MD126Y - Method for treating the nonspecific ulcerative colitis to persons of elderly age - Google Patents

Method for treating the nonspecific ulcerative colitis to persons of elderly age Download PDF

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Publication number
MD126Y
MD126Y MDS20090149A MDS20090149A MD126Y MD 126 Y MD126 Y MD 126Y MD S20090149 A MDS20090149 A MD S20090149A MD S20090149 A MDS20090149 A MD S20090149A MD 126 Y MD126 Y MD 126Y
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Moldova
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ulcerative colitis
ozone
patients
ozone concentration
persons
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MDS20090149A
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Romanian (ro)
Inventor
Nicolae BODRUG
Mihai-Leonida Neamtu
Anatolie Negara
Tudorel Ciurea
Natalia Blaja-Lisnic
Vasile PARASCA
Viorel Istrate
Mariana Negrean
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Nicolae BODRUG
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Priority to MDS20090149A priority Critical patent/MD126Z/en
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Abstract

Inventia se refera la medicina, si anume la gastroenterologie si poate fi aplicata la tratarea colitei nespecifice ulceroase la persoanele de varsta inaintata. Metoda, conform inventiei, consta in aceea ca concomitent cu terapia de baza, zilnic, timp de 10 zile, se administreaza intramuscular 1 ml de solutie de BioR 0,5%, intravenos 250...300 ml de solutie de NaCl 0,9% ozonata cu concentratia ozonului de 3 mg/L, si rectal 100...500 cm3 de amestec de oxigen si ozon cu concentratia ozonului de 45 mg/L.The invention relates to medicine, namely gastroenterology, and may be applied to the treatment of nonspecific ulcerative colitis in the elderly. The method, according to the invention, consists in the fact that concomitant with the basic therapy, daily, for 10 days, 1 ml of 0.5% BioR solution is administered intramuscularly, intravenously 250 ... 300 ml of 0.9 NaCl solution % ozone with ozone concentration of 3 mg / L, and rectal 100 ... 500 cm3 of oxygen and ozone mixture with ozone concentration of 45 mg / L.

Description

Invenţia se referă la medicină, şi anume la gastroenterologie şi poate fi aplicată la tratarea colitei nespecifice ulceroase de formă uşoară, medie şi gravă la persoanele de vârstă înaintată. The invention relates to medicine, namely to gastroenterology and can be applied to the treatment of mild, moderate and severe nonspecific ulcerative colitis in elderly people.

Se cunoaşte metoda de tratament al colitei nespecifice ulceroase, care constă în aceea că pe lângă terapia de bază, care include derivaţi salazo ai sulfanilamidelor, se indică administrarea pe cale rectală a serului specific anti-HLA împotriva antigenilor de clasa 1, dizolvat cu albumină umană de la donatori, în doză de 100 ml, de trei ori, peste fiecare două zile [1]. The method of treatment of nonspecific ulcerative colitis is known, which consists in that in addition to the basic therapy, which includes salazo derivatives of sulfanilamides, the rectal administration of specific anti-HLA serum against class 1 antigens, dissolved with human albumin from donors, in a dose of 100 ml, three times, every two days is indicated [1].

Dezavantajul acestei invenţii este complexitatea aplicării ei, posibilitatea apariţiei reacţiilor adverse. Pe lângă aceasta, metoda dată nu ţine cont de particularităţile fiziologice ale persoanelor de vârstă înaintată. The disadvantage of this invention is the complexity of its application, the possibility of adverse reactions. In addition, this method does not take into account the physiological peculiarities of elderly people.

Problema pe care o rezolvă invenţia propusă este sporirea eficienţei tratamentului, micşorarea duratei lui, îmbunătăţirea restabilirii mucoasei intestinului gros. The problem solved by the proposed invention is increasing the efficiency of treatment, reducing its duration, and improving the restoration of the large intestine mucosa.

Problema se soluţionează prin aceea că concomitent cu terapia de bază, zilnic, timp de 10 zile, se administrează intramuscular 1 ml de soluţie de BioR 0,5%, intravenos 250...300 ml de soluţie de NaCl 0,9% ozonată cu concentraţia ozonului de 3 mg/L, şi rectal 100...500 cm3 de amestec de oxigen şi ozon cu concentraţia ozonului de 45 mg/L. The problem is solved by administering, simultaneously with the basic therapy, daily, for 10 days, 1 ml of 0.5% BioR solution intramuscularly, 250...300 ml of 0.9% ozonated NaCl solution intravenously with an ozone concentration of 3 mg/L, and 100...500 cm3 of a mixture of oxygen and ozone with an ozone concentration of 45 mg/L rectally.

Utilizarea în tratamentul complex a preparatului BioR, care manifestă, după observaţiile efectuate, în cazul tratării acestei patologii la persoanele de vârstă înaintată, acţiune antiinflamatoare asupra mucoasei intestinului gros, permite de a restabili o microfloră intestinală normală, care asigură o integritate fiziologică a multor sisteme din organism, ce ţin de formarea (maturarea) sistemului imunitar limforegulator general şi de imunitatea locală a mucoasei intestinale, de sistemul imunitar periferic şi de sistemul endocrin. Totodată, microflora intestinală realizează sinteza aminoacizilor, enzimelor şi a vitaminelor, participă la metabolismul general. De asemenea, posedând proprietăţi membranomodulatoare, preparatul BioR stimulează procesul de detoxicare, ce duce la normalizarea metabolismului ţesuturilor intestinului gros la nivel celular. Stimulând un segment al protecţiei umorale nespecifice, el micşorează inflamaţia ţesuturilor şi majorează imunitatea locală datorită sporirii activităţii fagocitare a leucocitelor. Administrarea pe cale rectală a amestecului de oxigen şi ozon în volum de 100...500 cm2 cu o concentraţie a ozonului de 45 mg/L asigură un efect hemostatic rapid. Administrarea intravenoasă a 250...300 mL de soluţie ozonată de NaCl 0,9%, cu concentraţia ozonului de 3 mg/L, contribuie la ameliorarea microcirculaţiei datorită normalizării propietăţilor reologice ale sângelui, precum şi datorită creşterii activităţii fibrinolitice, micşorării nivelului de fibrinogen şi agregării trombocitelor. Are loc normalizarea proceselor de oxidare peroxidă şi activarea sistemului antioxidant, totodată sporeşte esenţial oxigenarea ţesuturilor, are loc restabilirea diferitor procese metabolice. The use of the BioR preparation in complex treatment, which, according to the observations made, exhibits anti-inflammatory action on the mucosa of the large intestine in the case of treating this pathology in elderly people, allows to restore a normal intestinal microflora, which ensures the physiological integrity of many systems in the body, related to the formation (maturation) of the general lymphoregulatory immune system and local immunity of the intestinal mucosa, the peripheral immune system and the endocrine system. At the same time, the intestinal microflora synthesizes amino acids, enzymes and vitamins, participates in the general metabolism. Also, possessing membrane-modulating properties, the BioR preparation stimulates the detoxification process, which leads to the normalization of the metabolism of the tissues of the large intestine at the cellular level. Stimulating a segment of non-specific humoral protection, it reduces tissue inflammation and increases local immunity due to increased phagocytic activity of leukocytes. Rectal administration of a mixture of oxygen and ozone in a volume of 100...500 cm2 with an ozone concentration of 45 mg/L provides a rapid hemostatic effect. Intravenous administration of 250...300 mL of ozonated NaCl 0.9% solution with an ozone concentration of 3 mg/L contributes to the improvement of microcirculation due to the normalization of the rheological properties of the blood, as well as due to the increase in fibrinolytic activity, the decrease in the level of fibrinogen and platelet aggregation. The normalization of peroxide oxidation processes and the activation of the antioxidant system occur, at the same time, tissue oxygenation is significantly increased, and various metabolic processes are restored.

Astfel, aplicarea conform metodei a combinaţiei indicate a preparatelor medicamentoase permite de a obţine jugularea rapidă a procesului inflamator şi restabilirea mucoasei intestinului gros. Thus, the application of the indicated combination of medicinal preparations according to the method allows for rapid suppression of the inflammatory process and restoration of the large intestine mucosa.

Rezultatul invenţiei este vindecarea rapidă a pacienţilor şi restabilirea mucoasei intestinului gros. The result of the invention is the rapid healing of patients and the restoration of the large intestine mucosa.

Metoda revendicată a fost testată la un spital clinic al Ministerului Sănătăţii din Republica Moldova. The claimed method was tested at a clinical hospital of the Ministry of Health of the Republic of Moldova.

Sub observaţie s-au aflat 30 de persoane cu vârsta cuprinsă între 65 şi 74 de ani, care suferă de colită nespecifică ulceroasă. La toţi bolnavii în tabloul clinic s-au depistat hemoragii rectale, diaree, câte 12...15 acte de defecaţie în zi, sindrom dolor în regiunea iliacă stângă şi regiunea laterală stângă a abdomenului. Pacienţii, în funcţie de terapia efectuată, au fost divizaţi în două grupuri comparabile după toţi indicii. Primul grup experimental în număr de 15 pacienţi a fost tratat conform metodei propuse, iar grupul al doilea - de control, de asemenea, în număr de 15 pacienţi, a fost tratat conform metodei tradiţionale. 30 people aged 65 to 74 years, suffering from non-specific ulcerative colitis, were under observation. In all patients, the clinical picture revealed rectal bleeding, diarrhea, 12...15 acts of defecation per day, pain syndrome in the left iliac region and the left lateral region of the abdomen. Patients, depending on the therapy performed, were divided into two groups comparable in all indicators. The first experimental group, consisting of 15 patients, was treated according to the proposed method, and the second - control group, also consisting of 15 patients, was treated according to the traditional method.

Pe fondul terapiei efectuate la 10 pacienţi din primul grup, cuparea sindromului dolor a survenit în ziua a treia, iar la ceilalţi 5 pacienţi - în ziua a 10-a. În primele 3 zile la toţi pacienţii din primul grup s-a observat descreşterea numărului de acte de defecaţie până la 6...8 în zi. La a 10-a zi numărul de acte de defecaţie a ajuns la 1...2 în zi. La toţi pacienţii din primul grup la a 10-a zi lipseau acuzele, starea generală era bună. Against the background of the therapy carried out in 10 patients from the first group, the cessation of pain syndrome occurred on the third day, and in the other 5 patients - on the 10th day. In the first 3 days, all patients from the first group had a decrease in the number of defecations to 6...8 per day. On the 10th day, the number of defecations reached 1...2 per day. In all patients from the first group, on the 10th day, there were no complaints, the general condition was good.

Pe fondul terapiei efectuate la 4 pacienţi din grupul al doilea jugularea sindromului dolor a survenit în ziua a treia, iar la 9 pacienţi - în ziua a 10-a. În primele 3 zile la 5 pacienţi din grupul al doilea s-a observat descreşterea numărului de acte de defecaţie până la 6...8 în zi. Încă la 8 descreşterea numărului de acte de defecaţie până la 6...8 în zi a survenit în a 10-a zi. Numai la 5 pacienţi din grupul al doilea la a 10-a zi lipseau acuzele, starea generală era bună. Ceilalţi pacienţi prezentau diverse acuze. Against the background of the therapy carried out in 4 patients from the second group, the pain syndrome subsided on the third day, and in 9 patients - on the 10th day. In the first 3 days, in 5 patients from the second group, a decrease in the number of defecation acts to 6...8 per day was observed. In another 8, a decrease in the number of defecation acts to 6...8 per day occurred on the 10th day. Only in 5 patients from the second group on the 10th day were there no complaints, the general condition was good. The other patients had various complaints.

Metoda se realizează în modul următor. The method is carried out in the following way.

Pe fondul terapiei de bază, zilnic, timp de 10 zile, se administrează intramuscular 1 mL de soluţie de BioR 0,5%, intravenos 250...300 mL de soluţie ozonată de NaCl 0,9%, cu concentraţia ozonului de 3 mg/L, şi rectal 100...500 cm2 de un amestec din oxigen şi ozon cu concentraţia ozonului de 45 mg/L. Against the background of basic therapy, daily, for 10 days, 1 mL of 0.5% BioR solution is administered intramuscularly, 250...300 mL of 0.9% ozonated NaCl solution intravenously, with an ozone concentration of 3 mg/L, and 100...500 cm2 of a mixture of oxygen and ozone with an ozone concentration of 45 mg/L is administered rectally.

Exemplu Example

Bolnavul A., 68 ani, s-a adresat acuzând scaune frecvente cu conţinut lichid cu sânge, slăbiciune generală pronunţată, dureri spastice în abdomen, frisoane, inapetenţă. A fost efectuată investigaţia clinică şi paraclinică, în baza căreia s-a stabilit diagnosticul clinic: colită nespecifică ulceroasă cronică, formă gravă, în fază de acutizare. La rectoromanoscopie: mucoasă edemată, eroziuni, hemoragii de contact. Patient A., 68 years old, complained of frequent stools with liquid content and blood, pronounced general weakness, spastic pain in the abdomen, chills, loss of appetite. Clinical and laboratory investigations were performed, based on which the clinical diagnosis was established: chronic nonspecific ulcerative colitis, severe form, in the acute phase. On sigmoidoscopy: edematous mucosa, erosions, contact hemorrhages.

A fost efectuată terapia de bază incluzând: un regim mecanic de cruţare, terapia cu infuzii, vitamine, antibiotice, preparate sedative, antidiareice, sulfosalazin, hormoni corticosteroizi. Din prima zi de tratament pe fondul terapiei de bază, zilnic i s-a administrat intramuscular 1 mL de soluţie de BioR 0,5%, intravenos 250 mL de soluţie ozonată de NaCl 0,9% cu concentraţia ozonului de 3 mg/L, şi rectal 300 cm2 de un amestec din oxigen şi ozon cu concentraţia ozonului de 45 mg/L. După administrarea a treia a amestecului de oxigen şi ozon s-a obţinut un efect clinic stabil: s-a micşorat frecvenţa actelor de defecaţie, au dispărut acuzele prezentate. Peste o săptămână de la începutul tratamentului a fost efectuată o rectoromanoscopie repetată: a dispărut edemul mucoasei, au încetat hemoragiile de contact, mucoasa este lucioasă, sunt vizibile unele eroziuni. Termenul de remisie 10 luni. Basic therapy was performed including: a mechanical sparing regimen, infusion therapy, vitamins, antibiotics, sedatives, antidiarrheals, sulfosalazine, corticosteroid hormones. From the first day of treatment on the background of basic therapy, daily 1 mL of BioR 0.5% solution was administered intramuscularly, 250 mL of ozonated NaCl 0.9% solution with an ozone concentration of 3 mg/L was administered intravenously, and 300 cm2 of a mixture of oxygen and ozone with an ozone concentration of 45 mg/L was administered rectally. After the third administration of the mixture of oxygen and ozone, a stable clinical effect was obtained: the frequency of defecation decreased, the complaints disappeared. A week after the start of treatment, a repeated sigmoidoscopy was performed: the mucosal edema disappeared, contact hemorrhages stopped, the mucosa is shiny, some erosions are visible. The remission period was 10 months.

1. RU 2089218 C1 1997.09.10 1. RU 2089218 C1 1997.09.10

Claims (1)

Metodă de tratament al colitei nespecifice ulceroase, care constă în aceea că concomitent cu terapia de bază, zilnic, timp de 10 zile, se administrează intramuscular 1 ml de soluţie de BioR 0,5%, intravenos 250...300 ml de soluţie de NaCl 0,9% ozonată cu concentraţia ozonului de 3 mg/L, şi rectal 100...500 cm3 de amestec de oxigen şi ozon cu concentraţia ozonului de 45 mg/L.Method of treatment of nonspecific ulcerative colitis, which consists in that simultaneously with the basic therapy, daily, for 10 days, 1 ml of 0.5% BioR solution is administered intramuscularly, 250...300 ml of 0.9% ozonated NaCl solution with an ozone concentration of 3 mg/L intravenously, and 100...500 cm3 of a mixture of oxygen and ozone with an ozone concentration of 45 mg/L rectally.
MDS20090149A 2009-07-31 2009-07-31 Method for treating the nonspecific ulcerative colitis to persons of elderly age MD126Z (en)

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RU2089218C1 (en) * 1994-02-22 1997-09-10 Татьяна Александровна Суслова Method of treatment of nonspecific ulcer colitis
RU2089211C1 (en) * 1995-07-05 1997-09-10 Московская медицинская академия им.И.М.Сеченова Agent for chronic prostatitis treatment
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