RU2082444C1 - Method for treating persons irradiated with small doses of ionizing radiation and affected with chronic pharyngitis in combination with astheno-neurotic syndrome - Google Patents

Abstract

FIELD: medicine, otorhinolaryngology. SUBSTANCE: after minimum adaptation period in health resort, patient is caused to undergo treatment course with iodine-bromine baths following general-purpose procedure every other day. Treatment course includes 10 sessions conducted in combination with inhalation therapy, first 5 min being given to ultrasonic inhalation with mineral water, followed by 3-minute inhalation of Lugol solution using conventional procedure and following formulation: crystalline iodine 0.2; potassium iodide 0.2; glycerol 30.0. Inhalations are conducted daily for treatment course of 10 sessions. EFFECT: effective treatment for persons exposed to light irradiation. 5 tbl

Description

 The invention relates to medicine, namely to otolaryngology and balneology.

Known methods of treating chronic pharyngitis by inhalation therapy [1]
However, the known methods do not give significant treatment results in people who received radiation with small doses of ionizing radiation.

 The purpose of the invention is the reduction of treatment time and lengthening remission.

 This goal is achieved by the fact that after minimal patient adaptation at the resort he is prescribed iodine-bromine baths according to the general procedure every other day, for a course of 10 baths; in combination with inhalation therapy, moreover, in the first 5 minutes ultrasonic inhalation with mineral water is carried out, then the next 3 minutes are inhaled with Lugol's solution in the usual way according to the following recipe: crystalline iodine 0.2; potassium iodide 0.2; glycerin 30.0. Inhalations are carried out daily for a course of 10 procedures.

 An example of the method. Patient D., 1949, was in the clinic from June 7 to June 30, 1993. By profession, an electrician. Received with a diagnosis of Astheno-neurotic syndrome. Chronic atrophic pharyngitis.

 Upon admission, he complained of a headache of a more severe nature in the evening, irritability, dizziness, sleep disturbance, as well as sudden dryness and sore throat, a feeling of "coma", and discomfort when swallowing. The patient participated in the liquidation of the Chernobyl accident. He was in the zone of radioactive radiation in 1986 for 6 months. The radiation dose recorded in the documents is 24.5 rem.

 The history of this disease. The patient associates all of his complaints and his general condition with his stay in Chernobyl, when he noted increased weakness upon returning home, in 1988 there were disorders of the nervous system, then headaches, periodic dizziness, discomfort when swallowing, severe dryness and sore throat. It was treated on an outpatient basis: restorative therapy, vitamins, biostimulants and sedatives. Until 1993, the resort was not treated.

 Data from an objective study: the patient's condition is satisfactory. Build on normostenic type. The skin and visible mucous membranes are pink. Lymph nodes are not palpable. Upon examination of the ENT, it was revealed that the pharynx is slightly hyperated, the tonsils are friable. Lacunae are free. The back wall of the pharynx is dry, shiny, as if covered with a thin layer of varnish. In places you can see dry crusts. The mucous membrane of the nose is dry. There are no branches. Nasal breathing is free. The rest of all organs and systems are within normal limits.

 During the examination, the diagnosis was established: Chronic atrophic pharyngitis. Astheno-neurotic syndrome.

The patient was prescribed a course of treatment by the proposed method:
adaptation 1-2 days;
climatic procedures for regime 1-P;
gentle exercise regimen;
medical gymnastics in 1 mode;
diet N 15;
general iodine-bromine baths every other day for a course of 10 baths (table. 1);
inhalation: ultrasonic with mineral water for 5 minutes, then inhalation for 3 minutes with Lugol's solution in the usual way, daily for a course of 10 inhalations (Table 1).

 During the 24-day stay of the patient at the resort, he was examined by a doctor 5 times. Good tolerability of all procedures was noted. The data of the examination of patient D. are given in table. 2.

 The patient was discharged with a diagnosis of Astheno-neurotic syndrome. Chronic pharyngitis.

 During treatment, the patient received a full course of the proposed method and was discharged with significant improvement, which was expressed in the disappearance of headaches, dizziness, and sleep was restored. Complaints of dryness and sore throat, a sense of "coma" disappeared, atrophic phenomena disappeared. Within a year after receiving treatment, the patient did not show complaints. I was not on the sick leave.

To assess the effectiveness of the proposed method of treatment, a comparative characteristic of two groups was carried out:
I group of 30 patients, liquidators of the Chernobyl accident with chronic pharyngitis against the background of astheno-neurotic syndrome. By age they were distributed as follows: 20-30 years 1 (3%), 31-40 years 14 (47%) 41-50 years 12 (40%), 51-60 years 3 (10%). All patients were male, the dose of radiation received was 0.78-25 Baer. According to the time spent by patients in the zone of radioactive contamination, they were distributed as follows: 4-6 months 50% 1-2 months 37% 2-4 months 13%
II group of 30 patients, liquidators of the Chernobyl accident with chronic pharyngitis against the background of astheno-neurotic syndrome. By age, they were distributed: 35-40 years old 10 (33%), 40-45 years old 10 (33%), 45-48 years old 10 (33%). All patients were male. The radiation dose was 0.53-22 rem. According to the time spent in the zone of radioactive contamination, they were distributed: 1-2 months - 37% 2-4 months 35% 4-6 months 27%
From the above table. 3 shows that the proposed method of treatment, including inhalation therapy on the background of iodine-bromine baths, is more effective.

 Having analyzed the table. 4, we can conclude that. if in group 1 the total number of objective data before treatment was 59.4% (complaints), and after treatment - 28.3%, then in group II: before treatment complaints amounted to 64.4% and after treatment - 3.6% which says about the high effectiveness of the treatment of the proposed method.

 From the table. 5 shows that the proposed method of treatment has a high treatment outcome, which is a significant improvement of 72% and an improvement of 28% of patients discharged.

 Thus, the proposed method for the treatment of liquidator patients exposed to small doses of ionizing radiation, who developed astheno-neurotic syndrome and atrophic pharyngitis, has a pronounced therapeutic effect and avoids the development of pathological reactions.

Claims (1)

 A method of treating people who have been exposed to low doses of ionizing radiation with chronic pharyngitis in combination with asthenoneurotic syndrome by inhalation therapy, characterized in that the inhalation is carried out against the background of iodine-bromine baths daily in two stages, first with mineral water treated with ultrasound, then with Lugol's solution , on a course of 10 procedures.

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