observed. In the group with IWT, simpatico the Oia increased significantly dX (0,14± 0.03 and 0,19±0.01 respectively, p<0,05), indicating that the increased influence of the parasympathetic component. At the same time decreased AMO (27,2±1,3 and 22.5±1,1, when p<0.05) and IN (to 113.4±7.1 and 81,2±5,7 respectively, p<0.01), and therefore, decreased the influence of the sympathetic and newsegments structures ANS (table 1).

In the group - normotone there was a slight increase of the sympathetic influence (AMO to 19.6±0.7 and after treatment 22,5±1,1, when p<0,05). However, this did not significantly affect the remaining indicators, and they remained within normal limits.

In the group of vagotonic treatment resulted in reduction of dX after treatment (up to 0.39±0,04 MS, after 0,25±0,03 MS, p<0.01), whereas AMO (to 14.0±, 0.06% and after 17,6±1,4%, p<0.05) and IN (to 18.8±1.7 and after 43,6±8,3 used, at p<0,01) increased and reached normal values. Parasympathetic influence decreased, and the Central regulation has increased (table 2).

Study General hemodynamics were performed by the method of integral rheography by Tishchenko. Was determined by the following indicators: stroke volume (CRM), minute volume of blood (IOC), stroke index (si), cardiac index (SI) and total peripheral vascular resistance (SVR). Indices of Central hemodynamics at the level of arterial characterize the adequacy of the vital both the cookies of the body at the moment.

In the treatment by the claimed method, including galvanization neck area by Shcherbakov and General bubble baths in the group with a hypokinetic type hemodynamics showed a significant increase in WALK and IM (61,2±3.5 and 30,51±2,11 before treatment, 79,6±2.5 ml and 39,6712,06 ml/m2after treatment, respectively, p<0,01). Also noted a significant decrease to normal values of total peripheral vascular resistance (SVR) with 2271,5±62,7 to 1136,7±71,2 srvc. units, at p<0,001.

In the group with eugenetics type hemodynamics showed a significant increase in cardiac output (IOC) 4,53±0.15 to 6,10±0,54 l/min, which is slightly above the norm, and cardiac index of 2.30±0.06 to 3,11±0,27 l/min/m2when p<0,01. Also increased stroke index (41,36±1.15 to and 49,05±to 3.58 ml/m2after treatment, at p<0,05). A significant decrease SVR (1786,4±55,7 and 1429,2±output reached 125.5 srvc. units, respectively, p<0,01).

When hyperkinetic type of hemodynamics obtained the following results: reduction of the WALK and IM (99,8±3,0 and 51.3±and 1.4 to 91,7±3.0 ml and 47,3±1.7 ml/m2after treatment, respectively, p<0,05). As well as the increase in SVR with 1388,0138,1 to 1592,0±75,9 srvc. units, at p<0,01 (table 3).

Under the influence of the claimed method of treatment with EHF-therapy and General radon baths obtained the following results. In the group gipotermiceski type hemodynamics increased WALK, The AP and SI (63,9±4,2, 33,3b±1,61 1,G8±0.05 to treatment, respectively, and after treatment 100,2±11,1 ml, 52,94±6,93 ml/m2and 3,07±0,46 l/min/m2when p<0,05). Also noted is the increase of the IOC with 3,21±0.15 to 5,8±0,77, p<0,01. While SVR significantly decreased to normal values (2714,7±171,4 before and 1627,7±EUR 236.9 after treatment, at p<0,001).

In patients with aminations type of hemodynamic significant differences of indicators before and after treatment were not found.

When hyperkinetic type decreased WALK and SI (100,1±3,4 and 3.22±0.09 to ensure that 89.9±4,7 ml and 2.93±0.15 l/min/m2after treatment, respectively, p<0,05). The IOC has decreased from 6,40±0,17 to 5.82±0,29 l/min, but remained above normal. Significantly decreased shock index 52,48±1,64 to 45,11±2.37 ml/m2when p<0,01 (table 4).

Were also investigated an adaptive response by Phharmacy et al. on the basis of the relationship of cellular elements leukocyte blood characterizing nonspecific adaptive mechanisms of an organism at different pressures. For the percentage of lymphocytes in the blood there are four types of adaptive reactions: reaction training (RT), calm activation (PCA), increased activation (RPA) and stress (PC). In addition, there are levels of reactivity: high and low. The high character of erished absence of abnormalities in leukocyte formula and normal white cell count, that speaks to the synchronization systems of the body. Low level characterized by the presence of deviations in the formula or contents of leucocytes in the blood [7].

In line with this, patients with PTSD were determined types of reactions adaptation and levels of reactivity before and after treatment with the claimed methods.

In the treatment by the claimed method using electroplating neck area by Shcherbakov and shared bubble bath decreased the percentage of patients with RT (21% before treatment and 6% after), at the same time decreased the number of patients with a high level of reactivity (from 100% to 86%). The increase in SAR (15.5% to and 45.5% after treatment) and a high level of reactivity (80,0% up to and 100.0% after) and the reduction in the number of patients with RPA (64,5% and 48.5 percent, respectively, before and after treatment) and low reactivity (56,2% and 23.8%, respectively) indicates the beneficial effects of complex adaptive reactions of the organism.

In the treatment method with the use of EHF-therapy and General radon baths so significant dynamics were observed, however, a slight increase in the number of patients with PCA (from 29.5% to 39.0% after treatment) and a high level of reactivity (77,0% before treatment and 84,6% after). However, the percentage of persons with RPA after treatment even slightly increased (50,0% to 59.0%of)that is not quite a good indicator, but the reduction in the number of PA is antov low reactivity (54,5% up to and 31.8% after treatment) due to the high level of reactivity is compensated.

The stress response was not observed in any patient, either before or after treatment. (Table 5).

The method of treatment, including galvanization neck area by Shcherbakov and General bubble baths, have formed the most favorable endocrine status in a subgroup of patients for whom their initial (before treatment) was characterized by the predominance of the sympathetic division of the autonomic nervous system. So, at a relatively constant level of insulin in blood, not published beyond the norm, both before and after completion of treatment, the concentration of cortisol after a course of rehabilitation therapy showed a tendency to decrease. His concentration was reduced by 17% compared with that before treatment, while the initial concentration of cortisol in blood was, as in the case of insulin within normal limits. Simultaneously, the observed trend of decrease in the ratio of cortisol to insulin. This ratio was decreased by 53% compared with that before treatment. The testosterone level in patients of all subgroups treated with the above-mentioned complex after treatment tended to decrease. The trend was expressed in different ways at car-, normo - and somatotonic (decrease of 28, 36 and 15% respectively), only somatotonic tacos the shift testosterone levels after treatment was combined with a reduction in the blood concentration of cortisol and relationships cortisol/insulin.

Under the influence of the method, including EHF-therapy and General radon baths, the minimal intensity of the regulatory processes in the body examined was observed in patients in the two subgroups with the original vagotonic and hypersympathicotonia. As in the first case, when the relative stability of the concentration in serum insulin, remained within the normal range, we have registered in response to the impact of the trend towards lower serum cortisol levels at 18 and 40%, respectively. Parallel to these developments had a tendency to decrease in the ratio cortisol/insulin at 39 and 46%, respectively (table 6).

In patients with baseline prevailing tone of the sympathetic division of the autonomic nervous system after completion of rehabilitation therapy bubble bath and plated collar could be seen a number of interrelated trends indicating a decrease in serum concentrations of certain types of lipids. At 7% decreased total cholesterol and significantly decreased the concentration of triglycerides and VLDL cholesterol (very low density lipoprotein), 35% at p<0,05 in both cases compared with those before treatment. It should be noted that only patients somatotonic observed a significant decrease in the concentration the AI in serum malondialdehyde (MDA) (p< 0.05) in the simultaneous tendency towards a growth of 34% of the catalase activity of the serum. The value of the index RLPO (reserve of serum lipids to peroxidation) in this case also showed a tendency to increase of 17% compared with that before treatment. In good accordance with the laws established with the participation of the named parameters, were also calculated factors: the catalase activity/concentration of MDA and the activity of catalase/content of ceruloplasmin. Both factor in patients computatonal showed a trend of growth by 82% and 53% respectively.

In the feedback method, including EHF-therapy and radon baths, patients with initial vagotonic we did not observe a significant impact on the range of serum lipid in terms of detection antiatherogenic trends in the changes of their concentrations. However, in this subgroup of patients reported a decline of 12% concentration of MDA and increase in the content of 4% of ceruloplasmin. In response to the impact claimed in patients with initial sympathetic - and especially hypersympathicotonia we have registered a growth trend at 10% concentration of HDL cholesterol (high density lipoprotein) and lower concentrations of triglycerides by 13% in somatotonic and by 26% in hypercompact the nicks. In patients with initial sympathicotonia observed reduced by 13% in the concentration of MDA increased by 7.9% content of ceruloplasmin and 8% increase in the index RLPO. In these conditions, patients with the source hypersympathicotonia observed reduced by 9% concentration of MDA, an increase of 12% content of ceruloplasmin, a 7% increase in catalase activity, 11% increase in the index RLPO and 23% of the catalase activity/concentration of MDA. The dynamics of indicators of metabolism suggests that patients with initial vagotonic stimulation of regenerative processes mainly occurs with the participation of activated antioxidant defense system, while in patients with the source of sympathetic - and hypersympathicotonia along with a relatively large increase of functional activity of antioxidant defense are antiatherogenic trends in changes of blood lipid spectrum (table 7).

For a better understanding of how we propose to consider the examples of its implementation.

Example 1. Patient S., aged 29, was on rehabilitation treatment in the clinic Tomsk Netif with 17.12.2001, 10.01.2002, with a diagnosis of cervico-thoracic degenerative disc disease, vertebral torically with neurodystrophic manifestations, steady flow, moderate pain Shin the rum.

Special history. 9 years of service in the police Department of the Tomsk region, riot police officer, senior police officer. The number of business trips in the area of military conflicts (Chechnya) - 8 (1995, 1996, 1999, 2000 and 2001), 3 months each. The trip ended in November 2001 Official duties during business trips - protection of objects, goods, checkpoints, counter-terrorism operations. Has taken a direct part in hostilities. Wounds, contusions (mine and explosive injuries and illnesses during travel had not.

Upon receipt complained of periodic aching pain in the interscapular region and the right shoulder joint. Do not smoke, alcohol is not abused. Family history without features.

Upon admission to the hospital Tiiki General condition is satisfactory. From respiratory organs and abdominal cavity without features. Respiratory rate of 18 per minute Heart: the sizes are not increased, the rhythmic tones. Heart rate 76 beats per minute. HELL 125/80 mm RT. senior Coordinatory violations have been found. By the cranial nerves (FMN) without pathology. Range of motion in the cervical, lumbar spine and joints - full, painful to palpation megastate ligament in srednjerocnom spine, painful palpation of myofascial seal in the trapezius and right podos the Noah muscles. Reflexes and tendon and periosteal with the upper and lower limbs - live, symmetric. Muscle tone is saved. Pathological, meningeal signs. Sensitive violations have been found. Persistent red dermographism, moderate hyperhidrosis of the hands and feet.

In the General analysis of blood and urine abnormalities are detected.

According to kardiointervalografii (TG) was calculated basic indicators according to the method Baevsky R.M., which was as follows: Mo - 0,68 MS, dX - 0,08 MS, AMO - 40%, IN 363 srvc. units, which corresponds to the original vegetative tonus (MW) hypersympathicotonia. Overall hemodynamics: WALK - 62,94 ml, IOC - 5.3 l/min, AP - 34,03 ml/square meters, SI - 2,87 l/min/sq m, the round - 1740,84 srvc. units, which corresponds to the hyperkinetic type. In addition, before the treatment, the patient noted a low level of reactivity Garkavi LH and the reaction increased activation.

Were assigned to the treatment in accordance with the inventive method, including galvanization neck area by Shcherbakov and General bubble baths.

Treatment the patient tolerated well, the pathological baldereschi was not. Active had no complaints. In the course phisiobalneotherapy treatment of pain in his chest and shoulder. Was discharged with improvement for further service. Subjective improvement of health podtverzhdalo the data functional studies. Indicators TG: Mo - 0,82 MS, dX - 0,16 MS, AMO - 24%, IN 93 srvc. units, which corresponds to the IWT - sympathicotonia, General hemodynamics: WALK - 69.85 mm ml, IOC - 4,22 l/min, AP - 35.4 ml/sq, C - 2,14 l/min/sq m, the round - 1781,33 srvc. units, akineticheskie type hemodynamics, Garkavi LH was determined with a high level of reactivity and reaction of increased activation. Concentrations in serum cortisol and insulin, both before and after treatment were within the upper limit of normal. The ratio of cortisol/insulin after treatment was reduced compared to its initial level by 31%. Testosterone concentration after treatment was reduced by 25%. These results demonstrate the functioning of the endocrine system of the patient, and despite the absence of signs of stress before the course received medical complex contributed to the reduction of tension of regulatory processes, allowing implemented sanogenetic processes under optimal conditions. The concentration of triglycerides in the serum after treatment was reduced by 36%after treatment at 42% decreased the level of malondialdehyde, 10% increased activity of catalase and 40% increased index RLPO. All data indicate a positive effect of treatment.

Example 2. Patient C., 23, was on rehabilitation treatment in the clinic Tomsk NIIKI is with 4.06.2001, on 22.06.2001, with a diagnosis of chronic prostatitis. Special history. 3 years service in the police Department of the Tomsk region, the riot squad member, one militiaman. The number of business trips in the area of military conflicts (Chechnya) - 4 (1999, 2000 and 2001), 3 months each. The trip ended in may 2001 Official duties during business trips - protection block posts. Direct participation in hostilities was not accepted. Wounds, contusions (mine and explosive injuries and illnesses during travel had not.

Upon receipt complained of periodic dull pain in the inguinal-scrotal region and perineum, pain and burning during urination. Alcohol is not abused. Family history without features.

Upon admission to the hospital Tiiki General condition is satisfactory. From respiratory organs and abdominal cavity without features. Respiratory rate 16 per minute Heart: the sizes are not increased, the rhythmic tones. HR 59 beats per minute. HELL 120/80 mm RT. senior Coordinatory violations have been found. By the cranial nerves (FMN) without pathology. Range of motion in the cervical, lumbar spine and joints - full. Reflexes and tendon and periosteal with the upper and lower limbs - live, symmetric. Muscle tone is saved. Pathological, meningeal signs. Sensing disturbances not the detection of the but. Persistent red dermographism, moderate hyperhidrosis of the hands and feet.

General analysis of blood and urine without features.

According to kardiointervalografii (TG) was calculated basic indicators according to the method Baevsky R.M., which was as follows: Mo - 1,06 MS, dX - 0,22 MS, AMO - 66%, IN - 116 srvc. units, which corresponds to the original vegetative tonus (IWT) sympathicotonia. Overall hemodynamics: WALK - 75,88 ml, IOC - 4,39 l/min, AP - 38,71 ml/sq m, SI - 2,24 l/min/sq m, the round - 1847,3 srvc. ed, which corresponds akineticheskie type. In addition, before the treatment, the patient noted a low level of reactivity Garkavi LH and reaction activation.

Were assigned to the treatment in accordance with the inventive method, including galvanization neck area by Shcherbakov and General bubble baths.

Treatment the patient tolerated well, the pathological baldereschi was not. Active had no complaints. Was discharged with improvement for further service. Subjective improvement was confirmed data functional studies. Indicators TG: Mo - 1,06 MS, dX - 0,22 MS, AMO - 36%, IN - 77 srvc. units, which corresponds to the normal, General hemodynamics: WALK - 66,37 ml, IOC - 3,49 l/min, AP - 33,91 ml/sq m, SI - 1,77 l/min/sq m, the round - 2009,04 srvc. units, hypokinetic type of hemodynamics, Garkavi LH was determined with a high level of reactivity and reaction calm AK is ivali. Before treatment, the concentration of cortisol in serum were higher than normal, however, after completion of the treatment, she returned to normal. In accordance with this, the ratio of cortisol/insulin after treatment was reduced by 3.6 times. The concentration of triglycerides and total cholesterol in the serum after treatment was significantly decreased (by 56% and 17% respectively). Cholesterol VLDL and LDL after treatment was reduced 56% and 18% respectively. The concentration of malondialdehyde in serum after treatment was reduced by 39%, while the index value of RLPO has not changed significantly. Catalase activity after treatment in serum were increased by 8%, increased and computed relations catalase activity / concentration of malondialdehyde and catalase activity / content of ceruloplasmin. All data indicate a positive effect of treatment.

Example 3. Patient K., aged 29, was in the rehabilitation treatment in the clinic Tomsk Netif with 26.03.2001, 13.04.2001, with a diagnosis of Primary: Neuro-circulatory dystonia of hypertensive type NPIs. Companion: Primary osteoarthritis with a primary lesion of the knee, shoulder and elbow joints. Stage I, FTS0.

Special history. 8 years of service in the police Department of the Tomsk region, riot police officer, senior police officer. The number of official tours is set in the area of military conflicts (Chechnya) - 5 (1996, 1997, 1999, 2000, 2001), for 3 months. The last trip ended in February 2001 Official duties during business trips - protection of objects, trucks with cargo and checkpoints, military operations. Directly participated in hostilities. Has military awards. Wounds, mine and explosive injuries, diseases during travel was not.

Upon receipt complained of General weakness, fatigue, irritability, sleep disorder (poverhnostny sleep), periodic headaches, aching pain in the joints (shoulder, knee, elbow) and in the cervical spine. When collecting history revealed that when conducting medical examinations periodically increase the blood pressure to 15 0-155/90-95 mm RT. senior joint Pain from childhood, mainly after the hypothermia. Treatment outpatient, partial improvement. Do not smoke, alcohol is not abused. Family history without features.

Upon admission to the hospital Tiiki General condition is satisfactory. From respiratory organs and abdominal cavity without features. Respiratory rate 17 minutes Heart: the sizes are not increased, the rhythmic tones. Heart rate 65 beats per minute. HELL on the left hand 125/90 mm Hg on the right - 125/85 mm Hg Coordinatory violations have been found. By the cranial nerves (FMN) without pathology. Volume DV is raised in the cervical, lumbar spine and joints - full. Palpation : tenderness capsules right shoulder joint, moderately painful myofascial seal in the trapezius and infraspinatus muscles on both sides. Reflexes and tendon and periosteal with the upper and lower limbs - live, symmetric. Muscle tone is saved. The strength of the muscles of the limbs up to 5 points. Pathological, meningeal signs. Sensitive violations have been found. Persistent red dermographism, hyperhidrosis and blanching of the hands and feet.

The blood and urine in norm.

According to kardiointervalografii obtained the following results: Mo - 1,06 MS, dX - 0,27 MS, AMO - 15%, IN - 26 srvc. units, which corresponds to - sympathicotonia. Overall hemodynamics: WALK - up 85.2 ml, IOC - 4.4 l/min, AP - 43,61 ml/sqm, SEA of 2.25 l/min/sq m, the round - 1764,6 used that corresponds akineticheskie type. In addition, to ensure a high level of reactivity Garkavi LH and the reaction increased activation

Were assigned to the treatment in accordance with the inventive method, including EHF-therapy and General radon baths.

Treatment the patient tolerated well, the pathological baldereschi was not. In the course phisiobalneotherapy ensure the HELL was 120-125/80 mm Hg Notes improvement in overall health, normalization of sleep. Discharged with uluchshenija further service. Subjective improvement was confirmed data kardiointervalografii: Mo - 0,98 MS, dX - 0,27 MS, AMO - 18%, IN 52 srvc. units, which corresponds to - atonia. Overall hemodynamics: WALK - 92,5 ml, IOC - 5,04 l/min, AP - 47,3 ml/sq m, SI - 2,58 l/min/sq m, the round - 1589,18 used that corresponds akineticheskie type hemodynamics. In addition, to ensure a high level of reactivity Garkavi LH and calm reaction activation. The level of cortisol in the blood before treatment was slightly higher than the upper limit of normal, but by the end of the treatment, its content was decreased by 52%, reaching normal values. In accordance with this dynamics, the ratio of cortisol/insulin after treatment was reduced by 1.6 times compared to the original. After treatment was observed noticeable changes in the content only for HDL-cholesterol (down 38%) and for total lipids and cholesterol LDL (an increase of 21% and 24% respectively). This decreased atherogenic index. The concentration of malondialdehyde after treatment was reduced by 44%. However, we did not observe significant changes in the activity of catalase, ceruloplasmin, index RLPO and relationships - the activity of catalase/content of ceruloplasmin. In accordance with these shifts in 43% had increased only the ratio of the activity of the catalase/content of malondialdehyde

All patients discharged with improvement on the part of the autonomic nervous system, the overall hemodynamics, adaptive responses and indicators of biochemical and hormonal studies.

Thus, clinical studies have shown that the inventive method using electroplating neck area by Shcherbakov and pearl baths increases the efficiency of treatment of patients with baseline autonomic tone hypersympathicotonia and sympathicotonia. And the way, including EHF-therapy and radon baths, has a more effective impact on patients with initial autonomic tone vagotonic.

The method is well tolerated by patients, can be used for the rehabilitation of members of the armed conflict with posttraumatische stress disorder.

Sources of information

1. Kotenev ACTING Questionnaire traumatic stress diagnostic psychological consequences of service of employees of internal Affairs bodies. Moscow, 1996. - 42 S.

2. Lakusta, VN, Ionescu-Targovishte K. Traditional bases of acupuncture. Chisinau, 1996. - 560 C.

3. Queens YU. General patterns of development ultrastructural reactions under the action of electromagnetic radiation //Matters. kurortol., physiotherap. and exercise therapy. - 1997. No. 5. - P.3-6.

4. Sinitsyn N, Petrosyan V. Elkin, VA and other Special role is histemi "millimeter - wave water environment" in nature //of Biomedical electronics. - 1998. No. 1. - Pp.5-22.

5. Kulikov N.N., Cheremisina L.A., Aivazov, NR. Radon baths and laser therapy in the rehabilitation of patients with long-term consequences of concomitant injury of the head and neck //Questions of balneology, physiotherapy and exercise therapy. - 1999. No. 1. - S-26.

6. Shirawi, Stepura D., Roller OD, and other Vegetative regulation of heart activity and status of Central hemodynamics in patients with idiopathic mitral valve prolapse. //Neurology and psychiatry. - 1996. - so 96. No. 3. - S. 25 - 28.

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Table 1.

Changes mathematical indices of heart rate in patients with PTSD under the influence of at - hypersympathicotonia and sympathicotonia.
 IWTOPTIONS
Mo (s)DX (s)AMO (%)IN (used)
HS+WWHypersympathicotonia before the treatment0,77±0,030,09±0,0138,4±1,2274,0±27,3
Sympathicotonia0,84±0,040,14±0,0231,4±3,9128,2±7,0
EHF+PBHypersympathicotonia0,84±0,040,10±0,0135,6±1,7223,8±21,6
Sympathicotonia0,88±0,010,14±0,00327,2±1,3to 113.4±7,1
HS+WWHypersympathicotoniaafter the treatment0,81±0,050,12±0,0128,8±1,1***137,4±15,9*
Sympathicotonia0,87±0,040,19±0,0223,5±1,8*80,5±11,8*
EHF+PBHypersympathicotonia0,83±0,030,11±0,0134,8±2,1201,4±24,3
Sympathicotonia0,90±0,020,19±0,01*22,5±1,1**81,2±5,7**
Note: * p<0,05, ** p<0,01, *** p<0.001 differences between before and after treatment under the influence of the proposed method

Table 2.

Changes mathematical indices of heart rate in patients with PTSD at - atonia and vagotonic.
 IWTOPTIONS
Mo (s)dX(s)AMO (%)IN (used)
HS+WWNormotonebefore the treatment0,98±0,020,21±0,0119,9±0,952,6±4,0
Vagotonic1,06±0,020,36±0,0313,4±0,419,0±1,6
EHF+PBNormotone0,98±0,020,21±0,0119,6±0,750,b±3,5
Vagotonicafter the treatment1,13±0,040,39±0,0414,0±0,618,8±1,7
HS+WWNormotone0,95±0,030,20±0,0122,8±1,376,7±15,3
Vagotonic1,00±0,050,28±0,03*19,6±2,5*53,5±14,6*
EHF+PB Normotone0,99±0,030,21±0,0222,5±2,0*61,9±11,2
Vagotonic1,07±0,030,25±0,03**17,6±1,4*43,6±8,3**
Note: * p<0,05, ** p<0,01, *** p<0.001 differences between before and after treatment under the influence of the proposed method

4,53±0,15
Table 3.

Changes in the indices of integral rheography in patients with PTSD under the influence of the proposed method, including galvanized by Shcherbakov and General bubble baths.
 IndexBefore the treatmentAfter the treatment
Hypokinetic type hemodynamicsWALK61,2±3,579,6±2,5**
IOC3,48±0,064,92±0,58
IM30,51±2,1139,67±to 2.06**
C1,73±0,082,49±0,20
SVR2271,5±62,71136,7±71,2***
Akineticheskie type hemodynamicsWALK81,5±2,795,6±6,4
IOC6,10±0,54**
IM41,36±1,1549,05±to 3.58*
C2,30±0,063,11±0,27**
SVR1786,4±55,71429,2±output reached 125.5**
Hyperkinetic type hemodynamicsWALK99,8±3,091,7±3,0*
IOC5,9±0,15,5±0,2
IM51,3±1,447,3±1,7*
C3,06±0,072,80±0,10
SVR1388,0±38,11592,0±75,9**
Note: * p<0,05, ** p<0,01, *** p<0.001 differences between before and after treatment under the influence of the proposed method

Table 4.

Changes in the indices of integral rheography in patients with PTSD under the influence of the proposed method, including EHF therapy and General radon baths.
 IndexBefore the treatmentAfter the treatment
Hypokinetic type hemodynamicsWALK63,9±4,2100,2±11,1*
MO is 3,21±0,155,8±0,77**
IM33,36±1,6152,94±6,93*
C1,68±0,053,07±0,46*
SVR2714,7±171,41627,7±EUR 236.9***
Akineticheskie type hemodynamicsWALK85,6±3,488,0±3,4
IOC4,77±0,145,15±0,27
IM41,91±1,6143,16±1,67
C2,33±0,052,52±0,13
SVR1655,7±62,31540,2±94,1
Hyperkinetic type hemodynamicsWALK100,1±3,489,9±4,7*
IOC6,40±0,17of 5.82±0,29*
IM52,48±1,6445,11±2,37**
C3,22±0,092,93±0,15*
SVR1300,6±32,71445,5±76,8
Note: * p<0,05, ** p<0,01, *** p<0.001 differences between before and after treatment under the influence of the proposed method

Table 5.

The distribution of patients with PTSD according to the types of adaptive responses and levels of reactivity before and after treatment (in %).
The type of adaptive responseThe level of reactivityGroup
Method 1Method 2
D/lP/lD/lP/l
Reaction trainingOnly21,06,020,52,0
Low0,014,066,777,8
High100,086,033,322,2
The calm reaction activationOnly15,545,529,539,0
Low20,00,023,015,4
High80,0100,077,084,6
The reaction increased activationOnly64,548,550,059,0
Low56,223,854,5of 31.8
H the cue 42,876,245,568,2

1. A method for the treatment of chronic posttraumatic stress disorder by exposure to preformed physical factors, characterized in that before the treatment to determine the state of the autonomic nervous system and during the initial vegetative tone sympathicotonia and hypersympathicotonia use galvanized neck area by Shcherbakov and General pearl baths, and during the initial vegetative tone vagotonic use of EHF-therapy and General radon baths.

2. The method according to claim 1, characterized in that daily in the morning galvanizing neck area by Shcherbakov carried out within 7-10 days.

3. The method according to claim 1, characterized in that the EHF-therapy is carried out in a scanning mode frequency 60,9-61,3 GHz on biological active points VC-17, VG-20, E-36, with hypertension affect TR and hypotension on MS-6 symmetrically 4-5 min, the total treatment time 30 minutes

4. The method according to claim 1, characterized in that the total bubble baths is carried out after galvanization, and the total radon baths is carried out after EHF-therapy in the afternoon.

5. The method according to claim 1, characterized in that the total bubble baths is carried out at a temperature which e 36-38° S, and the total radon baths is carried out with a concentration of 1.5 to 3.0 BCF/l, T - 36-38°With, every day, with exposure time of 10 minutes



 

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