RU2216302C1 - Method for rehabilitation in patients after gastric operative interferences at postresectional disorders - Google Patents

Abstract

FIELD: medicine, gastroenterology, oncology. SUBSTANCE: on the 10- 12th d after operation one should affect with magnetolaser therapy of infrared laser either daily or every other day after intake of mineral water, at 25-50 Hz frequency, 25- 50 mTl magnetic induction for 30 sec-2 min per one field. Impact should be carried out onto epigastrial area starting from xiphoid process along postoperative scar and from the right and left sides against it. Then comes impact with constant magnetic field at 25-50 mTl value onto projection area of stomach, liver, pancreas and intestine according to Su-Djok technique and GI 4 point (khe-gu). The present innovation decreases the frequency of postoperative complications at earlier postoperative terms of rehabilitation. EFFECT: higher efficiency of rehabilitation.

Description

 The invention relates to medicine, namely to Oncology, surgery, physiotherapy.

A known method of rehabilitation of patients, including spa factors and EHF-therapy, magnetic field. (1)
However, this method is not effective enough, because it is recommended for use no earlier than a month after the operation and at a longer time and is aimed at correcting the function of only the resected stomach during the procedure.

The closest [prototype] is a method of rehabilitation of patients radically operated on for gastric cancer and with post-resection disorders by using cedar nut oil in combination with EHF therapy. (2)
However, this method is not effective enough for rehabilitation, because exposure to physiological factors is carried out no earlier than a month after the operation and at the same time the entire digestive tract and the body as a whole are not involved during the procedure.

 The problem solved by the invention is to increase the effectiveness of rehabilitation, reducing the incidence of postoperative complications in the early postoperative periods of rehabilitation, reducing relapse of the disease.

 The problem is solved by assigning to the patient 10-12 days after the operation, even with incomplete healing of the scar, magnetic laser therapy on the epigastric zone to the right and left of the scar and from the xiphoid process down the scar for 30 s - 2 min on the field with an infrared laser with a frequency 80 Hz and a magnetic induction value of 25-50 mT, and the subsequent use of one constant magnetic field with a magnetic induction value of 25-50 mT according to Su-Jock on the area of the brush in the correspondence system of the projection of the stomach, liver, pancreas, intestines and point GI4 [xe-gy] from 5 to 10 minutes The general course of treatment is 8-12 procedures with daily intake of mineral water inside.

 In the analyzed literature, this combination of distinctive features was not found and they do not explicitly follow from the prior art for a specialist. Thus, the proposed method meets the criteria of the invention of "novelty" and "inventive step". This method has passed clinical trials on the basis of the Oncology Research Institute of the TNTs SB RAMS, ANO "Seversky Gastroenterological Center" SB RAMS. Thus, it meets the criteria of the invention "industrially applicable".

 The method is as follows. On the patient 10-12 days after the operation, one hour after eating and taking mineral water, magnetolaser therapy is prescribed daily - the procedure of the magnetolaser on the epigastric region with an infrared laser and a magnet from the magnetolaser installation to the right and left of the postoperative scar and under the xiphoid process along the postoperative scar with a frequency of 80 Hz for 30 s - 2 min per field, the magnitude of the magnetic induction is 25-50 mT, and then they act with a single constant magnetic field on the area of the hand according to Su-Jock in the system of correspondence of the stomach, liver neither the pancreas nor the intestines, also affecting the GI4 point (xe-gy) for 5 to 10 minutes in an amount of 10-12 procedures.

 Example 1. Patient J., 68 years old, 12 days after surgery for gastric cancer, complained of pain in the epigastrium along the scar, nausea, vomiting after eating, general weakness. Diagnosis: Condition after subtotal resection of the stomach for cancer from 2002. Diseases of the operated stomach: anastomositis, afferent loop syndrome, II severity. The following treatment was carried out in accordance with the claimed method, namely, daily, 1 hour after the intake of mineral water, a magnetic laser (infrared laser) therapy was prescribed with a frequency of 80 Hz and a magnetic field of 25-50 mT per epigastric region for 30 s to the right and left of postoperative scar (total time 1.5 min), and then along Su-Jok to the area of the hand with a constant magnetic field of 25-50 mT, to the projection area of the stomach, pancreas, liver, intestines and to the GI4 point (he-gy), total time 5 minutes The patient underwent 10 procedures. The patient tolerated the procedures well. At the end of the course of treatment, the pain syndrome disappeared, the adherent loop syndrome was transferred from mild to moderate.

 Example 2. Patient P., 46 years old, 18 days after surgery for gastric ulcer, complained of pain in the epigastric zone, nausea, burping air. Diagnosis: Condition after gastrectomy for peptic ulcer disease from 2002. Diseases of the operated stomach: hypotension of the gastric stump, anastomositis. The treatment was carried out in accordance with the claimed method, on the 12th day after the operation, a day later, 1 hour after receiving mineral water, the patient was prescribed magnetic laser therapy on the epigastric region from the xiphoid process along the postoperative scar, as well as to the right and left of it with an 80 Hz infrared laser , the magnitude of the magnetic induction of 25-50 mT, the exposure time of 2 minutes on the field and then exposed to a constant magnetic field, the magnitude of the magnetic induction of 25-50 mT on the wrist according to Su-Jok on the projection zone of the stomach, liver, internal gland and intestines with inclusion GI4 point (xe-gy) for 10 min, 12 treatment procedures.

 After completion of treatment, pain and dyspeptic syndromes were eliminated, manifestations of mucosal inflammation according to fibrogastroscopy decreased.

 The treatment of the claimed method was carried out in the Oncology Research Institute of Siberian Branch of the Siberian Branch of the Russian Academy of Medical Sciences, in the ANO of the Seversky Institute of Oncology and Chemistry of the Siberian Branch of the Russian Academy of Medical Sciences in 25 patients. The treatment results were evaluated according to the clinic and paraclinical methods of treatment (fibroscopy, ultrasound, biochemical and immunological parameters, R-scopy).

 Distinctive features of the proposed technique are that magneto-laser therapy allows its use in the early postoperative periods, even if the scar is not fully healed due to the pronounced anti-inflammatory and anti-edema effect, favorably affecting the organ function due to the depth of penetration of the laser beam in combination with a constant magnetic field . An additional Su-Jok effect of reflexology allows you to influence other organs of the entire digestive tract, and the involvement of the GI4 point of influence (he-gy) allows you to change the adaptive mechanisms, increasing the defenses of the patient in the postoperative period. Those. consistent exposure to the magnetic laser, a constant magnetic field in combination with reflexology can increase the body's defenses in weakened patients in the early postoperative period, reducing rehabilitation time, increasing its effectiveness, preventing the development of complications in later postoperative periods.

 The use of an infrared laser operating in a pulsed mode eliminates the thermal effect, which is not desirable for the early postoperative period and in cancer patients. At the same time, the use of an infrared spectrum magnetic laser allows the beam to penetrate deeply, affecting internal organs (penetration depth up to 6-8 cm), does not create a burden on the body due to cutaneous exposure (because in the early postoperative period intraorgan procedures are not advisable for due to the frequent occurrence of reactive pancreatitis) and ease of exposure to the entire digestive system and the body as a whole when using reflexology. The mode of the method developed and selected experimentally, the sequence of procedures, the time and the modes of exposure made it possible to achieve a new technical result that is not explicitly derived from the prior art for a specialist. This mode of the method with the appointment of physiological factors does not stimulate the tumor process and creates the possibility of using this method for all diseases, including cancer.

 The proposed method of rehabilitation has several advantages over all known methods: it allows to reduce side effects and postoperative complications in the early stages after surgery, reduces the number of relapses at a later date, thereby increasing the survival and quality of life of patients.

Literature:
1. Kucherova T. Ya., Zyryanov BN, Levitsky E.F. and others. Restorative treatment of post-resection disorders of patients with gastric cancer. / Manual for doctors. - Tomsk, 1998, p. 13.

 2. Kucherova T. Ya., Levitsky EF, Nizkodubova SV Zyryanov B.N. A method for the rehabilitation of patients radically operated on for gastric cancer and with post-resection disorders. Patent RU 2149041. Bull. 14, 05.20.2000.

Claims (1)

 A method for the rehabilitation of patients after surgical interventions on the stomach with post-resection disorders, including the intake of mineral water, exposure to a magnetic field, characterized in that on 10-12 days after surgery, daily or every other day 1 hour after receiving mineral water, a laser therapy is prescribed for the epigastric region from the xiphoid process along the postoperative scar, as well as to the right and to the left of it, with an infrared laser with a frequency of 80 Hz, magnetic induction of 25-50 mT, exposure time 30 s - 2 min per field, and they are exposed to a constant magnetic field with a magnetic induction value of 25-50 mTl on the Su-Jok hand on the projection zone of the stomach, liver, pancreas and intestines and on point GI 4 (xe-gy) for 5-10 minutes, treatment 8 -12 treatments.