Method for treating inflamed tracheobronchial tree zones

FIELD: medicine.

SUBSTANCE: method involves exposing injured zone and Zakharyin-Gedda zones to magnetic field action, generating by device having magnetic ferrite-garnet film having strip domain of 13-20 mcm wide.

EFFECT: accelerated treatment course; applied combined treatment with intensive care.

4 cl

 

The invention relates to medicine, namely to the treatment method of magnetotherapy inflammatory areas of the tracheobronchial tree and lungs.

There is a method of treatment of chronic obstructive bronchitis by drug effects drugs, with consequent impacts on the chest alternating magnetic field (SU authorship 1165415), involving the introduction of a drug into a patient with subsequent exposure to an alternating magnetic field.

The disadvantages of this method include the possibility of treatment because of the significant size of the device, creating a magnetic field, only in special areas, resulting in the impossibility of carrying out treatment directly at the location of the patient, for example in the intensive care unit.

There is a method of treatment of acute pneumonia in children of different age groups (RU, patent 2108820). The method includes the use of in addition to pharmacotherapy influence alternating magnetic field. A device that generates an alternating magnetic field, have a contact on the body of the patient on the projection of the lesion. The parameters of the alternating magnetic field is selected depending on the age of the patient.

The disadvantages of this method should be attributed to tactoe exposure device, generating an electromagnetic field, which can be quite difficult if the skin tags, moles, burn marks, and when the allergic manifestations, for example, used drugs.

There is a method of treatment of chronic obstructive bronchitis (RU, patent 2234955), including the impact on the patient's electromagnetic field. When implementing the method is carried out, the influence of the electromagnetic field into two regions, and the inductors disposed in contact on both areas. The use of non-stationary device can implement this method directly in the ward where the patient is in serious condition.

The disadvantages include the need to use the contact effects on the body of the patient, which leads to the impossibility of using this method to treat a patient on his person at the time of treatment there are multiple skin tags or moles, damage to the skin, such as burns. This method also cannot be used in the case of continuous connection of the patient to medical apparatus and instruments, such as the telephone, "heart - lung".

The closest analogue of the developed method can be recognized (BY the patent 6106, 2004) a method for treating inflammatory bronchopulmonary diseases, including PR is the application of therapeutic agents and magnetic fields.

The disadvantage of this method should recognize low efficiency, and the possibility of its use only in hospital.

The technical problem to be solved when implementing the present invention is to develop a method for the treatment of inflammatory areas of the tracheobronchial tree and lungs.

The technical result obtained by implementing the present invention is to reduce treatment time, and the ability to treat seriously ill patients in the intensive care unit and directly into the chamber or in reisemobile.

To achieve the technical result of the proposed use impact on patient magnetic field generated by the device, comprising a magnetic film ferrite-garnet-width strip domain from 13 to 20 μm, and the influence exercised by the scanning movement of the device consistently over areas Zakharyin-Ged and inflamed areas remotely located from 5 to 35 mm, and the exposure time is from 3 to 6 minutes. The impact should be carried out with an interval of at least 12 hours. Preferably, the scanning is carried out spiral movements of the device clockwise. In the case of treatment of inflammatory processes in the lungs of the patient, which is impossible to turn, for example the intensive care unit when connecting the patient to a different apparatus, the impact should be scanning movements of the device on the projection areas of inflamed lung tissue on the anterior and lateral surfaces of the thorax. Preferably the exposure to the inflamed lungs perform a scanning movement of the device on the anterior, posterior and lateral surfaces of the thorax.

The device used for generating a magnetic field and representing fixed on the carrier tape ferrite-garnet-width strip domain from 13 to 20 microns, has found application in physiotherapy. For example, it is known the use of a similar device for the treatment of musculoskeletal system. Currently, the diameter of the produced devices ranges from 60 to 76 mm, which allows the use of these devices for the treatment of patients in intensive care units and in reisemobile, which cannot be used up to the present time fixed devices because of their size, energy dependence, and because of the incompatibility of their work in the intensive care unit of the working equipment or the presence of a pacemaker in the patient. For example, if the location on the body of the patient electrodes connected to different equipment, the remote device having n is large, and not affect the rest of the equipment, allowing you to spend the first sessions directly in the intensive care unit.

Education inflammatory areas of the tracheobronchial tree and lungs as possible in case of hypothermia of the body, and in the case of long inactivity, and due to certain medical procedures (intubation, mechanical ventilation, tracheostomy, and bronchoscopy), as well as complications of injuries of the chest. The reason is that the impact of many chemicals on the body due to their toxigenicity properties accompanied by either a manifestation obturation-aspiration syndromes, or infringement of regulation of respiration by the Central type, or a reduction in respiratory surface in the development of inflammatory changes in the lung tissue, and in some cases there is a combination of these reasons. In most cases it ends with inflammatory changes in the lung tissues. Clinical studies have also shown that patients who are continuously in an untenable situation on the back, the probability of the occurrence of inflammatory processes in the lungs is high.

For treatment of the above complications along with traditional methods of treatment were made physiotherapy magnetic field, genericavandiasa.htm, comprising a magnetic film ferrite-garnet-width strip domain from 13 to 20 microns (domain-structured magnetic therapy "DSMC"). Research is mainly conducted on the basis of the Moscow City center of acute poisoning NII swap them. Nevskogo.

The main group of patients in the amount of 90 patients are patients who have pulmonary complications developed as a result of acute poisoning various psychopharmacological means. The study group consisted of 45 people, the control group consisted of 45 people. With the first group of patients in addition to the traditional treatment of pulmonary complications was performed physiotherapy treatment using DSMT. The second group of patients treated by traditional methods. The average data showed that the first group as the result of additional treatment pneumonia were resolved on 8-11 day while the control group term resolution of pneumonia was up to 20-21 days.

Implementation of the proposed method was carried out as follows.

For additional physiotherapy treatment was applied magnetic field, which is generated by the device, comprising a magnetic film ferrite-garnet-width strip domain from 13 to 20 μm, and the exposure was carried out by scanning movements of the device is as consistently over areas Zakharyin-Ged and inflamed area remotely at a distance of from 5 to 35 mm, the average exposure time was 4 minutes for bedridden patients, on the area which is located on the back, to make the impact it was impossible, and 5 minutes for the remaining patients. The exposure was carried out by scanning movements of the above devices sequentially over the areas Zakharyin-Ged and over the front, back and lateral surfaces of the thorax or areas of the anterior and lateral surfaces of the thorax remotely at a distance from 05 to 35 mm Treatment was carried out at intervals of not less than 12 hours. The number of sessions was determined on the basis of blood tests and radiological examinations. Studies have shown that in the specified range of distances from the generating magnetic radiation device and the patient's body, the results are the same. The distance should be chosen based on the ease of use of the device, and also considering the presence of the body of patient injuries or foreign bodies, such as sensors connected to any equipment. The choice of order of exposure to different areas was selected experimentally. Possible effects on the inflammatory sites, but in this case, as shown by research, treatment is less effective.

All patients were determined blood levels of absolute and consider inogo the number of T - and b-lymphocytes, the concentration of immunoglobulin classes a, M, G {lgA, lgM, lgG}, the content of circulating immune complexes, state phagocytosis was assessed by latex - and HCT-tests. Tests were performed for the admission of patients to hospital, and at 1, 3 and 5-7 day treatment.

Patients of all groups was carried out x-ray examination of the chest and fibrobronchoscopy in the dynamics.

Below are examples of the treatment.

Example 1. Patient D., aged 65. Clinical diagnosis of poisoning cauterizing fluid (not known). Random. Burn ulcerative-necrotic esophagitis. A serious condition. In the lungs expressed holding basal to the right, the structure of the right root is reduced, and as a result have developed right-sided mid-lobar pneumonia.

In order to relieve the inflammatory processes in the lungs caused by hypoventilation, at an early stage in the complex treatment was introduced physiotherapy, including the effects of magnetic field generated by the device, comprising a magnetic film ferrite-garnet-width strip domain from 13 to 20 microns, spiral movements consistently over areas Zakharyin-Ged and above the regions of the front, rear and side walls of the chest at a distance of 5-30 mm from the skin. The time of each exposure was approximately 5 minutes, the widths of the stripe domain of 16.7 μm. Used a device with a diameter of 60 mm

After carrying out of 8 sessions with an interval of exposure 18-20 hours in combination with traditional therapy pneumonia was resolved after 8 days of treatment. The patient was discharged from hospital on the 15th day.

Example 2. Patient P. I.A., 25 years, clinical diagnosis of poisoning by psychotropic drugs (benzodiazepines, leponex), suicide. Coma complicated by respiratory failure on aspirazione-obstructive type. Complication: two-way pekarkova pneumonia.

The patient was admitted to the Department toxilogical resuscitation and intensive therapy 2 hours after poisoning, where he was made intubation, and imposed a ventilator. Duration of coma was 11 hours. Within 1.5 days in the hospital he developed pneumonia. After the x-ray verification of pneumonia in the complex treatment was included physiotherapy using DSMT, consisting of two stages:

1. The impact of a device that generates a magnetic field with a width of bandpass domain 17 microns, available Zakharyin-Ged zone at a distance of 5-30 mm from the skin within 2 minutes of scanning sinusoidal movements.

2. The scanning technique of spiral movements of the device generating the magnetic field with the width of the passband domain of 16.7 μm, areas of the front and boscovichian chest at a distance of 5-30 mm from the skin for about 3 minutes. The back wall of the chest could not be processed because of the location of the patient on the back, which in the initial stage of treatment received artificial ventilation of the lungs, which accounted for 48 hours. After this time, additionally made the processing of the rear surface of the chest. The treatment was carried out for 4 days with intervals of exposure 12-18 hours.

In the treatment of pneumonia has resolved on the 5th day, after which the patient was discharged from hospital.

Example 3. Patient K., 23 years. Clinical diagnosis of poisoning by psychotropic drugs (amitriptyline). The suicide. Cholinergic syndrome. Delirium tremens. Bilateral aspiration pneumonia. Left pleuropneumonia.

The patient was admitted to the Department Toxicological intensive care 2 hours after poisoning, where he was made intubation, and imposed a ventilator. Duration of coma was 9 hours. Within 1.5 days in the hospital he developed bilateral pneumonia, for which the patient received the standard complex of antibiotic therapy. In the treatment of pneumonia was only resolved by 14 days of the patient's hospitalization. In the treatment of the inventive method additionally traditional not used.

The first two examples belong to the group of patients who n is the number of traditional methods of treatment was applied to the inventive method. Example 3 relates to a control group of patients whose treatment was made using only traditional methods of treatment of pneumonia. The time resolution of pneumonia all patients from both groups is approximately equal to the time given in the examples, which suggests that the time of recovery of the patients significantly reduced. The consequence of this is to reduce the time of stay of patients in stationary medical institutions and reducing the number of drugs introduced into the patient's body, which can cause various side effects.

This technique with the same result applies when the inflammatory process is not only light, but also inflammation of the tracheobronchial tree. The following example clearly illustrates this.

Example 4. Patient K., 74 years, clinical diagnosis of Poisoning by psychotropic drugs (barbiturates, benzodiazepines) IIB Art. Suicide. Coma (4 points on the scale of Glasgow), complicated by respiratory failure on the mixed type. Hypoventilate basal two sides. Cerebral atherosclerosis. Alcohol intoxication.

The patient was admitted to the Toxicological Department of resuscitation and intensive therapy after 2.5 hours after poisoning, where he was made tracheal intubation and good ventilation. Prodoljitel the ability coma was 27 hours.

In order to relieve the inflammatory processes arising in a weakened toxins and poisons the body, in the early resuscitation phase in the complex treatment included treatment similar to the treatment in example 2. The difference was only that the influence exercised spiral movements of the device generating the magnetic field. This change is entirely due to the ease of treatment. After carrying out of 6 sessions over 5 days in the complex detoxification activities, despite the original bilateral pneumonia, complicated by inflammation from the bronchi, the patient was discharged on the 10th day.

Method of treating pulmonary complications caused by poisoning of the body, was used for the treatment of inflammatory areas of the tracheobronchial tree and lungs, caused by hypothermia and prolonged forced supine. The results of the treatment showed lower timing resolution of pneumonia patients. The results are shown in the examples below.

In all cases, treatment side effects were observed. When the average duration of pneumonia from 12 to 20 days the time required for resolution of pneumonia, decreased and ranged from 8 to 12 days. In all cases, domain-structured the Anna magnetic therapy complications and side effects were not observed.

Example 5. Patient K., 43 years. Clinical diagnosis: hypothermia, alcohol intoxication, right basal pneumonia.

Conducted antibacterial therapy - sodium salt of benzylpenicillin 1 million IU/m every 4 hours, Biseptol-480 table 2. every 12 hours. And expectorants, mucolytic - Bromhexine. Along with this treatment treated, like that shown in example 2, only due to the fact that the patient could roll over, giving you the ability to handle magnetic field all the chest, with the first session handling magnetic field underwent anterior, posterior and lateral surfaces of the thorax. After carrying out of 7 sessions within 7 days of the patient on day 8 was discharged from the hospital.

Example 6. Patient F., 52 years old. Acted on the occasion of perforated ulcer of the astral Department of the stomach and gastric bleeding. Was operated in an emergency. Performed resection of the stomach. The duration of endotracheal anesthesia during surgery was 4 hours and 15 minutes, after which over a period of 1 hour and 30 minutes the patient was in the intensive care unit. Accordingly, the total time of intubation was 5 hours and 45 minutes, which was one of the reasons for the development of a day hospital-acquired pneumonia. In this regard, the patient was assigned a massive antibacterial therapy Cefotaxime 1,0 every 8 hours, ciprofloxacin 750 ml every 12 hours/century Along with the traditional, the above treatment was treatment that is identical to the shown in example 2. During the whole course of physiotherapy was able to handle the magnetic field, along with the available zones Zakharyin-Ged only the front and side of the chest. Pneumonia was resolved in 12 hours. The healing process was complicated by the overall poor condition of the patient.

In all cases, treatment side effects were observed. When the average duration of pneumonia from 12 to 19 days, and up to 10% of patients die, the time required for resolution of pneumonia, decreased and ranged from 8 to 12 days. For all time of the proposed event any death was not the case. In all cases, domain-structured magnetic therapy complications and side effects were not observed.

1. A method of treating inflammatory areas of the tracheobronchial tree and lungs, including the effects on the body the traditional methods of treatment and an additional magnetic field, characterized in that uses a magnetic field generated by the device, comprising a magnetic film ferrite-garnet-width strip domain from 13 to 20 μm, the influence exercised by the scanning movement of the device serial is the super over areas Zakharyin-Ged and inflamed area is remotely located from 05 to 35 mm, when the exposure time is from 3 to 6 min, and exposure is performed with an interval of at least 12 hours

2. The method according to claim 1, characterized in that the scanning is carried out spiral movements of the device clockwise.

3. The method according to claim 1, characterized in that the exposure to the inflamed lungs perform the scanning movements of the device on the anterior and lateral surfaces of the thorax.

4. The method according to claim 1, characterized in that the exposure to the inflamed lungs perform the scanning movements of the device on the anterior, posterior and lateral surfaces of the thorax.



 

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