RU2234347C1 - Method for treating the cases of disseminated pulmonary tuberculosis - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves applying low frequency infrared laser radiation combined with permanent magnetic field irradiating six fields, each during 2 min. Impulse power is 5 W. Cuboid vein area is treated at 600 Hz frequency. Liver projection area, pancreas projection area and lung root projection area in interscapular zone are treated with radiation of 80 Hz frequency. The total treatment course is 8-12 procedures long.

EFFECT: enhanced effectiveness of treatment; accelerated lung tissue degradation cavity closure; alleviated toxic influence of anti-tuberculosis preparations.

10 cl, 2 dwg

Description

The invention relates to medicine, namely to physiotherapy, phthisiology.

A known method for the treatment of pulmonary tuberculosis by the magnetic component of the high frequency electromagnetic field (inductothermy) on the projection area of the pathological focus (MM Savula, NS Kravchenko. Physiotherapeutic methods in the complex treatment of patients with pulmonary tuberculosis // Problems of Tuberculosis. - 1991. - No. 3. - S.70-72).

The disadvantages of the prototype: lack of effectiveness due to the prevalence of disseminated forms of pulmonary tuberculosis, the inability to use the method in patients with myocardial ischemia and pulmonary heart failure, as inductothermy reduces myocardial contractility, increases venous congestion in the pulmonary circulation. Conducting inductothermy eliminates the presence of metal bodies in the affected area and the presence of an implanted pacemaker.

The invention is aimed at solving problems: increasing the efficiency of the method, reducing contraindications.

These problems are solved by exposure to low-intensity infrared laser radiation in combination with a constant magnetic field on certain fields selected experimentally. The method is illustrated in the diagram, where Figures 1 and 2 show the fields of action.

For magnetic laser therapy, a therapeutic infrared laser, semiconductor device with a blocking of operating modes and with pulse power indicators “Mustang 024” manufactured by the company “Technika” in Moscow is used. To generate laser radiation using laser infrared emitting head LO 4 pulse radiation with a wavelength of 0.89 microns and a pulse power of up to 10 watts. Additionally, use a 50 mT mirror magnetic nozzle.

The method is as follows: in a stable contact way the patient is exposed to 4 fields:

1. The projection area of the cubital veins (elbow bends) - 2 fields of 2 minutes, a pulse repetition rate of 600 Hz, a pulse power of 5 W (figure 1, field 1).

2. The area of the projection of the liver (right hypochondrium) - 1 field, frequency 80 Hz, pulse power 5 W, exposure time 2 minutes (figure 1, field 2).

3. The area of the projection of the body of the pancreas (left hypochondrium) - 1 field, frequency 80 Hz, pulse power 5 W, exposure time 2 minutes (figure 1, field 3).

2 fields are irradiated with a patient’s contact: the projection area of the roots of the lungs, paravertebral in the interscapular region — 2 fields of 2 minutes, pulse power 5 W, frequency 80 Hz (Fig. 2, field 4).

The course of treatment consists of 8-12 sessions conducted daily. The method is shown in the diagram, where the exposure fields are indicated.

The technique of complex chemo-magnetolaser therapy was used in 40 patients with primary disseminated pulmonary tuberculosis who are at the stationary stage of treatment in the regional clinical clinic “Phthisiopulmonology” during the first month of treatment. The age of patients ranged from 20 to 60 years.

The high efficiency of this treatment method in comparison with the prototype was revealed.

Examples of specific performance.

Example 1

Patient M., 25 years old, working. Diagnosis: Generalized tuberculosis. Disseminated pulmonary tuberculosis in the phase of infiltration, CD + / +. Bilateral tuberculous adnexitis in the phase of infiltration, CD - / -. Chronic pyelonephritis, exacerbation.

She complained of cough with mucopurulent sputum, shortness of breath during physical exertion, chest pain, night sweats, weight loss, low-grade body temperature. Considers herself ill for 3 months. An objective examination of the pulse 76 in 1 minute, blood pressure = 90/60 mm Hg Heart sounds are clear, the rhythm is correct. Percussion sound is pulmonary, breathing is weakened, no wheezing.

Radiological in the lungs on both sides throughout the entire length, polymorphic focal shadows are determined, in the upper sections of the drainage character with fuzzy contours, the roots are infiltrated on both sides. Decay cavities are not determined.

Magneto-laser therapy was conducted on 6 fields for 2 minutes, the total time was 12 minutes, the pulse power was 5 W, the pulse repetition rate was 80 Hz and 600 Hz, daily, the course was 10 sessions.

After the course, the patient noted a decrease in shortness of breath, cough, chest pain, and an improvement in overall well-being. When x-ray control 1 month after the course of magnetolaser therapy was observed partial resorption of infiltration and foci.

Bacterial excretion ceased after 2 months, radiographically, upon discharge, resorption of infiltration and further resorption of focal shadows were noted. The course of inpatient treatment amounted to 132 bed days.

Diagnosis at discharge: Generalized tuberculosis. Disseminated pulmonary tuberculosis in the phase of resorption and compaction, BK - / -. Bilateral tuberculous adnexitis in the phase of infiltration, CD - / -. Chronic pyelonephritis in remission.

Example 2

Patient M., 54 years old, working. Diagnosis: Disseminated pulmonary tuberculosis in the phase of infiltration and decay, CD + / +. Peptic ulcer (resection in 1998) in remission.

He complained of dry cough, low-grade fever, general weakness. Considers himself ill for two weeks. Objectively: pulse 100 in 1 minute, blood pressure = 120/80 mm Hg, heart sounds are clear, the rhythm is correct. Percussion sound is pulmonary, vesicular breathing, no rales.

Radiologically in the lungs on both sides in the upper and lower lobes, multiple polymorphic focal shadows with fuzzy contours are determined in the upper sections of the confluent character. In C 1-2 of the right lung, single cavity decay. The roots are unstructured, infiltrated.

Magnetolaser therapy was prescribed for 6 fields for 2 minutes, the total time is 12 minutes, a course of 12 daily procedures.

During the course noted improvement in overall health. After 1 month, with X-ray control, partial resorption of infiltration and focal shadows, a decrease in the size of the decay cavities, is noted.

Bacterial excretion was stopped after 4 months, radiological resorption of infiltration is noted during discharge, further resorption of focal shadows, decay cavities are not determined. The course of inpatient treatment is 131 beds per day.

Diagnosis at discharge: Disseminated pulmonary tuberculosis in the phase of ongoing resorption, compaction and scarring, BC - / -. Peptic ulcer (resection in 1998) in remission.

Example 3

Patient Z., 37 years old, employee. Diagnosis: Limited disseminated pulmonary tuberculosis in the infiltration phase, CD - / -.

Identified during a physical examination. Upon receipt complained of a cough with a small amount of sputum, weight loss. Objectively: pulse 80 in 1 minute, blood pressure = 110/70 mm RT. Art., heart sounds are clear, the rhythm is correct. Percussion sound is pulmonary, vesicular breathing in the lungs, no wheezing.

X-ray in the upper lobes of both lungs are determined by multiple focal shadows with perifocal infiltration, the roots are structural.

Magnetolaserotherapy was performed in 6 fields, 2 minutes per field, total time 12 minutes, 8 courses per day, daily.

Radiologically after 1 month, partial resorption of focal shadows and infiltration was noted.

The course of inpatient treatment was 87 bed days.

Diagnosis at discharge: Disseminated pulmonary tuberculosis in the phase of resorption and compaction, BC - / -.

The positive effect of using the proposed method consists in the absence of side effects with pronounced efficacy, accelerating the closure of the lung tissue decay cavities and the timing of the cessation of bacterial excretion, reducing and preventing the toxic effect of specific anti-TB drugs on the patient's body, painlessness, asepticity and simplification of the procedure.

Claims (1)

A method of treating disseminated pulmonary tuberculosis using basic drug therapy in combination with a physiotherapeutic effect, characterized in that they are affected by low-frequency infrared laser radiation in combination with a constant magnetic field of 6 fields of 2 minutes per field, with a pulse power of 5 W, and the cubital region the veins are irradiated with a frequency of 600 Hz, the projection areas of the liver, pancreas body, lung roots in the interscapular region are irradiated with a frequency of 80 Hz, the course of treatment is 8-12 sessions.

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