Method for recovering and developing human speech functions

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to neurology and speech therapy, and may be used for the rehabilitation of patients with speech disturbance, as well as for the development of speech forms and functions of a healthy human speech. The speech disturbances are assessed for a degree of deviation from an age norm using 7-rate scale of speech maturity and/or complicating a human response to the environmental factors. The 3-point degree of speech deviations requires giving lessons including massage of chest, throat, hands, facial and articulatory muscles, and using a moderate and noxious stimulus on an upper and lower respiratory system to elicit audible responses and vocalisms. The 4-point degree provides giving lessons including massage of chest, massage of throat, massage of hands, massage of facial and articulatory muscles with passive articulation exercises accompanied by elements of maximum tension and limited chest excursion. The 5-point degree giving lessons including the passive articulation exercises with elements of maximum tension with the active articulation exercises with the facial exercises, and the exposure to various analysers and limited chest excursion. The 6-point degree ensures giving lessons that include the active articulation exercises with the facial exercises, as well as name-calling with set expressions and singing. The 7-point degree is giving lessons, including mechanical noise, any physical exercises that can be performed by a patient in the dynamic or static mode, as well as external mechanical disturbances: kicks, vibration, percussions, tickling. The 8-point degree is giving lessons that include singing in various octaves, pantomime, using the rhetorical exercises and involving acoustic noise. The 9-point degree is giving lessons that include optical interference: various eye movements during a conversation in the static and dynamic mode, viewing the various images - magazines, illustrations. The 10-point degree provides the exercises involving vestibular load, or mixed load: use a combination of different 2-3 interference. using combinations of 2-3 various interferences.

EFFECT: method enables improving the effectiveness of the solution of speech, psychological and social problems of a patient or a healthy person while recovering and developing the speech functions.

 

The invention relates to medicine, namely to neurology and speech therapy, and can be used for the rehabilitation of patients with speech disorders, and to develop the language forms and functions of speech of a healthy person.

The formation of different forms and functions of speech of a healthy person in ontogeny starts with the formation of proprioceptive and vibratory sensitivity, then the first sounds (screaming, babbling, cooing, and then mastering normative and non-normative vocabulary (clichés or phrases, idioms).

Full speech maturity in norm is determined by its ability to make meaningful decorated public appearances.

People with disabilities speech development goes through all the same stages of ontogenetic development as healthy, but the process is uneven (non-linear) and slow.

Accordingly, for the recovery and development of speech functions (cognitive, regulatory, communication) is not dependent on the state of his health, and at each stage of physical development, but with specific neurological and speech therapy can be used General principles of medical and pedagogical phased activities aimed at creating or restoring skills meaningful communication.

Obsidiana the initial rehabilitation complex includes psychological, educational, monopedigree and speech therapy techniques that are being built and are subject to and based on the assessment of the severity of speech defects and levels of speech maturity (reflex, instinctive, conscious and personal) and differ in the duration of each stage.

The basis of speech rehabilitation is always the use of speech - exercise-training (stages - the pronunciation of words, phrases, reading and retelling texts, maintenance-free conversations, and so on).

But, despite the fact that vocal exercises absolutely necessary for the restoration and development of speech functions, it is proved that without activation of other functional systems of the human body, responsible for ensuring the functions of the vocal apparatus, they are not sufficient.

More effective at the present stage of development of neurology and speech therapy in the recovery plan and speech functions are methods, including various methods of influence on the condition of the patient on obscheorganizmenny level or at the level of the other functional systems and aimed at the activation of adaptive systems by using (increasing during training) nonspecific auditory-verbal, physical and psycho-emotional stress.

For example, there is a method of voice rehabilitation (patent RU 229491 C2), when motoroperated sessions of training with the pronunciation of the words and/or related phrases with keeping balance by the patient in an upright posture on stabilometer of computerized stabiloanalizator when a computer game using visual biofeedback.

Methodological technique used in a known way, on the one hand, aims at reducing the concentration of attention on speech loads to reduce the emotional stress of the patient during the period of training, but on the other hand, it is not possible to activate the voice function and does not contribute to the intensification of the process of rehabilitation.

A prototype of the proposed method the chosen method of recovery and development of speech functions of a person, including a course in speech rehabilitation using an ascending auditory-verbal, physical and psycho-emotional stress (patent RU 2306153 C2).

This method is used for the treatment of stuttering, however, General approaches to tactics development and rehabilitation of speech functions of man (the voice activation function and the intensification of the process of rehabilitation by increasing loads on specific and nonspecific adaptation system) this method is from the point of view of the authors the closest analogue of the proposed method.

Prototype method provides for a comprehensive rehabilitation of the patient with specific speech disorders and the extent of their deviation from the norm and correction of existing violations by socio-speech, adaptive physical, psychological and pedagogical rehabilitation.

In the profile is similar ways, classes on socio-speech rehabilitation authors how to achieve deep release speech by metered-dose increasing from lesson to lesson the load on listening comprehension, pronunciation and psycho-emotional sphere. To do this, first activate the brain stimulation of the auditory and speech zones.

Classes on adaptive physical rehabilitation offer deep stretching of the muscles, which in the main part of the activities include performing gymnastic exercises "sed bent" in a static isometric mode. When performing exercises on the back of the patient having an additional external load in the form of either pressing the hands of the coach, or laying on the back of the cargo.

Classes on psychological and pedagogical rehabilitation produce stress by repetition, increasing from lesson to lesson stress and psycho-correction.

According to the authors this method allows you to ensure the lasting effect of treatment with a complete lack of regression of the disease (stuttering), provided that exceptions to the treatment of drug therapy.

The results of applying this tactic correction of disorders of speech functions testify to the correctness and appropriateness of the approach to rehabilitation through the use of various "othomas is x" loads.

I.e. to increase the effectiveness of rehabilitation and speech functions required is a combination of auditory-vocal, physical and psycho-emotional "aggravating" loads for simultaneous activation of the involved systems and adaptive capacity (resistance) of a person.

However, as is well known, the use of "aggravating" loads, in particular the increase of auditory-voice load above the threshold value adaptive capabilities of one system can lead to the development of functional diseases obscheorganizmenny level (vegetative dystonia Syndrome, irritable bowel syndrome and others). That is, to determine adequate rehabilitation tactics and reduce the risk of functional diseases in the first place necessary objective rehabilitation diagnosis.

Object of the present invention is to improve the effectiveness of rehabilitation and speech functions of the patient or a healthy person due to the possible activation of auditory-vocal, physical and emotional human capabilities while reducing the risk of development of functional disorders.

The problem is solved in that in the method of recovery and development of speech functions, including the assessment of the degree of speech deviations from age norms and course real litation practice with speech exercises on the background of increasing auditory-speech, physical and emotional stress,

the degree of speech deviations from age norms assessed using a 10-point scale speech maturity and/or complexity of reactions reaction of a person when interacting with the external environment, where

- the lack of reaction response and interaction with the external environment is estimated at 1 point,

- signs of reaction response to the environment is estimated at 2 points,

- the presence of interaction with the external environment through vocalizations and communication on the sound level estimate 3 points,

- the interaction with the external environment through communication with the syllable is estimated at 4 points,

- the interaction with the external environment by egocentric speech and communication at the level of words is estimated at 5 points

- the interaction with the external environment by egocentric speech and communication at the level of stable expressions evaluate in 6 points,

- the interaction with the external environment through dialogue and communication at the level of simple sentences is estimated at 7 points

- the interaction with the external environment through dialogue and communication at the level of complex sentences is estimated at 8 points,

- the interaction with the external environment through discussion and communication at the level of the plain text is estimated at 9 points,

- the interaction with the external environment through discussion and communication at the level of complex text is estimated at 10 points;

<> complex speech exercises includes linguistic lessons with vocal;

auditory-verbal increasing load amplitude and frequency to the level of short stun;

physical activity raised to the level of vocalisms;

psycho-emotional stress raised to the level of the simultaneous use of speech exercises and mixed mechanical, acoustic, optical and vestibular interference;

when the degree of speech deviations from age norms 1 and 2 points teach classes, including physical exercise to massage the chest, larynx, hands, and facial articulatory muscles on the background of a moderate irritant to the upper and lower part of the respiratory system;

when the degree of speech deviations from age norms in 3 points in classes aimed at activation of vocalisms and includes massage of the chest, larynx, hands, and facial articulatory muscles using a painful stimulus on the upper and lower part of the respiratory system;

when the degree of speech deviations from age norm in 4 points teach classes, including chest massage, massage of the larynx, the massage hands, massage and facial articulatory muscles, passive articulation exercises with elements of the maximum allowable tension and limit excursions of the thorax;

<> when the degree of speech deviations from age norms in 5 points in classes aimed at the development of sign language and includes passive articulation exercises with elements of the maximum allowable tension, active articulation and facial gymnastics with exposure to various analyzers, while limiting the excursions of the thorax;

when the degree of speech deviations from age norm 6 points teach classes on the development of monologic speech with elements including an active dialogue and articulation exercises, facial exercises, singing, and voice load in the form of stable expressions slang speech;

when the degree of speech deviations from age norm 7 points in classes aimed at developing the skills of dialogue and includes the techniques of drama in the characters played on the background mechanical noise in the form of exercises that can be performed by the patient in dynamic or static mode;

when the degree of speech deviations from age norm 8 points in classes aimed at developing the skills of dialogue and based on real events using beliefs, evidence, and argumentation, and also including singing in different octaves, pantomimic, rhetorical exercises on the background acoustic noise;

p> when the degree of speech deviations from age norm 9 points in classes aimed at developing the skills of rhetoric, carried out against the background optical noise;

when the degree of speech deviations from age norms in 10 points in classes aimed at developing the skills of rhetoric on current topics, carried out against the background of the vestibular loads.

The technical result of the invention is to improve the effectiveness of the solution speech therapy, psychological and social problems of the patient or a healthy person during the restoration and development of his speech functions.

The way of restoration and development of speech functions is as follows.

1. Establish rehabilitation diagnosis.

By means of tests on the patient understanding the speech of others, the possibility of expressing their desires, thoughts, communication with others to assess the condition of speech development and compared to the scale of speech maturity and/or complexity of the reactions of response when interacting with the external environment (Scale Myshlyaev HE).

Next, compare the results obtained with the scale and the degree of deviation of the results were evaluated in points.

Speech hypoplasia (lack of reaction response and interaction with the external environment) - 1 point.

Speech underdevelopment (signs of response response n the external environment) - 2 points.

Speech underdevelopment (vocalization, communication at the level of sound) - 3 points.

Speech underdevelopment (vocalization, communication with syllable) - 4 points.

Speech delay (egocentric speech communication at the level of the word) - 5 points.

Speech delay (egocentric speech, communication on the sustainable level of expression) - 6 points.

Normal speech development (dialogue, communication at the level of simple sentences) - 7 points.

Normal speech development (dialogue, communication at the level of complex sentences) - 8 points.

Accelerated language development (polylog, communication at the level of the plain text) - 9 points.

Accelerated language development (polylog, communication at the level of complex text) - 10 points.

2. During the recovery phase of the speech functions of a patient individual or group lessons.

- During the rehabilitation diagnosis of Speech underdevelopment" 1 and 2 points

teach classes, including physical exercise to massage the chest, larynx, hands, and facial articulatory muscles on the background of a moderate irritant to the upper and lower part of the respiratory system.

- During the rehabilitation diagnosis of Speech underdevelopment" spend 3 points

classes, including massage of the chest, larynx, hands, and facial articulatory muscles with the use of moderate and bol the first stimulus on the upper and lower part of the respiratory system to evoke a response, sound alerts and vocalisms.

The main action is the activation of vocalisms.

- During the rehabilitation diagnosis of Speech underdevelopment" spend 4 points

classes, including chest massage, massage of the larynx, the massage hands, massage and facial articulatory muscles + passive articulation exercises with elements of the maximum allowable tension + limit excursions of the thorax.

The main action is the activation of vocalisms.

- During the rehabilitation diagnosis of speech Delay 5 stars teach classes, including passive articulation exercises with elements of the maximum allowable tension + active articulation exercises + facial gymnastics + impacts on different analyzers + limit excursions of the thorax.

The main action - sign it.

- During the rehabilitation diagnosis of speech Delay" 6 points teach classes, including active articulation gymnastics + facial gymnastics + calling with stable expression + singing.

The main action - a monologue with dialogue controls with loads using slang speech.

3. On the stage of development of speech functions of a patient individual or group lessons on the background noise and stress.

- When language development 7 points teach classes, including mechanical room and, any gymnastic exercises that can be performed by the patient in dynamic or static mode (standing on one leg, standing on a chair, squats, jumping jacks, push-UPS, twine, the use of certain gestures, etc.) + external mechanical disturbances (shocks, vibration, patting, tickling etc).

The main action - a dialogue using drama in the characters.

- When language development 8 points teach classes including singing in different octaves, pantomimic, the use of rhetorical exercises + acoustic noise (loud noises and the sounds of rattling, crackling, whistling, shouting, playing musical instruments, melodies, parallel conversation, singing).

The main action - a dialogue based on real events using beliefs, evidence, and reasoning (the dispute in the family, conflict in the manufacturing, defence and so on).

- When language development 9 points teach classes, including optical interference (various movements of the eyes during a conversation in static and dynamic mode, rotation, rotation of the eyeballs, blinking and blinking eyes, viewing images of different content - magazines, illustration, painting pictures, folding puzzles, mosaics, bright light in the eyes, flashing various items before your eyes).

The main action is rhetoric.

<> When language development 10 points teach classes, including vestibular load (handstand, rotation around its axis, the rotation of the head + mixed load (use a combination of 2-3 different interference).

The main action - the rhetoric on current topics.

The use and expansion of "aggravating" loads gradually or stepwise in a regulated combination of load and rest under the constant control of breathing, heart rate and other autonomic indices.

The interval between sessions is kept within guaranteeing the restoration and increase of connectivity at each stage of exercise, and the prevention of possible voice and hearing complications.

The novelty of the method is due to the fact that the available scientific and practical information to solve the problem the proposed solution in reabilitologii, particularly in the restoration and development of speech functions of man, are not used.

Scientific and technical level of the invention due to new scientific information obtained as a result of the research related to the study of mechanisms of medical rehabilitation of patients with disorders of the nervous systems, i.e. people with physical, mental and speech disorders, as well as in the course of work on the opening of "the Phenomenon vosstanovleniya-functional maturity of the brain in ontogenesis".

The technical quality of the proposed method is also due to the fact that it is based ontogenetically sequential stimulation of speech development (logo Genesis) with regard to the quality of specific disorders that are characteristic for different clinical forms of the disease, as well as provisions that:

using ontogenetically oriented theopedia is a profound inhibition of speech (retraining), influencing skills (through a social process),

dosed amplitude and frequency of the sound load leads to specialization of the middle and inner ear and brainstem structures of the brain that causes the development of phonetic hearing (sound)

- development of phonemic hearing (voice note) is associated with the maturation of the midline structures of the brain (tire mid-brain),

- air pressure, vibration in different cavities (chest, throat, oral facial skeleton) causes the formation of proprioceptive and vibratory sensitivity

the maturation of nerve fibers (myelination), differentiation of nerve cells of the cortex (basal nuclei and cerebral cortex are the basis of understanding sounding speech (one-touch fitting speech),

the motor - side speech depends on the degree of conscious control of breathing and articulation the output device

- when exposed to the afferent link reflex arc (peripheral end of the cranial nerves) excitation occurs in the nuclei of the cranial nerves caudal group, this creates new connections between pyramidal tract and cranial nerves involved in the act of reproduction of voice and speech.

The major difference of the proposed method against known is that it fully complies with the principles of a systematic approach to the reconstruction and development of speech functions, based on the norms of natural speech development (scale Myshlyaev HE) and sequentially provides the solution of the following tasks:

- Formation of proprioceptive and vibratory sensitivity.

- Development of phonetic and phonemic hearing.

- The formation of the respiratory movements.

- The formation of the articulatory structures.

- Formation of pronunciation skills of the individual sounds.

- The skills of singing.

- Synthesizing sounds in suukompleks (syllable, word).

- The formation of the statements (a complex proposal, including: narration, monologue, dialogue) on the basis of semantic, meaningful and grammatical analysis and synthesis of words and structures.

Training on the use of non-verbal communication (posture, gesture, facial expression, pantomime) for podkrepleni the content statements.

- Formation of culturological stereotypes of communication (greeting, a farewell address, polite words, obscene language).

- Formation of skills of public speaking.

The major difference of the proposed method against known is that the transition from non-verbal ways of communicating (to the possibility of using speech exercises) verbal conduct through activation of the respiratory centers and synchronous control of the speech apparatus.

To do this, use the techniques in physical limit excursions of the thorax and logopedic massage.

The major difference of the proposed method is that vocal exercises used in complex linguistic lessons with vocals (improvement of voice or speech stereotype).

This is due to the fact that, from a structural-functional perspective peripheral end of the auditory analyzer are the ears and the end - of the temporal lobe of the brain, so the combination of language lessons with vocals is necessary for the formation of new (missing) neuro-vocal relations.

Required is long and growing voice of the pressure in the speech classroom, as a specific means by which is directed influence on the logo Genesis or recipient.

The major difference of the proposed method is that vocal exercises used in complex linguistic lessons with vocals, while auditory-verbal increasing load amplitude and frequency to the level of short stun, physical activity raised to the level of vocalisms, psycho-emotional stress raised to the level of the simultaneous use of speech exercises and mixed mechanical, acoustic, optical and vestibular interference.

Practically proved that the use of special linguistic classes with vocals allows 100% correct existing speech disorders and to prevent the formation of pathological speech stereotypes.

Collectively, all of the declared essential features of the invention, the proposed method of restoration and development of speech-enabled person when using faster and more complete restoration and development of speech functions of the patient or a healthy person at any stage of its ontogenetic development.

The way of restoration and development of speech functions, including the assessment of the degree of speech deviations from age norm and a course of rehabilitation training on increasing oral-aural, physical and psycho-emotional stress, characterized in that the evaluation frame is speech deviations from age norms are using 7 point scale speech maturity and/or complexity of reactions reaction of a person when interacting with the external environment: the presence of interaction with the external environment through vocalizations and communication on the sound level is estimated as 3 points; the interaction with the external environment through communication with syllable - 4 points; interaction with the external environment by egocentric speech and communication at the level of words - 5 points; interaction with the external environment by egocentric speech and communication at the level of stable expressions - 6 points; interaction with the external environment through dialogue and communication at the level of simple sentences - 7 points; interaction with the external environment through dialogue and communication at the level of complex sentences - 8 points; interaction with the external environment through discussion and communication on the level of simple text - 9 points; interaction with the external environment through discussion and communication at the level of complex text is 10 points, and when the degree of speech deviations in 3 points teach classes, including massage of the chest, larynx, hands, and facial articulatory muscles and the use of moderate and painful stimulus on the upper and lower part of the respiratory system to evoke a response, sound alerts and vocalisms; 4 points - teach classes, including chest massage, massage of the larynx, the massage hands, massage and facial articulatory muscles with passive articulation gymnastics with elements of maximum tension and limit excursions of the thorax; 5 points - p is avodat classes, including passive articulation exercises with elements of the maximum allowable tension with active articulation gymnastics with facial gymnastics, as well as the impact on different analyzers and limit excursions of the thorax; 6 points - teach classes, including active articulation exercises with facial gymnastics, as well as the name calling using sustainable expressions and singing; 7 points - teach classes, including mechanical interference, any gymnastic exercises that can be performed by the patient in dynamic or static mode: standing on one leg, standing on a chair, squats, jumping jacks, push-UPS, twine, the use of certain gestures, and external mechanical interference: shocks, vibration, tapping, titillation; 8 points - teach classes, including singing in different octaves, pantomimic, the use of rhetorical exercises and includes acoustic noise: loud noises and the sounds of rattling, crackling, whistling, shouting, playing musical instruments, melodies, parallel conversation, singing; 9 points - teach classes, including optical interference: the various movements of the eyes during a conversation in static and dynamic mode, rotation, rotation of the eyeballs, blinking and blinking eyes, viewing images of different content - magazines, illustrated the purpose, coloring pictures, folding puzzles, mosaics, bright light in the eyes, flashing various items before your eyes; 10 points - conducting exercises involving the vestibular load: handstand, rotation around its axis, the rotation of the head, as well as mixed loads: use a combination of 2-3 different interference, while the oral-aural load increase in amplitude and frequency to the level of short stun, psychoemotional load raised to the level of the simultaneous use of speech exercises and mixed mechanical, acoustic, optical and vestibular interference, physical activity raised to the level of vocalisms.



 

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5 cl, 2 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to medicine, exercise therapy and sports. Physical activity including a set of aerobics and bodybuilding exercises is graduated. With depressed psychoemotional state (PES), the group training starts with performing exercises with individual reduction of a number of sets by one, a number of repetitions by 1-3, power load for muscles of chest, abdomen, back and upper extremities - by 1 - 3 kg, for muscles of buttocks and hips - by 5-10 kg, with individual increase by 30-120 sec of a set interval in a combination with individual and group psychological correction aimed at the formation of a positive internal integral mental image of exercising and its results. If the PES occurs to be stabilized during exercising, the set interval is individually reduced by 30-120 seconds. When the PES tends to be increased during exercising, a number of repetitions is individually increased by 1-3, the power load for muscles of chest, abdomen, back and upper extremities is increased by 1-3 kg, and for muscles of buttocks and hips - by 5-20 kg, and the set interval is individually reduced by 30-120 sec.

EFFECT: provided well-balanced overall, psychophysiological and somatic recovery, higher endurance, body shaping in the patients without an active stage of the organic diseases.

2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, namely to devices and methods for internal ear stimulation. The device comprises an element inserted into a user's ear, at least one inductor functionally connected to a control circuit. The inserted element comprises at least one inductor arranged in an immediate proximity from the user's internal ear. The method for internal ear stimulation consists in arranging at least one inductor in an immediate proximity from the user's internal ear and operating the control circuit for supplying electric energy from a power supply to at least one inductor. A control circuit microcontroller comprises machine instructions for controlling electric energy supply to at least one inductor.

EFFECT: use of the invention shall allow reducing user's airsickness.

17 cl, 5 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine. A device comprises a power supply, a pulse generator to supply light colour test stimuli sources in visual fields of the right and left eyes and a light-colour stimuli emitter assembly. The pulse generator includes 4 functionally independent sections for programming the electric pulse parameters for the emitters located in the right and left semi-fields of the right and left eyes, and each of the sections of the generator has light pulse, stimulation cycle and stimuli frequency bands controls, and the light-colour stimuli sources are made of inertia-free LEDs of different colours combined into 4 sets of red, orange, yellow LEDs and 4 sets of green and blue LEDs.

EFFECT: invention provides substantially improved emotional state, state of health, activity, mood, reduced trait anxiety and optimised operation algorithms of information-analysis brain structures; it reduces the level of subjective depressive symptoms and potential auto-aggressive outputs.

1 tbl, 2 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment, namely to system for carrying out CPR. Device of providing feedback in carrying out CPR contains sensor of compression, adapted for placement between rescuer's hands and victim's chest, module of control with feedback, connected with compression sensor, and programmed for registration of output data of compression, their analysis, identification of single compression cycles and comparison of single cycles of compression with multitude of evaluation criterions. Matrix of comparison is output on presentation device, and each element of matrix corresponds to comparison of one of single compression cycles with one of multitude of evaluation criteria. Method of feedback presentation includes stages of carrying out compression of victim's chest through sensor of compression, registration, analysis, identification and comparison of output data from compression sensor with multitude of evaluation in form of comparison matrix elements.

EFFECT: invention makes it possible to increase efficiency of improvement of technical methods in carrying out CPR.

19 cl, 6 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to anesthesiology, and can be used in patients during and after highly traumatic operations on thoracic and lumbar spine. For this purpose general anesthesia is performed with sevoflurane. Additionally during operation epidural analgesia is performed by infusion of mixture of 0.2% solution of ropivacaine with fentanyl 2 mcg/ml and adrenalin 2 mcg/ml at rate 5-10 ml/hour. In postoperative period anesthesia is performed by constant infusion of mixture at rate 4-8 ml/hour.

EFFECT: method makes it possible to ensure adequate and safe anesthesia during surgery due to breaking pain impulsation at the level of spine cord segments in combination with superficial sedation, as well as in postoperative period due to multidirectional action of mixture components.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, namely to apparatuses for emergency medical care. The apparatus comprises a piece of clothing, a control unit arranged thereon used to control at least one physiological function of the patient to state an emergency, and a therapeutic device arranged on the piece of clothing and operatively connected to the control unit for treating the patient. The therapeutic device is a respiratory therapeutic device applied to supply oxygen, an oxygen-containing gas mixture and/or at least one drug endotracheally, and comprises a perforating unit to perforate the patient's trachea below the larynx.

EFFECT: use of the invention provides extending the range of apparatuses for emergency medical care.

20 cl, 2 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, neurosurgery, anesthesiology and resuscitation. Critical patients with intracranial hemorrhages are transferred to artificial pulmonary ventilation (APV) and exposed to hyperbaric oxygenation (HBO) in a compression mode 1.5 ATA for 40-50 minutes accompanied with average blood pressure (BPav) control. If the HBO session is accompanied with increasing BPav by 21% and more from the initial pre-compression BPav value with underlying synchronism of the patient and the APV apparatus, intracranial pressure rise is stated that requires hyperventilation by increasing respiratory rate and respiratory volume to normalise the BPav value.

EFFECT: method provides the diagnosis and the adequate correction of intracranial pressure rise following a hyperbaric oxygenation session in the patients with intracranial hemorrhages and wakefulness depression up to 10 points and less of Glasgow coma scale.

3 ex

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine. A ventilation system comprises a device designed to supply positive pressure ventilation and negative pressure ventilation. A controller uses said device to supply a patient with total ventilation pressure required by synchronising both specific positive pressure ventilation supply, and specific negative pressure ventilation supply. Negative pressure is extrathoracic and supplied to a thoracic interface for the purpose of inspiratory exposure on a patient. There are disclosed versions of the ventilation system characterised by generating total ventilation pressure, and methods of ventilation.

EFFECT: invention provides higher patient's comfort and safety.

23 cl, 8 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to pediatrics, physiotherapy. Method includes complex health resort treatment. Patient is given procedures of artificial salt micro-climate. Impact by highly dispersive aerosol of table salt with total quantity of sodium chloride particles 15000 in 1 cm3 is realised. Impact is realised at air temperature 21-24°C, humidity 40-70 vol. %, at speed of air movement 0.1-0.2 m/sec. Duration of procedures is 12-15, daily. Course includes 8-10 procedures. Daily patient does walks on the route of 4 km long Kislovodsk park health path, with angle of elevation 7°.

EFFECT: method increases adaptation possibilities of organism, improves respiratory function, increases remission duration.

2 ex, 4 tbl

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment and can be used in treatment and prevention of diseases of cardiovascular system as well as in training endurance during exercise. Device contains source of compressed air, which via receiver with pressure limiter and gas-distributing devices is connected to fixed on patient's body compression cuffs, source of high pressure, ECG analyser and device for plethysmogram registration, connected with unit of control and indication. Additionally introduced is receiver of negative pressure and each gas-distributing device contains four electromechanical distributors and pressure sensor in compression cuff, connected with unit of control and indication, as well as two pneumomechanical quick exhaust valves. Controlling inputs of pneumomechanical quick exhaust valves via electromechanical distributors are connected with source of high pressure, output of one of pneumomechanical quick exhaust valves is connected with respective compression cuff, output of the other being connected with negative pressure receiver.

EFFECT: invention is aimed at increase of therapeutic effect in carrying out procedure of external counterpulsation and reduction of rehabilitation terms in case of cardiovascular system diseases.

8 cl, 5 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to cardiosurgery, and can be used in cardiac surgeries employing extracorporeal circulation in patients with aortic valve incompetence. For this purpose, at the stage of parallel extracorporeal circulation ATP 100 mg and lidocaine 2 mg/kg are introduced in a contour of an apparatus. Then, the aorta is clamped, and an aortic root opening is exposed. A cannula is inserted in a coronary artery mouth, and a cardioplegic fluid is infused wit underlying drug-induced asystole.

EFFECT: method enables effective myocardium adaptation to ischemia ensured by drug-induced asystole before aortic compression, with escaping stages of global ischemia and preventing aortotomy hemorrhage.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to pulmonology, and can be used if diagnostic bronchoalveolar lavage required in patients suffering moderately severe and severe bronchial asthma. For this purpose, bronchofiberscopy is combined with single introduction and single aspiration of physiologic saline 8-10 ml heated to 37°C. Simultaneously, high-frequency jet pulmonary ventilation (HF JPV) at inspiration-expiration relation 1:2 and respiratory rate 160 per 1 min for 40-90 seconds is used.

EFFECT: technique provides faster and more voluminous fluid flow from alveoli to bronchial tubes due to prevented decrease in blood oxygenation while carrying out the procedure owing to the simultaneous use of HF JPV in a certain mode.

2 tbl

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to children's anesthesiology and resuscitation science, and can be used as prevention of bronchopulmonary dysplasia in newborn babies with very low and extremely low body weight. For this purpose, to newborn babies, who have been for not less than 7 days of life on non-invasive ALV in mode Biphasic/DuoPAP through nasal cannulas or in mode CPAP through nasal cannulas and on invasive ALV, introduced is "Surfactant BL" in single dose 53-75 mg/kg. Introduction is performed from 8 to 27 days of life inclusive, in sessions 10-15 minutes long depending on volume of Surfactant BL suspension by nebuliser with aerosol generator OnQ Aeroneb® Pro. At most 5 sessions are carried out.

EFFECT: method makes it possible to prevent development of bronchopulmonary dysplasia in said category of patients due to introduction of surfactant BL, which contains surfactant-associated proteins by means of nebuliser, making it possible to introduce medication at rate, optimal for alveolar deposition, preserving its molecular integrity.

4 tbl, 4 ex

FIELD: medical engineering.

SUBSTANCE: device has belt manufactured from inextensible flexible material having clamps mounted on one side along its length, with rollers enveloped by cords. Closed chambers built from flexible material, filled with liquid and having pressure gages, are attached to its other side in camp projections. Electromotor is mounted in the middle part of the belt on the same side with the clamps. The electromotor has control system. Drum enveloped with cords is rigidly fixed on the electromotor end part. The middle portion of each cord is rigidly connected to cylindrical drum surface. Free ends of the cords are connected to end clamps.

EFFECT: retained ability of unrestrained patient movements.

2 dwg

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