Method for preventing bronchopulmonary complications

FIELD: medicine.

SUBSTANCE: method involves treating patient organism with magnetic field. The field is produced with device having ferrite-garnet having strip domain of 13-20 mcm wide. Scanning device movements are made over the lateral and frontal thoracic surfaces distantly, 5-35 mm far. Exposure time is equal to 3-6 min. The treatment course is 5 sessions long with 12 h long pauses.

EFFECT: reduced risk of complications.

3 cl

 

The invention relates to medicine, namely to a method of prophylactic treatment of inflamed areas of the tracheobronchial tree and lungs with the use of magnetic therapy.

Currently, the only known methods of treatment of inflamed areas of the tracheobronchial tree and lungs with the use of magnetic therapy.

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), including the introduction of drugs into a patient with subsequent exposure to an alternating magnetic field. The application of this method for the prevention of inflammatory processes is not known.

There is a method of treatment of acute pneumonia in children of different 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 application of this method for the prevention of inflammatory processes is not known.

There is a method of treatment of chronic obstructi the aqueous bronchitis (EN, 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 have a contact on both areas. The use of non-stationary device can implement this method directly in the ward where the patient is in grave condition. The application of this method for the prevention of inflammatory processes is not known.

The technical problem to be solved when implementing the present invention is to develop a method of prevention of bronchopulmonary complications.

To achieve this technical task, it was proposed to use the effect on the patient by the 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 over at least the areas of the anterior and lateral surfaces of the thorax remotely at a distance of from 5 to 35 mm, while the exposure time is from 3 to 6 minutes, and exposure is carried out for at least 5 sessions with an interval of exposure, at least 12 hours. If possible the access device to the rear surface of the chest, it is additionally carry out impact on shinyobject chest. Preferably the scan to perform a spiral movement of the device clockwise.

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 us to use these devices for prophylactic treatment of patients in intensive care units, which cannot be used up to the present time fixed devices because of their size and because of the incompatibility of their work with the intensive care unit. For example, if the location on the body of the patient electrodes connected to different equipment, the remote device having a small size and not affect the rest of the equipment, allowing you to spend the first sessions directly in the intensive care unit.

Education inflamed areas of the tracheobronchial tree and lungs is possible in case of hypothermia of the body, due to the occurrence of acute stomach is positive failure in case of poisoning, and with a long stay patient in a fixed position on the back. The reason is that the impact of many chemicals on the body due to their toxic and dynamic 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. So far, these inflammatory processes started to heal after their discovery.

For prophylactic treatment of the above complications were conducted physiotherapy magnetic field generated by the device, comprising a magnetic film ferrite-garnet-width strip domain from 13 to 20 microns (DSMT). Research is mainly conducted on the basis of the Moscow City center acute poisoning NII swap them. Nevskogo.

The main group of patients in 90 patients are patients of the extra is Noah toxicology acute poisoning by various toxins and poisons. The study group consisted of 45 people, the control group consisted of 45 people. The first group of patients consisted of patients risk with background physical inactivity associated with acute toxic state and oppression of consciousness up to coma, almost inevitably occurs as a pulmonary embolism and pneumonia. The purpose of the expected development of pneumonia in these patients in the intensive care period was performed preventive physiotherapy treatment using DSMT. The second group of patients treated by traditional methods without the use of DSMT. The average data showed that the first group as the result of additional preventive physiotherapy treatment pneumonia occurred only in 9.5% of cases, while the control group, where DSMT not used, this indicator amounted to 27.7%.

Implementation of the proposed method was carried out as follows.

For additional preventive 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 the scanning movement of the device over at least the areas of the anterior and lateral surfaces of the thorax remotely at a distance of 5 cm to 35 mm, when the exposure time is from 3 to 6 minutes, and exposure is carried out for at least 5 sessions with an interval of exposure, at least 12 hours.

In the result, it was found that spiral scanning motion clockwise the device most convenient for work, as they allow maximum balance required processing time with the workpiece surface. However, experiments that used different scanning movement, showed that for the implementation of preventive physiotherapy treatment trajectory scanning movement does not matter.

The number of sessions was determined on the basis of the General condition of the patient, and the duration of his stay in the forced condition on the back. Studies have shown that in the specified range of distances from the generating magnetic radiation device to 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. All patients were determined blood levels of absolute and relative 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.

Conducted immunological and rheological studies showed that the inclusion in the complex treatment of patients with acute poisoning by psychotropic drugs DSMT has a positive impact on the performance of cellular, humoral immunity and nonspecific resistance of the organism and indicates a slow rate of development of inflammatory processes.

Below are examples of the treatment.

Example 1. Patient C. for 60 years. Clinical diagnosis of poisoning by alkali. Chemical burns of mouth, esophagus, stomach. Narrowing of the esophagus to 3 mm. in a serious Condition. In the lungs expressed holding basal to the left, the structure of the left root is reduced, venous congestion, as a result it was possible to assume the development of pneumonia. With the aim of preventing the development of pneumonia was made therapeutic treatment, including the effects of magnetic field generated by the device, with the of the magnetic tape containing a series of ferrite-garnet-width strip domain from 13 to 20 μm spiral movements over the front and side walls of the chest at a distance of 5-30 mm from the skin. The exposure time was 5 minutes, the width of the bandpass domain of 16.7 μm. Used a device with a diameter of 60 mm, the First session was carried out in the intensive care unit after approximately 2 hours after admission of the patient.

After 5 sessions, the latter two included the impact on the rear surface of the chest, the development of pneumonia in a patient not yet arrived. The patient was discharged on the 20th day after admission to the hospital.

Example 2. Patient P. 20 years. Clinical diagnosis of poisoning by psychotropic drugs (benzodiazepines, leponex), suicide. Coma complicated by respiratory failure on the mixed type. Purulent tracheobronchitis.

The patient was admitted to the Department toxilogical resuscitation and intensive therapy after 4 hours after taking the drugs, where he was made intubation, and imposed a ventilator. Duration of coma was 13 hours, duration of mechanical ventilation 17 hours, tracheal intubation is 19 hours. The first session of preventive physiotherapy was performed 5 hours after admission of the patient. Were exposed to the device generating the magnetic field with the width of the passband domain 17 μm on the accessible surface of the front and side surfaces of the light at a distance of 5-30 mm from the skin within 2 minutes of scanning sinusoidal movements. adnea the chest wall 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 not developed. The patient was discharged on the 10th day of admission to hospital.

Example 3. Patient, 46 years. Clinical diagnosis of poisoning by benzodiazepines, ethanol. Delirium tremens. The patient was admitted to the Department Toxicological intensive care after 6 hours after poisoning, where he was made intubation, and imposed a ventilator. Duration of coma was 6 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, in addition to traditional treatment, did not apply. The patient was discharged 19 days after admission to the hospital.

The first two examples belong to the group of patients who had applied the inventive method. Example 3 relates to a control group of patients whose treatment was made using only t is Adicionar methods.

The result of the use of the proposed method of prevention 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, prevent the development of pneumonia and as a result of its additional treatment.

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

Example 4. Patient C. 64 years. Clinical diagnosis of Poisoning by psychotropic drugs (barbiturates, benzodiazepines) IIB Art. Suicide. Coma complicated by respiratory failure on the mixed type. Hypoventilate basal two sides. Alcohol intoxication.

The patient was admitted to the Toxicological Department of resuscitation and intensive therapy after 3.5 hours after poisoning, where he was made tracheal intubation and good ventilation. Duration of coma was 23 hours. Based on the average data in similar cases, the probability of occurrence of inflammatory processes of the tracheobronchial tree is great.

To prevent inflammatory processes arising in a weakened Tox is edgings 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 conducting 6 sessions the patient was discharged on the 10th day.

Method of preventive treatment of pulmonary complications caused by poisoning of the body, was used for prophylactic treatment of a possible inflammatory processes of the tracheobronchial tree and lungs due to prolonged forced supine. The results of prophylactic treatment has also shown the ability to prevent the development of these inflammatory processes. In all cases, preventive physiotherapy treatment side effects were observed.

Example 5. Patient K. 42 years. Received about perforated stomach ulcers and stomach bleeding. Was operated in an emergency. Performed resection of the stomach. The duration of endotracheal anesthesia during surgery was 5 h 40 min, then within 3 hours the patient was in the intensive care unit. Accordingly, the total time of intubation was 8 h 40 min, which could be about the Noah of the reasons for the development of inflammatory processes, as in the lungs and bronchi. The patient was scheduled preventive physiotherapy, identical to the shown in example 2. During the whole course of physiotherapy was able to handle magnetic field only the front and side of the chest. The results of the analyses, and produced x-ray examination showed that the patient had inflammatory processes are not developed.

In all cases, domain-structured magnetic therapy complications and side effects were not observed.

1. The way to prevent bronchopulmonary complications, including the impact on the chest of the patient magnetic field, wherein the magnetic field generating 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 over at least the areas of the anterior and lateral surfaces of the thorax remotely at a distance of from 5 to 35 mm, while the exposure time is from 3 to 6 min, and exposure is carried out for at least 5 sessions with an interval of exposure, at least 12 hours

2. The method according to claim 1, characterized in that it further act on the rear surface of the thorax.

3. The method according to claim 1 or 2, featuring the the action scene, that scan perform a spiral movement of the device clockwise.



 

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