Treatment method for patients suffering from chronic pyelonephritis

FIELD: medicine.

SUBSTANCE: invention refers to medicine, urology, physiotherapy and to be used in the patients suffering from chronic pyelonephritis accompanied with chronic prostatitis and chronic cystitis. The method involves taking the mineral water of the Slavjanovsky source dosed 3 - 5 ml per kg of body weight, combined with carbonic mineral baths 35-37°C for 15 minutes 3 times a day, № 8-10, mud "panties" at 40-42°C within 30 minutes to 1.5 hours, prostate massage № 8-10, additionally 50-60 minutes later followed with electropulse therapy combined with exposure to laser magnetic rays. Electropulse therapy involves low-frequency, low-voltage pulse current with a spherical unipolar electrode. Exposure is contact, labile, clockwise and located at skin projection of ascending, transverse and descending large intestine at frequency 30.2 Hz within 8-10 minutes. The course of treatment is 10-12 procedures.

EFFECT: method improves life quality of the patients both in latent phase of inflammatory process, and in mild and moderate active chronic process.

2 ex, 2 tbl

 

The invention relates to the field of regenerative medicine, specifically urology, physiotherapy, and can find application in chronic pyelonephritis with concomitant diseases: chronic cystitis and chronic prostatitis.

Chronic pyelonephritis is the most actual problem of modern nephro-urology. In recent years, the incidence of chronic pyelonephritis has increased markedly, due not only to improved diagnosis, but with the increased virulence of the microbes, increasing their resistance to antibiotics and other antimicrobial agents. Increased the number of patients with chronic pyelonephritis with adverse, often relapsing course, complicated forms, in combination with arterial hypertension, chronic renal insufficiency. The deterioration in these patients contributes to the accession of diseases such as chronic cystitis and chronic prostatitis. This inflammatory process develops as a secondary process (infection can penetrate into the renal pelvis and kidney by intermuscular the cracks of the ureter or entered gallbladder-pelvis and pielavesi the reflux).

In the treatment of patients with chronic pyelonephritis used medication different antibacterial drugs (Biseptol 480, gentamicin, nitroxoline, vitalizing, furagin, ciprolet and others); immunomodulators (preparations of Echinacea, polyoxidonium); adaptogens and biostimulants (tincture of ginseng, Eleutherococcus); means, improves microcirculation, and others (such as Drugs. Ed. Mashkovsky PPM - Kharkov: Torsing, 1997, vol. 1, 2).

It is known that along with medication, physical therapy, surgical methods of treatment of patients with chronic pyelonephritis plays an important role sanatorium-resort therapy aimed at restoring and normalizing the activity of the major functional systems, mobilization of protective and compensatory-adaptive mechanisms (YU.S. Osipov, NV Efimenko, 2003).

Also known is a method of treatment of patients with chronic pyelonephritis chronic prostatitis, which is assigned to a course of physiotherapy: UHF-therapy, inductothermy, Ericameria, Laser therapy (Physiotherapy. Ed. Osadchuk M.A. et al. S.: Honey. University, 1999, s-213). The disadvantages of this method are the low efficiency of treatment, many contraindications, adverse effects, short-term remission.

Also known is a method of treatment of patients with chronic pyelonephritis chronic prostatitis by drinking mineral water Slavyanovskaya source Zheleznovodsk type at a dose of 3-5 ml per 1 kg in the sa 3 times a day, mineral bath temperature of 37°C, 15 min, No. 8-10, prostate massage, No. 8-10, intrarectal ultrasound exposure daily (Balneology and physiotherapy / Ed. by Bogoliubov VM - M.: Medicine, 1985, Vol.2, s-270, s-280). The disadvantages of this method is the low effectiveness of the treatment, which consists in insufficient improvement in erectile function, increase libido.

The closest in technical essence to the proposed method is a method of treatment of patients with chronic pyelonephritis chronic prostatitis, which consists in the reception of mineral water Slavyanovskaya source at a dose of 3-5 ml per 1 kg of body weight 3 times a day, carbonated mineral baths at a temperature of 35-37°C for 10-15 min, mud "cowards" temperature of 40-42°C for 10-12 min with mud rectal tampons temperature of 40-42°C duration 30-90 minutes, every other day, prostate massage, No. 8-10 within 1-2 min and ultrasonic impact intrarectal, with an additional 20-30 min after ultrasound exposure enter microclysters with 10%solution "Prostanorm" 100-120 ml daily, 8-10 treatments of treatment (patent No. 2212220 from 20 September 2003). The disadvantages of this method is the presence of contraindications to the "Prostanorm patients with complicated forms of chronic pyelonephritis, especially in patients with only the second kidney.

The technical result of the proposed method of treatment of patients with chronic pyelonephritis with chronic prostatitis and chronic cystitis is to increase the effectiveness of treatment of complicated forms of pyelonephritis, increased remission of the disease and the possibility of using it in patients with a single kidney.

This technical result is achieved by the fact that the patient with chronic pyelonephritis, chronic cystitis and chronic prostatitis conduct complex Spa treatment and more through 50-60 minutes after the Spa, preseparator appoint electric pulse therapy in combination with magneto-laser irradiation, which is a pulsed electric current of low frequency, low voltage using a spherical single-pole electrode contact, labile above the skin projection of the ascending, transverse, descending departments colon clockwise (in the direction of peristalsis), frequency 30,2 Hz until you feel a moderate painless vibration under the electrode during 8-18 minutes (longer 1 minute with each procedure), daily, treatment - 10-12 procedures.

Description of the method

The method is as follows. The patient is assigned to receive mineral water Slavyanovskaya source glands is outscore type at a dose of 3-5 ml per kg of body weight, three times a day for 30-40 minutes before meals; carbonate mineral baths are appointed through the day, the temperature of 35-37°C for 10-15 min; mud "cowards" and rectal swabs temperature of 40-42°C (duration: "pants" - 10-15 min, rectal swabs 30-90 min), who are appointed on the same day and alternate with mineral baths; assigned daily prostate massage №8-10 within 1-2 minutes and after these procedures through 50-60 min perform electro-therapy in combination with magneto-laser irradiation of the hardware-software complex CAP-ELM-01 "Andro-Gin", is the impact of pulsed electric current of low frequency, low voltage using a spherical single-pole electrode contact, labile above the skin projection of the ascending, transverse, descending departments colon clockwise (in the direction of peristalsis), frequency 30,2 Hz until you feel a moderate painless vibration under the electrode during 8-18 minutes (longer for 1 minute with each procedure), 10-12 daily procedures (the second electrode (passive) is located on the patient's hand).

The method is illustrated by the above observations.

Example No. 1.

Patient L., 43 years.

Diagnosis: Chronic pyelonephritis in remission. Chronic prostatitis in phase partial REMIS the AI.

Before the treatment complained of dull pain in the lower back, lower abdomen, frequent urination, increasing supercooling. Sick for 10 years. Onset connects with acute respiratory disease, acute 1-2 times per year associates with hypothermia. Repeatedly conducted inpatient and outpatient. Upon admission to the hospital objective: positive symptom tapping, pain prostate palpation, the roughness of its surface and the asymmetry of the lobes. According to the clinical analysis of blood - increased erythrocyte sedimentation rate, urinalysis - leukocyturia, slight proteinuria. Secret of the prostate increased numbers of leukocytes, a small amount of lecithin grains in secret and trehstakannoy sample.

Held Spa treatment: mud "pants, rectal swabs, taking minutes of water inside and externally (in the form of baths), prostate massage, No. 8, after 50 minutes was affected by pulse electric current of low frequency, low voltage in combination with a magnetic-laser irradiation using a spherical single-pole electrode contact, labile above the skin projection of the ascending, transverse, descending departments colon clockwise (in the direction of peristalsis), frequency 30,2 Hz until you feel a moderate, painless vibrations p the d electrode within 8-18 minutes (longer 1 minute with each procedure), 12 daily procedures.

Treatment endured well. After treatment has been a significant reduction of pyuria, normalization of reactions urine, stabilization, sedimentation rate, blood pressure, disappeared dysuric phenomena, decreased pain, a symptom of pokolachivanii from strongly positive became negative at 8-10 days of treatment. Pain prostate palpation decreased significantly, parenchyma became more elastic, less bumpy. Secret of the prostate, the number of leukocytes decreased from 15-18 8-10 in the field of view (p/C), the amount of enzyme lecithin increased from minor to large number, the phenomenon of crystallization has changed from 3 to 1 degree. In addition, improved charts GDV (gas discharge visualization) bio-field.

Thus, after a course of Spa treatment using electro-therapy in combination with magneto-laser irradiation of the hardware-software complex CAP-ELM-01 "Andro-Gin" has a positive clinical effect, decreased the activity of the inflammatory process.

Example 2.

Patient K., aged 32.

Diagnosis: Chronic pyelonephritis only the left kidney in the phase of incomplete remission. Chronic cystitis and chronic prostatitis in the phase of incomplete remission.

Ill for 7 years, the beginning of disease associates with hypothermia (about periurban 2 years ago). Notes pain in the lower back, suprapubic region, lower potency. When examination revealed cystitis and prostatitis. Previously took organisatie, enzymatic preparations, herbal diuretics. In Zheleznovodsk clinic conducted the following treatments: mud "pants, rectal swabs, taking minutes of water inside and externally (in the form of baths), prostate massage, No. 8, after 60 minutes was affected by pulse electric current of low frequency, low voltage in combination with a magnetic-laser irradiation using a spherical single-pole electrode contact, labile above the skin projection of the ascending, transverse, descending departments colon clockwise (in the direction of peristalsis), frequency 30,2 Hz until you feel a moderate, painless vibration under the electrode during 8-18 minutes (with increasing duration of 1 minute each treatment), 10 daily procedures.

Treatment endured well. After treatment decreased pain in the suprapubic area, the lower back. Improved laboratory values of urine and prostate fluid (number of leukocytes decreased from 20-25 8-10 in the field of view, lecithin grain increased from minor to more).

In this way the branch "Zheleznovodsk clinic" FGI "Piatigorsky is GNIIT University" conducted observation of two groups of patients (table 1 and 2) total number of 100 people aged 20 to 55 years. All patients suffered from chronic pyelonephritis, including a single kidney, in combination with chronic cystitis and chronic prostatitis for 10 years, had frequent relapses of the disease with acute exacerbation of severe and moderate severity. The clinical picture of the disease was characterized by the presence of pain (100%), hypertensive (86%), dysuric(97%) syndromes.

To determine the effectiveness of electro-therapy in combination with magneto-laser irradiation of the hardware-software complex CAP-ELM-01 "Andro-Gin" patients were divided into 2 groups (50 people each), of which one (the control) received mineral water for indoor and outdoor applications, mud "cowards" and rectal swabs temperature of 40-42°C, intrarectal ultrasound exposure daily (1 LUX), the other (main) additional electric pulse therapy in combination with magneto-laser irradiation, 12 daily procedures (2 LUX). Distribution of patients according to clinical characteristics in the main and control groups were representative.

A comparative assessment of treatment results in the main and control groups, it was noted that end-of-course Spa therapy has been a significant reduction of pyuria in 97.9% of patients (P<0.05), and normalization of reactions urine 95,9% (P<0.01), and the camera is the realisation of ESR at 97,7% (P< 0.05), and blood pressure in 75% (P<0,01). In 100% of patients disappeared dysuric phenomena (P<0.01), and decreased pain in 92% (P<0,05). The increase of lecithin grains was observed in the study group occurred in 68% of patients vs. 44% in controls (P<0,05). Pain prostate palpation significantly decreased from 94% (P<0.05), and the symptom of pokolachivanii from strongly positive turned negative already at 8-10 days of treatment, 96% (P<0,01).

As for pointrange analysis, the highest efficacy was observed in patients of group II, treated along with balneotherapy physiotherapy, and amounted to 93.2% in comparison with patients in the control group to 72.6%.

Dynamics of key clinical indicators under the influence of complex Spa therapy in these patients depending on therapeutic complex is presented in table 1.

Table 1.
Dynamics of the main clinical parameters in patients with chronic pyelonephritis, chronic cystitis and chronic prostatitis depending on the applied medical complex
IndexThe group of patients
I LK (control) (n=50) II LC (main) (n=50)
The number of patients with abs.(%)% improvementThe number of patients with abs.(%)% improvementP
Pain7292<0,05
The muscles of the anterior abdominal wall8097,9<0,05
Dysuria62,5100<0,01
Positive syndrome tapping67,596<0,01
Edematous syndrome 68,692,9<0,05
Hypertensive syndrome47,775<0,01
Pain prostate palpation67,594<0,01
Note: in the numerator shows the number of patients with rejected by the index before treatment, in the denominator - after Spa therapy.

Thus, the proposed method reduces the activity of the inflammatory process in the kidneys and urinary tract and prostate gland (table 1 and 2), and to restore the endoscopy of the urinary tract and increase the efficiency of renal blood flow. Therefore, combination therapy with the use of the Spa and physiotherapy factors 15-20% more efficient in comparison with known methods and shows the patients with primary often recurrent pyelonephritis with chronic prostatitis and chronic cystitis as in the latent phase of the inflammatory process, and when detecting the activity of chronic mild to moderate severity.

Oliguria
Table 2.
The dynamics of the main functional parameters in patients with chronic pyelonephritis, chronic cystitis and chronic prostatitis depending on the applied medical complex
IndexThe group of patients
I LK (control) (n=50)II LC (main) (n=50)
The number of patients with abs.(%)% improvementThe number of patients with abs.(%)% improvementP
The reaction of urine4095,9<0,01
The change in proportion82,5100<0,05
72,995,7<0,05
Proteinuria75of 87.8<0,05
Leukocyturia (pyuria)75,797,9<0,05
Micro - and makrogematuriya44,488,4<0,01
Blood urea6597,7<0,01
Creatinine 73,390,5<0,05
Minute diuresis74,492,8<0,05
Conc index67,686<0,05
Filtering73,5100<0,01
The reabsorption79,486,6<0,05
Hemoglobin64br93.1<0,01
Leukocytosis45100<0,01
Toxic granularity of cells5089,7<0,01
The EMAS7097,7<0,05
Total protein63,287,5<0,05
Protein fractions Globulin and244,890,4 <0,01
Note: in the numerator shows the number of patients with rejected by the index before treatment, in the denominator - after Spa therapy.

The proposed method contributes to a more rapid relief of inflammatory activity, elongation phase of remission and rapid return of the patient to the professional activity, and therefore significantly improves the patient's quality of life, reduced economic costs of the treatment of disease.

The method of treatment of chronic pyelonephritis in patients with chronic prostatitis and chronic cystitis, including mineral water Slavyanovskaya source at a dose of 3-5 ml per kg of body weight, 3 times a day, carbonated mineral baths 35-37°C, 15 min, No. 8-10, mud "cowards" at 40-42°C from 30 min to 1.5 h, prostate massage, No. 8-10, characterized in that the patient carry out complex Spa treatment and more through 50-60 min after balneotherapy, preseparator appoint electric pulse therapy in combination with magneto-laser irradiation, which is a pulsed electric current low frequency, low voltage, using a spherical single-pole electrode contact, labile above the skin projection of the ascending, transverse, descending departments colon clockwise (podupravleniem peristalsis), frequency 30,2 Hz to feel moderately severe, painless vibration under the electrode, for 8-10 min, with increasing duration of 1 min every procedure, every day, on the course of 10-12 treatments.



 

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