Method for integrated physiotherapeutic treatment and prevention of recurrent urolithiasis

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to physiotherapy, urology. A method involves the integrated physiotherapeutic effect of three physical factors. The ultrasonic exposure is characterised by frequency 2.7 kHz + 0.2 kHz, length 9 ms, pulse period 200 ms. The exposure to magnetic field is characterised by magnetic induction amplitude 1300 mT, pulse period 80 ms. The laser exposure is characterised by power 5.0 Wt, frequency 80 Hz. Total duration of a procedure is 30 minutes.

EFFECT: due to using the sequential effect of three physical factors, the method reduces the period of small urolith evacuation, the intensity of pain syndrome, requirement in analgesic and anti-spasmodic drugs, minimises the development of sclerotic changes in the ureter wall that improves urinary outflow and reduces a risk of recurrent urolith formation.

1 ex

 

The invention relates to medicine, namely to urology and physiotherapy, and is intended to improve the results of treatment of urolithiasis and prevention of relapses.

The known method, including physiotherapeutic effect on the region of the kidney sound stimulation waves in "swinging" the range of from 2.0 to 3.5 kHz amplitude modulated by low-frequency oscillations of 60 Hz. In order to increase the efficiency of the evacuation of ureteral stones for three hours before a session of physiotherapy was additionally prescribed drug from the group of alpha-blockers - Artesyn in the dose of 4 mg. session Duration sound stimulation was 15 minutes, repeat the procedure not earlier than 4-5 hours. (Method of treatment of urolithiasis. // Novikov A.V. et al. Patent for invention No. 2360679. - 61N 1/32, A61N 5/06, publ. 10.07.2009). Significant disadvantages of this method is the use of only two physical factors to improve the removal of calculus, taking alpha-blockers with increased risk of lowering blood pressure in a patient, and wait until the beginning of kempingovaya physiotherapy for quite a long time - 3 hours. In addition, this method ensures that only the absence of recurrence of pain, but does not reduce the risk of re-formation of concretions./p>

Know of any other way to treat kidney stones with application to the area of projection of the kidney or upper urinary tract two physical factors: sound vibrations simultaneously on the area of the back and abdomen, with the same frequency and intensity, together with the influence of the vibratory oscillations of audible frequency using two identical electromagnetic vibrators (Patent for invention №2003107988, publ. 11.10.2004). The disadvantage of this method is the lack of coordinated effects on the lower urinary tract, the lack of individual selection of effective frequency sound vibrations, as well as technical complexity and high rate of recurrence of stone formation.

The closest in technical essence is a method of conservative treatment of urolithiasis is a process involving physical impact on the region of the kidneys vibrations of sound frequency on the projection area of the kidneys in the intensity of 20-100 mW/cm2the impact produces sound vibrations in the range 1500-3500 Hz, while the frequency and amplitude of the specified ranges are selected by subjective sensations of the patient, record the found value and produce a double exposure duration 20-30 min at intervals of not more than one hour and repeat twice the impact in t is the significance of the day (the Way of conservative treatment of urolithiasis. // Pawluczuk VA et al. Patent for invention No. 2008884. - AN 23/00, publ. 15.03.1994). Significant disadvantages of this method is to only use one physical factor of the sound wave, the need to find the right frequency and amplitude of the specified ranges, focusing on the subjective feelings of the patient, which reduces the possibility of standardization of procedures, and the need for double exposure duration 20-30 minutes during the day. This treatment lasts from one to twenty days. The average treatment time is 11.8 days. In addition, this method ensures that only the absence of recurrence of pain, but does not reduce the risk of re-formation of concretions.

The aim of the invention is to develop a comprehensive physiotherapy treatment of urolithiasis with simultaneous prevention of recurrent stone formation without the use of drugs.

The goal is to reach the fact that the projection area of stone ureter act sequentially in three different physiotherapeutic factors: first, a sound wave, then high-intensity magnetic field and the completion of laser radiation.

The method is as follows. First patient in the region of the ureter in the projection of the stone outside the s spins are affected by a sound wave, which in the patient's body are mechanical oscillation frequency 2.7 kHz+0,2 kHz in the form of pulses with a duration of 9 MS with a period of 200 MS, the procedure time is 16 minutes. Then immediately continue to apply high magnetic field with an amplitude of magnetic induction 1300 MT (intensity 99%) with an interval between pulses of 80 MS. The procedure lasts for 6 minutes on the area of the ureter in the projection of the stone on the back and the front-side surface of the abdominal wall. At the completion of a comprehensive physiotherapy treatment in these areas undergo simultaneous influence of the laser radiation power of 5.0 W, with a pulse frequency of 80 Hz, the exposure time is 2 minutes. The total time of complex physiotherapy exposure does not exceed 30 minutes. Minimum rate - 5 procedures.

Clinical example: patient K., aged 44 appealed to the urology Department with an attack of renal colic on the left. When conducting excretory urography revealed a stone in the middle third of the left ureter size 0.7 cm, with no signs block the kidneys. Pain syndrome was arrested for admission with application of spazmolitiki, signs of inflammation are not diagnosed. The patient performed a comprehensive physiotherapy campingineuro therapy according to our proposed method. In the treatment of pain is not Retz who was deverbal. The next day produced control review urography - calculus migrated to the level of the lower third of the left ureter. After another 4 days of therapy calculus independently moved. Control ultrasound violations of the passage of urine did not reveal, laboratory parameters were abnormal. The patient was discharged 5 working day from receipt of recommendations for further dynamic observation. Within two years, in the area of physical therapy effects, signs of recurrence of stone formation is not found.

Thus, effective treatment of urolithiasis in our proposed method is achieved by the sequential use of three physical factors: sound effects, magnetic fields of high intensity laser radiation. This comprehensive physiotherapy treatment ensures the passage of ureteral stones with sizes up to 0.7 cm in 5-10 days, the average treatment time is 7.2 days, which reduces the treatment time and reduces the risk of recurrent stone formation in the area of physical therapy effects. In this regard, we can conclude that according to this decision, the criteria of novelty and inventive step.

The proposed method can reduce the period of evacuation of small motiviational on average 2 times, compared to the standard kempingovaya therapy and prototype. Already after the first treatment significantly reduced the intensity of pain syndrome, which reduces the use of analgesic and spasmolytic drugs.

In addition, the advantages of the proposed method is the technical simplicity and low cost, does not require the use of other physiotherapy equipment, in addition to the standard, the decrease in the intensity and rapid relief of pain, reduction of local edema and less severe inflammatory reaction from the side walls of the urethra and surrounding tissue, which minimizes the possible development of sclerotic changes in the wall of the ureter leads to a better flow of urine and reduces the risk of re-formation of concretions. The method is tested in the Privolzhsky regional medical center for treatment of 65 patients with urolithiasis, including in the conditions of policlinic.

Method of conservative treatment and prevention of kidney stones by using a comprehensive physiotherapeutic influence, characterized in that for kempingovaya therapy and prevention of recurrence of stone formation in the area of the ureter is used consistent effect of three physical factors in the form of sound waves with h which depends 2.7 kHz+0,2 kHz, the duration of 9 MS, the period between pulses of 200 MS, a magnetic field with an amplitude of magnetic induction 1300 MT, the period between pulses 80 MS and laser power of 5.0 W with a frequency of 80 Hz, with a total duration of 30 minutes



 

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1 tbl, 2 ex

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3 tbl, 3 ex

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3 ex

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1 tbl, 1 ex

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4 cl, 9 dwg, 3 ex

FIELD: medicine.

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3 ex

FIELD: medicine.

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3 ex

FIELD: medicine.

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2 ex

FIELD: medicine.

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EFFECT: method provides the high clinical effectiveness in spinal ischemia in experiment.

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to physiotherapy, paediatrics and neurology. The patient is exposed to a EEG-assisted combination of a magnetic field and laser light. The exposure involves a running magnetic field in a continuous mode. The inductance is 6-40 mT, and frequency is 50 Hz. The exposure involves laser light at wave length 0.85-0.9 mcm, frequency 50 Hz, power 3.5-5 mWt. The exposure is bitemporal along the spinal column at the level of C1-L1. Duration of a procedure is 10-12 minutes. The procedures are daily. The therapeutic course is 10 procedures.

EFFECT: higher clinical effectiveness ensured by activation of the cognitive functions.

3 tbl, 2 ex

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