Method of treating patients suffering hypertensive disease

FIELD: medicine.

SUBSTANCE: method involves reflex therapy (RT) alternated with taking general baths every second day. The RT is conducted by inserting needles into corporeal points and microneedles into auricular points of the systemic effect on the 1, 5, 9, 13, 17, 21 procedures and executing the electric acupuncture of the paravertebral points on the 3, 7, 11, 15, 19 and 23 procedures. If the patients shows predominating psychoasthenic symptoms, iodine bromine baths are taken. The baths contains potassium iodide 50 mg/l and potassium bromide 125 mg/l. Water temperature is 36-37°C. If the vegetative imbalance predominates in the patients, radon baths with the radon concentration of 40-80 nCu/l are taken. Water temperature is 26-28°C. That is combined with the following laser therapy. The laser therapy is generated by Mlada apparatus. What is used is a continuous infrared light at wavelength 0.85 mcm, total output power of the two emitters 30 mWt. The patient is exposed by the standard procedure. The exposure covers 4 fields: a collar, an apex of heart, a middle one-third of chest and a left infrascapular region. The exposure length is 1 minute from 1st to 3rd procedure, 2 minutes from 4th to 6th procedures, and 3 minutes starting from the 7th procedure.

EFFECT: method improves the psychoemotional state of the patients thereby normalising the vegetative balance, and improves the working efficiency.

 

The invention relates to medicine, namely to physiotherapy, and can be used in clinics, hospitals, centres for preventive medicine, health centers, and offices of regenerative medicine.

therapeutic relevance of the problems associated with major cardiovascular diseases, which include hypertension (GB), defined by its high prevalence among the adult population and the negative impact on health, performance and longevity of the person that motivates us to search for new treatment methods.

Hypertension plays a major role risk factor of cardiovascular complications: myocardial infarction and cerebral stroke, heart failure development, etc. Despite medical treatment, the incidence of hypertension continues to increase.

In relation to improving the effectiveness of treatment, the world health organization (who) and the international society for the study of hypertension (ISH) important elements of non-pharmacological therapies such as natural factors, and different types of energy received with use of special devices (various baths, magnetic-laser therapy). In addition, you can use reflexology.

There is a method of treatment of hypertony eskay disease with reflexology we used electroacupuncture paravertebral points in the upper thoracic segments, and ear points: anti-hypertensive, anti-stress, brain stem and zero. For patients with a positive clinical effect was the improvement of tolerance to physical activity, indicating that the rebuilding of the cardiovascular system at a more efficient level of functioning and improving physical performance in General. Method of reflexology (RT), based on the unity of the functional and spatial organization of somatic and visceral afferent systems and their nutricentials relationships, allows afferent signals from the surface of the body to exercise a corrective influence on the function of afferent regulation of the cardiovascular system and indirectly through the accumulation in the brain structures of opioid peptides, serotonin and other brake metabolites, have expressed sympathoinhibitory effect that contributes to the improvement of psycho-emotional condition, reducing their neurotic is important to restore hemodynamic characteristics, achieve sustained hypotensive effect. The positive effect of acupuncture on the size and function of the myocardium of the left ventricle. And the Torah report after a long course of acupuncture in patients with essential hypertension improves the condition of Central hemodynamics, reduced pre - and polentarutti heart, decreases nutritionalvalue voltage, significantly improves contractile function of the myocardium, the effectiveness of its functioning (Fisenko L.A. Influence of acupuncture on Central hemodynamics, contractile function and mass of myocardium in patients with essential hypertension. // The author. Diss. (Kida. the honey. Sciences. - M., 1987. - 22 S.).

There is a method of treatment of patients with early stages of GB with the help of acupuncture, which used paravertebral points in the upper thoracic and lumbar segments, and the point of the ear: hypotensive, Shen-men and cortex. In addition, use of different types of balneotherapy, but reflexology and Spa was used as monofactorial. It is shown that despite the positive clinical effect and normalization of blood pressure in patients with Hyper - and hypokinetic types of circulatory hemodynamics becomes close to akineticheskie type and effect in hyperkinetic hemodynamics may be placed in communication with a decrease in sympathetic dominant (Sorokin H. Physical methods of treatment in cardiology. // M, 1989).

The disadvantage of this method is that the reflex is Arabia and balneotherapy has been used as monofactorial, the application of which is not sufficient for the pronounced effect, has not been used microneedle. Common disadvantages of these methods is that they are a little closer to clinical work and practically not used, not used in these laser therapy; evaluate the effectiveness of treatment on the presented techniques do not involve analysis of the dynamics of the situation.

The closest in technical essence to the proposed method is a method of treatment of hypertension, for which was used on the auricular reflexology: AT H (anti-stress), at H (hypotensive), at U (brain stem) and at H (zero), paravertebral points U- - Y15, and various methods of physio-balneotherapy (sodium chloride bath, contrast shower, underwater shower-massage, magnetic-laser therapy and others), which were applied at the same time.

We studied the mechanisms of action of acupuncture and physio-balneotherapy, from the point of view of the study of pathogenetic steps in the treatment of hypertensive patients. Common implementation mechanisms of therapeutic action of acupuncture and studied variants of physio-balneotherapy in patients with GB is the correction of the activity of the renin-angiotensin-aldosterone system, limiting excessive sympathetic influences on the heart and restore vegetative regulation of heart function is but-vascular system in General, improvements in the ratio of indices of Central and peripheral hemodynamics and decreased blood pressure, arterial and venous vasodilatation with a decrease in total peripheral resistance vessels, pre - and posterski heart improvement as a function of the myocardium relaxation and systolic function, reduced size and hyperthyroidism left atrium, the reduction of the hyperthyroidism of the left ventricle of the heart at rest and during exercise dosed emotional stress, increased tolerance of patients to exercise and increase physical performance, increase coronary aerobic and myocardial reserves, the implementation of anti-hypertensive, anti-ischemic, anti-arrhythmic effects (Lebedev AD Optimization restorative correction methods of acupuncture and physio-balneotherapy structural functional cardiac abnormalities in patients with essential hypertension and coronary heart disease. Abstract. Prof. Diss. M., 2004).

However, this method has the disadvantage, as you have not used corporal point of General jurisdiction, as a result of its use in the form of monofactorial received inadequate therapeutic efficacy in lowering blood pressure, reducing heart rate, regression of hypertrophy of the myocardium of the left gastric CCA heart. The technical result of the proposed method of treatment of hypertension is to achieve a pronounced therapeutic effect, normalization of hemodynamics, regression of hypertrophy of the myocardium, increased tolerance to physical and emotional stress, improved quality of life, prolongation of the remission period.

This technical result is achieved by alternately through the day, the impact of hypertension in hypertensive patients on the auricular acupuncture, corporeal point of common actions and electroacupuncture on paravertebral points, total bromine baths containing potassium iodide 50 mg/l, bromide of potassium 125 mg/l, t water 36-37°C in patients with a predominance of psihasteniceskie symptoms, radon baths with radon concentration from 40 to 80 NCI/l, t 26-28°C in patients with symptoms of autonomic imbalance, duration 20 min hydrotherapy in combination with laser therapy from a physical therapy apparatus "Mlada" with wavelength continuous infrared radiation of 0.85 μm, the total output power of the two emitters - 30 mW on a stable methodology on 4 fields: collar region, the region of the apex of the heart, the middle third of the sternum and the left subscapularis area 1 min - 1 to 3 of the procedure, 2 min - 4 through 6 of the procedure and at 3 min - 7 procedure.

Achieved significantly higher EF is aktivnosti alternate, through the day, use of acupuncture and physio-balneotherapy in patients with essential hypertension results in augmentation of their actions, given the sedative action of bromine baths and a positive impact of radon baths on the autonomic nervous system, unidirectional reinforcing action of acupuncture.

Description of the method.

Before treatment, patients undergo clinical and functional examination, including a medical history, complaints, measurement of blood pressure and heart rate, ECG, Holter monitoring, echocardiography, psycho-diagnostic and psycho-physiological study of the emotional load, cycle ergometry, laboratory studies. In the examination of patients divided into groups depending on the prevailing disorders of various body systems. The predominance of the patient psihasteniceskie effects designate the holding of the General iodide-bromine baths, in violation of vegetative balance - radon baths in combination with laser therapy.

Reflexology patients take turns, every other day, phisiobalneotherapy procedures. All procedures are performed on the background of basic medical treatment.

When the effects of reflexology through the day during the 1st, 5th, 9th, 13th, 17th, 21st procedures enter Aurica is popular needle for 20 minutes in the auricular point (AT): AT 55X (anti-stress), AT 59X (hypotensive), AT U (brain stem) and AT H (zero), and also carry out corporal acupuncture points General steps: he-GU, zu-San-Li. On the 1st procedure enter microneedle in auricular receptor zone IX couple hours m N. At the end of the 5th procedure microneedle entered in auricular receptor zone IX couple hours m N. on the 1st procedure, remove, and after the 9th procedures microneedle enter again in auricular receptor zone X pair o'clock M. N. in the cavity of the auricle to the end of the course. Impact on auricular points alternate procedures reflexology during the 3rd, 7th, 11th, 15th, 19th, 23rd procedures with bilateral paravertebral by electroacupuncture points U- - Y15. A pair of electrodes from each channel should be fixed on the acupuncture needles. This impact exercise peaked pulses with an amplitude of 0.8-2.5 V, the pulse duration of 1.5 MS and a frequency of 10 Hz, exposure time 20 minutes from the apparatus of Laser".

In the intervals between treatments reflexology through the day, patients are taking phisiobalneotherapy procedures, according to the testimony: if the predominance of the patient psihasteniceskie phenomena - General bromine baths containing potassium iodide 50 mg/l, bromide of potassium 125 mg/l, t water 36-37°C; in patients with symptoms of autonomic imbalance - radon baths with radon concentrations 40-80 NCI/l, t 26-28°C, littelest balneological treatment for 10-15 minutes and then laser therapy from a physical therapy apparatus "Mlada" (wavelength continuous infrared radiation of 0.85 μm, total output power of the two emitters - 30 mW) on a stable methodology on 4 fields: collar region, the region of the apex of the heart, the middle third of the sternum and LiveUpdate area 1 min - 1 to 3 of the procedure, 2 min - 4 through 6 of the procedure and at 3 min - 7 procedure.

Example No. 1 of the method.

Patient N., born in 1961, was admitted with complaints of headaches, lethargy, depression, anxiety, insomnia, meteosensitivity. History of hypertension 11 Art. for 4 years. Examined by measuring blood pressure, electrocardiography, Holter monitoring ECG, echocardiography, Bicycle ergometry, psycho-diagnostic and psycho-physiological research, biochemistry. The patient, on the background of elevated blood pressure and heart rate, and other typical hypertension pathological changes observed mainly deterioration of health, activity and mood test (SAN), increased anxiety (test of Spilberger Hanina), depression (test Beck). Because the patient has hypertension prevailed psihasteniceskie symptoms, he was prescribed a course of treatment with reflexology on the auricular and electroacupuncture on paravertebral points, total bromine baths containing potassium iodide 50 mg/l, bromide of potassium 125 mg/l, t water 36-37°C, with about is the introduction of reflexology treatment and iodide-bromine baths every other day number 12 of each treatment.

After treatment with reflexology and total bromine baths in a patient with decreased blood pressure, improved emotional state, reducing depression, anxiety, improvement of health, activity and mood, reduction and medication.

While examining the patient after 3 months. and six months after treatment deterioration was not observed. When examining a patient after 1 year there was a slight deterioration in the emotional condition, in consequence of which he had been supporting preventive treatment reflexology and total bromine baths.

Example No. 2 of the method.

Patient A., born in 1965, was admitted with complaints of headaches, palpitations, heart rhythm disturbances, fatigue. History of hypertension 11 Art. within 5 years.

During instrumental examination revealed, in addition to increasing the value of blood pressure, increased heart rate, abnormal heart rhythm, increasing the functional reactivity of the cardiovascular system when conducting stress tests, signs of increased activity of the sympathetic nervous system on laboratory data.

The patient with essential hypertension with symptoms of disorders of the vegetative is on balance and increased activity of the sympathoadrenal system was assigned to treatment with reflexology on the auricular and electroacupuncture on paravertebral points and radon baths with radon concentrations 40-80 NCI/l, t 26-28°C, the duration of hydrotherapy 20 min; consistently the patient received laser therapy from a physical therapy apparatus "Mlada" with wavelength continuous infrared radiation of 0.85 μm, the total output power of the two emitters - 30 mW on a stable methodology on 4 fields: collar region, the region of the apex of the heart, the middle third of the sternum and the left subscapularis area 1 min - 1 to 3 of the procedure, 2 min - 4 through 6 of the procedure and at 3 min - 7 procedure.

After treatment with reflexology, radon baths with laser therapy, the patient noted a decrease in blood pressure, decrease heart rate and reduced heart rhythm irregularities, decreased activity of sympathoadrenal system on biochemical data, the regression of hypertrophy of the myocardium, increased efficiency, reduction and medication.

While examining the patient after 3 months. and six months after treatment deterioration was not observed. During the examination the patient after 1 year there was a slight disturbance of the vegetative balance phenomena hypersympathicotonia, in consequence of which she had undergone a preventive supportive treatment with reflexology, radon baths with magnetic laser therapy, with good effect.

Offers the proposed method for the treatment of patients with essential hypertension was applied in 90 patients in the age range from 18 to 65 at the base of the mountains. polyclinics 84, cardiology dispensary №2, Moscow, Federal state institution "MZVM and K".

On the basis of statistical analysis of the results of the research concluded that patients in the acupuncture and physio-balneotherapy improved therapeutic effect, which was reflected in lower values of blood pressure and heart rate, improvement in patients with essential hypertension subjective state, in reducing depression, anxiety and reducing psihasteniceskie phenomena, improving vegetative provision functions of the cardiovascular system, regression of hypertrophy of the myocardium, sympatholytic, antianginal and antiarrhythmic effects. According to the evaluation results of daily monitoring of ECG and echocardiography under the influence of acupuncture, radon baths and magnitolazeroterapii experienced improvement in autonomic support functions of the cardiovascular system, regression of hypertrophy of the myocardium, correction of diastolic function of left ventricle and left atrium, according to functional stress tests - increase health, according to psychological research psikhokorrektsii action, to the greatest extent under the influence of complex reflexology and total bromine baths.

The method gives reliable performance lechenia.patienta and gives the opportunity to monitor the condition of the human body.

The positive effect of the proposed method of treatment of hypertension is an assessment of the clinical data of the subject (complaints, anamnesis of diseases, operations, inspection), destination, method of treatment in accordance with the prevailing defeat functional systems, high information content and reliability in comparison with the known medical technologies. therapeutic effect persists in patients 10-12 months. Comparison of results of complex diagnostics performed by comparing the obtained data with the results of treatment of patients with essential hypertension using only acupuncture or physio-balneotherapy, as monofactorial, using statistical methods, the results of which showed the greatest effect when using acupuncture and physio-balneotherapy within the same course with alternate, every other day, their application.

The advantages of the method over other medical technologies are significantly higher efficiency of the combined sequential use of acupuncture and physio-balneotherapy in the potentiation of their action, reducing the dose of medication, the rapid survey and analysis of disorders in various systems of the body; improving the efficiency of the treatment, which is expressed in the igenii values of blood pressure and heart rate, the improvement of psycho-emotional condition, the normalization of autonomic balance, regression of hypertrophy of the myocardium and increase efficiency.

This diagnostic method can be used for the treatment of hypertensive patients in clinics, hospitals, cardiologic medical centers, health centers, health institutions, to enhance the effectiveness of treatment.

A method of treating hypertensive patients, including acupuncture (RT) by the insertion of needles into the auricular and corporeal point of common actions and microneedles in auricular points in 1, 5, 9, 13, 17, 21 procedures and conduct of electroacupuncture paravertebral points in 3, 7, 11, 15, 19, 23 treatments alternated every other day with balneotherapy holding common bath for 20 minutes, characterized in that when the prevalence of patients psihasteniceskie symptoms conduct bromine baths containing potassium iodide 50 mg/l, bromide of potassium 125 mg/l, t water 36-37°C, and with the predominance of the phenomena disorders of autonomic balance conduct radon baths with radon concentrations 40-80 NCI/l, t 26-28°C, in combination with subsequent laser therapy continuous infrared radiation with a wavelength of 0.85 μm, the total output power of the two emitters - 30 mW from unit "Mlada" a hundred is strong technique, working on 4 fields: collar region, the region of the apex of the heart, the middle third of the sternum and the left subscapularis area 1 min - 1 to 3 of the procedure, 2 min - 4 through 6 of the procedure and at 3 min from 7 procedures.



 

Same patents:

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to paediatrics, namely to otorhinolaryngology, and may be used in treating chronic tonsillitis in children's health centres, in-patient hospitals, polyclinics. The low-power laser light covers projections of palantine tonsils, namely an anterior lateral neck surface below a mandibular angle to the right and to the left. The laser light is generated at wavelength 0.89 mcm, constantly variable frequency 10 to 1,500 Hz by AZOR 2K-02 apparatus in the contact, stable mode. The exposure length is 1 minute per a field at pulse power 2-3 Wt/pulse daily; the therapeutic course is 7-8 procedures in 5-10-year-old children. The exposure takes 2 minutes per a field at pulse power 4-5 Wt/pulse daily within the therapeutic course making 9-10 procedures. Each physiotherapeutic procedure is preceded by tonsillar lacunae irrigation with sterile 0.9% normal saline using a Hartmann cannula. The method is safe by selecting laser light conditions in the children of various age groups.

EFFECT: method enables higher clinical effectiveness in chronic tonsillitis, prolonging remission, reducing a recurrence and complication rate, lowering the need for medical treatment, improving the quality of life in children and adolescents.

2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, namely to prostate exposure apparatuses. The prostate exposure apparatus comprises a bevelled end hollow cylindrical body for the contact of its tip with an exposure area; the tip of the apparatus adjoins a laser source, a heating element, a temperature sensing element, an active electrode, and an indifferent electrode, an electronic unit, an inductor coil, and an ultrasonic assembly representing a piezoelectric radiator with an ultrasound concentrator in the form of a metal core that is an active electrode simultaneously; one end of the active electrode is led on the tip of the apparatus, while the other end is mechanically coupled with the piezoelectric radiator and connected to the electronic unit; the indifferent electrode also connected to the electronic unit is brought out of the body, while the inductor coil is configured so that the active electrode extends along an axis of symmetry; the piezoelectric radiator, targeted laser source, heating element, temperature sensing element and inductor coil are connected to the electronic unit.

EFFECT: due to the inductor coil and ultrasound emitter, the apparatus as compared to its prototype enables additional ultrasonic and magnetic field exposure on the prostate that improves the therapeutic effectiveness.

1 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely medicine, and may be used for treating urethral syndrome in females with using the antibacterial preparation gentamycin. Gentamycin is introduced into a urethral wall in the amount of 80 mg dissolved in anaesthetic solution 2 ml. The above preparation is introduced in parallel with the urethral wall. The anaesthetic is presented by 0.25% Novocaine. That is followed by a vulvar exposure to an infrared laser light at wave length 0.82 mcm, frequency 3000 Hz, and power 10 mWt. A procedure length makes 5-6 minutes; the therapeutic course is 8-10 procedures.

EFFECT: method is well tolerated, accessible and high effective by providing the high gentamycin concentration in the area of inflammation and stimulating repair processes.

1 ex, 2 tbl, 1 dwg

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine, treating a cervical pathology associated with a high-oncogenicity human papilloma virus (HPV) infection. To eliminate the HPV for the purpose of the prevention of cervical cancer, a cervical mucosa is coated with a layer of a carbon dye and exposed to a laser light. What is used is a pulse-periodic generation mode having the following parameters: power flow density 2-10 J/cm2, radiation pulse duration 10-4 -10-2 sec, pulse repetition rate 1-5 Hz, wave length 0.8-1.1 mcm. A device for implementing the method comprises a laser working in the above mode with the above parameters, a modulator, a control and indication unit for laser parameter setting by the modulator, a parameter measurement unit for laser control, a controlled microinjector, a carbon dye delivery and radiation system actuated by the controlled microinjector, a probing laser for controlling the carbon dye layer thickness.

EFFECT: group of inventions provides eliminating the HPV from the cervical surface, controlling the thermal exposure area, its safety with avoiding an uncontrolled, irreversible injury of the cervical surface and the uterine itself.

8 cl, 1 dwg, 5 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, particularly to ophthalmology. What is involved is a brachytherapy of an intraocular melanoma with a size of more than 6.5 mm by anchoring a beta-applicator with ruthenium-106 +rhodium-106 to an episclera for 7-14 days on a projection of the melanoma at total radiation dosage 3000 Gy. The brachytherapy is combined with a diode-laser transpupillar therapy of the melanoma at radiation power 800 mWt. Then, 6-12 months after the beta-applicator has been removed, a restrictive retinal coagulation at power 500 mWt and an endoresection of the residual melanoma follow. The method enables avoiding such complications, as vitreous body and retina haemorrhage, retinal detachment, complete loss of vision, as well as reducing a probability of metastases due to the preliminary brachytherapy and the following restrictive retinal laser coagulation.

EFFECT: combined application of the thermal therapy and brachytherapy enables affecting the melanoma from both sides for more complete destruction of its structure.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely gynaecology, physiotherapy. A method involves the integrated treatment of the patients with genital endometriosis and hysteromyoma. The treatment involves taking mineral water, observing a biologically programmed light pattern, taking radon baths and radon gynaecological irrigations and small enemas, as well as conducting a laser therapy of biologically active points (BAPs). The patients take carbonated chloride-hydrocarbonate-sulphate sodium-calcium warm Narzan water taken from sources No. 4, No. 7 and No. 24, 3.4 mg per kg 3 times ad day, 40 minutes before meals. The radon baths are taken with the radon concentration of 1.5 kBq/l. The radon gynaecological irrigations and microenemas are performed with the radon concentration of 6.5 kBq/l, temperature 36°C, for 15 minutes within the course of 10-12 procedures. The BAP laser therapy is conducted in an autoresonant mode. The BAPs of anterior median meridian are covered, including: 1-2 (qu-gu), 1-3 (zhong-ji), 1-4 (guan-yuan), 1-5 (shi-men), 1-7 (yin-jiao); renal meridian: R-12 (da-ho), R-13 (qi-xu), R-14 (si-man), R-15 (zhong-zhu), R-16 (huang-shu); bladder meridian: V-31 (shang-liao), V-32 (ci-liao), V-33 (zhong-liao), V-34 (xia-liao); posterior median meridian: T-2 (yao-shu), T-3 (yao-yang-guan), T-4 (min-man), T-5 (xuan-shu). Using the radon baths of the different radon concentrations 'softens' an effect of the absorbed radiation dose on the homeostasis systems and preserves an effect of a high absorbed dose on the genital system. The laser therapy in the autoresonant mode within pathological BAPs improves the accuracy of the exposure on the pathological processes within a target organs.

EFFECT: method prolongs the remission, normalises the hormonal ratios in the remote period.

2 dwg, 4 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, particularly to ophthalmology. That is ensured by the integrated treatment involving the single macular exposure to a sublimit micro-pulse infrared laser light. That is combined with the ozone therapy using drug preparations with underlying mixed gas agitation. That is followed by an antioxidant therapy consisting of local instillations of emixipin and oral administration of complivit oftalmo.

EFFECT: method enables the therapy of predisciform age-related macular degeneration at the stage of confluent drusens, preventing the development of the disease and improving the visual acuity.

2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, and may be used in treating trophic ulcers and infected persistent wounds. That is ensured by the exposure to an argon plasma flow in a dose of 100-250 J/cm2 at 10-25 cm from the treated surface. The exposure length on one field makes 10-25 seconds. The sound surface treatment is followed by the dynamic exposure to a running argon plasma flow at 10-20 cm in a dose of 80-150 J/cm2 over the whole wound surface to form a gloss on the wound surface.

EFFECT: method provides the effective treatment of the given pathology ensured by specifying a mode of the exposure causing the microorganism elimination, wound surface drying, sudden perifocal oedema reduction, as well as epithelial cell growth stimulation on the periphery of the wound, as well as on its free surface.

3 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine. A method of treating the patients with the complicated forms of diabetic foot by blood sampling, centrifugation, plasma removal, erythrocyte fraction recovery, introduction of the angiotropic drug alprostadil, exposure to laser light at power 12 mWt for 20 minutes, addition of normal saline 100 ml in erythrocyte fraction 200 ml and reinfusion for 1.5-2 hours; ATP 2 ml is combined with the angiotropic drug alprostadil and introduced into the erythrocyte fraction; the erythrocyte fraction is reinfused every second day, alternated with intravenous drop-by-drop introduction of Vessel-DUE-F 600 LSU and actovegin 5 ml per normal saline 100 ml; the therapeutic course is 10 days.

EFFECT: using the method provides higher effectiveness and reduces the length of treatment of the patients with the complicated forms of diabetic foot syndrome, promotes the longer preservation of the achieved therapeutic effect.

FIELD: medicine.

SUBSTANCE: invention refers to medicine. Treating nosocomial sinusitis in resuscitation and intensive care units is ensured by nasal cavity clearance and sinus irrigation according to the common technique using a Kulikovsky's needle. The solution of polymyxin E in the concentration of 133 mcg/ml is introduced for 10 minutes before sinus administration of a photosensitiser that is methylene blue 20 ml in the concentration of 15 mcg/ml. The contents are aspirated with a syringe. The sinus mucosa is exposed to laser light through a dissipative light guide introduced through the Kulikovsky's needle at wave legnth 660 nm, power 500 mWt, emission length 23.5 minutes.

EFFECT: method enables enhancing the photodynamic effect on the gram-negative microorganisms ensured by including polymyxin E relieving the photosensitiser adhesion on the surface of a gram-negative bacterial cell into the method of the photodynamic therapy.

2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, namely to hyperthermic devices. The device comprises a flexible therapeutic applicator electrode for capacitive electric energy transfer, comprising at least one conducting metal electrode material in the form of a coating or a mesh wire with at least one layer of the coating material coats the surface of a flexible, elastic or tension carrier that is porous, or the conductive metal electrode material presents a flexible, elastic or tension porous carrier in the form of the mesh wire.

EFFECT: using the invention enables increasing the systemic drug delivery on a localised target area.

7 cl, 3 ex, 5 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely vertebrology, neurology and neurosurgery. An integrated electric stimulation is combined with trainings on Lokomat, robot-assisted complex. The electric stimulation of frequency 40-60 Hz, amplitude 30 mA, exposure length 900 seconds is performed using an electrode punctured into an epidural space at the level of the involvement, or an external electrode placed in a projection of an autonomous region of innervated muscles.

EFFECT: method enables reducing the length of the rehabilitation treatment in the patients with lower mono- and paraparesis with involved peripheral nerve.

1 dwg, 3 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to addictology, and concerns treating the patients with tobacco addiction. That is ensured by the 12-day therapeutic course. For this purpose, Teraligen is administered in a daily dose of 15-20 mg. What is also involved is mesodiencephalic modulation with low frequency currents 60-90 Hz, duration 3-5 ms, amplitude 1-5 mV for 35-45 minutes when the electrodes are placed in an occipitofrontal region. That is also combined with inhalations of atrovent in a dose of 0.7-1.5 ml in normal saline 3 ml and lasolvan in a dose of 0.8-1.2 ml in normal saline 3 ml on the first day. The same doses of the above preparations are inhaled in a combination in normal saline 2 ml on the following days. The treatment is added with a vacuum massage in a pulse mode of amplitude 100-500 mbar and frequency 0.8-2.5 Hz.

EFFECT: method prevents or reduces the intensity of psycho-vegetative disorders and recovers the ventilation function in the patients in the smoking cessation state that ultimately increases the number of patients stopping smoking completely.

3 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to gastroenterology, physiotherapy. A method involves a drug therapy. A physical therapy is added. For this purpose, roots of lungs are exposed to interferential currents of carrier frequency 5000-6000 Hz and modulation frequency 100-200 Hz of the length of 12-15 seconds. The electrodes are placed within a projection of root of lungs and attached to a skin surface with local depression 0.1-0.2 atm.

EFFECT: method reduces the drug administration, causes no complications, and prolongs remission.

3 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely ophthalmology, physiotherapy. The method involves endonasal cortexin electrophoresis with underlying glaucoma therapy. Cortexin is administered from an anode. For this purpose, a bifurcated positive electrode is applied on cotton swabs wetted in a drug solution. The electrodes are introduced into the middle nasal passages. An indifferent electrode is fixed with elastic bandages on the skin of the posterior surface of the neck. The first two procedures require galvanisation at current intensity 0.5 mA for 7 minutes. That is followed by medical cortexin electrophoresis from 3rd to 12th sessions. The current intensity from the 3rd to 5th sessions is 1 mA for 10 minutes. The current intensity from the 6th to 12th sessions is 1 mA for 15 minutes. The procedures are performed every second day.

EFFECT: method improves the clinical functional, perimetric and electrophysiological characteristics of the visual analyser, slows down the disease development and improves the patient's quality of life.

2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely traumatology and neurosurgery. Transient electrodes are implanted under neurophysiological control and by means of an image converter: the first electrode is epidural and implanted in a projection of the segment L3-4 or L4-5 or L5-S1. Soft tissue hydropreparation in a projection of a sciatic nerve is followed by implanting the second epineural electrode under a gluteal fold. If observing the voluntary activity in an innervation zone of a peroneal nerve, a third electrode is placed and fixed in an upper one-third of the shin in a projection of the peroneal nerve. The postoperative electric stimulation is performed 2 times a day for 14 days.

EFFECT: method extends the range of products for treating sciatic neuropathy.

2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely physiotherapy. A method involves the administration of chophytol, diet therapy, magnetic therapy and exposure to electric current. The magnetic therapy is performed by a low-frequency sinusoidal alternating magnetic field. The exposure covers a collar zone and liver for 10-15 minutes. A continuous mode, frequency 50 Hz, grade I-II magentic induction are specified. The magnetic therapy is immediately followed by the exposure to complex-modulated pulse electric current with a neural-like pulse shape. The exposure is generated at the level ThVII - ThXI, paravertebrally to the right, and cover skin projections within the liver and gallbladder transversally. For this purpose, the electrodes are placed in 6 procedure fields: 1 - paravertebrally to the right at the level of the ThVII spine, 2 - paravertebrally to the right at the level of the ThXI spine, 3 - in a projection of the liver on a front surface of the body, 4 - in a projection of the liver on a back surface of the body, 5 - in a projection of the gallbladder on the front surface of the body, 6 - in a projection of the gallbladder on the back surface of the body. The 1st and 2nd electrodes are connected to the channel IV, while the 3rd and 4th electrodes - to the channel I, and the 5th and 6th electrodes are connected to the channel II. The channels I, II work in a frequency-drift group mode. The channel IV work in a continuous mode at fixed frequency 20 Hz. The current intensity is adjusted to apparent vibration sensation. Duration of a session is 10-15 minutes. The therapeutic course is 10-12 daily procedures.

EFFECT: method improves the motor function of the gall bladder ensured by the improved cholekinesis, hepatic circulation and cholestasis elimination.

2 ex, 3 tbl

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to - arthrology, physiotherapy, balneology. The method involves physical methods of therapy, therapeutic exercises, massage, acupuncture and phytotherapy. The patients are trained to give a self-massage of the knee joints additionally during the resort therapy and after the termination of the rehabilitation. From the 1st to 10th day of the therapeutic course patient's knee joint is exposed to polychromatic polarised light at 20 cm for 6 minutes. The patients take 10 iodine-bromine baths at temperature 37°C for 10 minutes. From the 1st to 5th therapeutic days, the patients do combined therapeutic exercises; their lower extremities are massaged manually for 10 minutes. From the 6th to 15th days, the knee joints are exposed to sinusoid modulated currents (SMC) at modulation frequency 100 Hz, at a depth of 50 - 70%, current intensity to moderate vibration for 7 minutes. From the 6th to 10th days, the braking acupuncture follows by giving a 1-2-minute massage of the points 10RP, 9RP, 36E, 34E by introducing a needle for 30 seconds and by giving a point massage of cheng-fu, cuan, yang-lin-cuan, zu-sang-li, wei-yang, cheng-shan, chung-feng, hun-lun, nei-ting. The patients take a herbal infusion. From the 11th to 15th days, the knee joints are exposed to decimetric waves (DMW). That is followed by a hydro-massage of the lower extremities and lumbar region for 15 minutes up to 3 atm. Thereafter, the 10-minute post-isometric relaxation of the quadriceps muscle of thigh is applied. The patients do the complex of weight reduction exercises and take the herbal infusion. From the 16th to 20th day, the mud applications on the knee joints are prescribed at temperature 42°C for 30 minutes. If suffering gonarthrosis, the patients do the complex of therapeutic exercises. That is followed by the paravertebral vacuum therapy of the vertebral column. The 10-minute knee joint traction is applied. The patients take 20 g of the herbal infusion.

EFFECT: method recovers the joint mobility, improves the exercise tolerance of the lower extremities.

1 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely neurology, physiotherapy. The solution of proserine is introduced 30 minutes before conducting low intensity electrical stimulation. Amplitude of the electrical stimulation is 10-20 mA, frequency is 40-40 Hz, and length is 900 seconds.

EFFECT: method reduces the length of treatment, raises muscle tone, desensitizes the peripheral innervation region.

3 ex, 3 tbl

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to neurosurgery and rehabilitation medicine. A principal stage of the surgical intervention is followed by placing at least one electrode for neuromodulation in an abnormal focus. In the postoperative period, the Kronlein - Brusova scheme is used to localise a projection of anterior central gyri on the head skin, and the transcranial Doppler sonography follows. The presence and location of the temporal and suboccipical window are stated. It is the temporal window the closest to a projection of the anterior central gyri that is selected. Local magnetic emitters are placed in projections of the selected temporal and suboccipital windows. That is combined with the local exposure to the magnetic field by means of the placed emitters and electric current through the electrodes for neurostimulation. The 10-15-minute stimulation is performed three times a day for 15-20 days.

EFFECT: method provides higher clinical effectiveness and reduced risk of complications ensured by the combined electromagnetic stimulation of the adequately selected exposed areas.

2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to - arthrology, physiotherapy, balneology. The method involves physical methods of therapy, therapeutic exercises, massage, acupuncture and phytotherapy. The patients are trained to give a self-massage of the knee joints additionally during the resort therapy and after the termination of the rehabilitation. From the 1st to 10th day of the therapeutic course patient's knee joint is exposed to polychromatic polarised light at 20 cm for 6 minutes. The patients take 10 iodine-bromine baths at temperature 37°C for 10 minutes. From the 1st to 5th therapeutic days, the patients do combined therapeutic exercises; their lower extremities are massaged manually for 10 minutes. From the 6th to 15th days, the knee joints are exposed to sinusoid modulated currents (SMC) at modulation frequency 100 Hz, at a depth of 50 - 70%, current intensity to moderate vibration for 7 minutes. From the 6th to 10th days, the braking acupuncture follows by giving a 1-2-minute massage of the points 10RP, 9RP, 36E, 34E by introducing a needle for 30 seconds and by giving a point massage of cheng-fu, cuan, yang-lin-cuan, zu-sang-li, wei-yang, cheng-shan, chung-feng, hun-lun, nei-ting. The patients take a herbal infusion. From the 11th to 15th days, the knee joints are exposed to decimetric waves (DMW). That is followed by a hydro-massage of the lower extremities and lumbar region for 15 minutes up to 3 atm. Thereafter, the 10-minute post-isometric relaxation of the quadriceps muscle of thigh is applied. The patients do the complex of weight reduction exercises and take the herbal infusion. From the 16th to 20th day, the mud applications on the knee joints are prescribed at temperature 42°C for 30 minutes. If suffering gonarthrosis, the patients do the complex of therapeutic exercises. That is followed by the paravertebral vacuum therapy of the vertebral column. The 10-minute knee joint traction is applied. The patients take 20 g of the herbal infusion.

EFFECT: method recovers the joint mobility, improves the exercise tolerance of the lower extremities.

1 tbl, 2 ex

Up!