RU2236831C2 - Method for treating children with bronchial asthma - Google Patents

Abstract

FIELD: medicine, speleotherapy, curative physical culture.

SUBSTANCE: the method deals with the impact of procedures in a chamber of artificial saline microclimate simultaneously with physical exercises of 15-min volume, 80% motor density. The following exercises should be performed: static respiration in sitting position in slow tempo 40 sec, squeezing - unsqueezing of wrists, circular movements of wrists, circular movements of feet, bending - unbending of feet per 20 sec, lateral turns of head, inclinations of head, static respiration - per 40 sec, 10 procedures per therapy course. The method enables to improve the values of external respiration function, normalize HR, arterial pressure, decrease the quantity of blood eosinophils.

EFFECT: higher efficiency of therapy.

1 ex, 3 tbl

Description

The invention relates to medicine and for the treatment of children with bronchial asthma.

There is a method of treating patients with bronchial asthma in an artificial microclimate chamber (Alieva I.Z. Halotherapy in a complex of spa treatment for children with bronchial asthma // Abstract. Cand. Dis. - Pyatigorsk. - 1996. - 19 p.).

This method provides for the appointment of procedures in the chamber of artificial salt microclimate, lasting 15 minutes, to a course of 10 procedures. This technique had a positive effect on the function of external respiration, heart rate, and blood pressure.

The present method, including the effect of physical exercises in the salt chamber of an artificial microclimate, helps to improve the function of external respiration (increases the speed of inspiration and expiration), normalizes heart rate, blood pressure, reduces the number of eosinophils in peripheral blood.

The method is as follows: the child takes procedures in an artificial salt microclimate chamber by exposure to highly dispersed aerosol of sodium chloride (total amount of particles of sodium chloride 15000 in 1 cm ³ at an air temperature of 21-24 ° C, humidity 40-70 vol.%, Air movement 0 , 1-0.2 m / s. At the same time, physical exercises of 15-minute volume, 80% motor density were carried out (in a sitting position at a slow pace, static breathing 6 times - 40 seconds, squeezing and unclenching of the hands 10 times - 20 seconds, circular doors wrists of hands 10 times - 20 seconds, circular movements of the feet 10 times - 20 seconds, flexion and extension of the feet 10 times - 20 seconds, turning the head to the side 10 times - 40 seconds, tilting the head 10 times - 40 seconds, static breathing 6 times - 40 seconds). After 30-60 seconds, repeat the proposed range of movements.The duration of the session is 15 minutes, for a course of 10 procedures conducted daily.

The method is illustrated by the following example.

Stanislav R. 12 years old (medical history No. 1754) was in the sanatorium from 10/14 01. to 11/16/01. Diagnosis: Bronchial asthma, atopic (pollen, domestic allergies), moderate, period of unstable remission.

Upon receipt of a complaint of coughing, weakness, fatigue.

A child from the 1st normal course of pregnancy. Delivery is urgent. Grew and developed in accordance with age. From three months, the manifestation of exudative diathesis. From two years old, the boy had attacks of shortness of breath. It is sick more often in spring and summer (May-June), during the flowering of trees and cereals. Attacks 2-3 times a month. Stopped by salbutamol, berotek, aminophylline.

On examination: scattered, dry, wheezing is heard in the lungs. Percussion over the lungs with a boxy tone. There are no pathological changes in other organs. Pulse 90 beats. per minute, blood pressure 110/70 mm RT. Art. Clinical blood test: hemoglobin 140 g / l, white blood cells 5.1 × 10 ⁹ / l, eosinophils 13%, s / I 13%, s / I 30%. Pneumotachometry: inhalation of 50.6%, exhalation of 35.1%. ECG without pathology.

Comprehensive treatment was carried out, including a rational regime of locomotor activity, nutrition, excluding obligate allergens, massage, exercise therapy, narzan baths with a temperature of 36-37 ° C, lasting 10-12 minutes, 8 treatments per treatment course. The child also received procedures: physical exercises in an artificial salt microclimate chamber lasting 15 minutes, for a course of 10 procedures.

The child's tolerance to treatment was good.

After the course of treatment, the condition improved. The cough disappeared, vesicular breathing in the lungs, no wheezing. When examined in a blood test, hemoglobin 139 g / l, white blood cells 4.5 × 10 ⁹ / l, eosinophils 4%, s / 2%, s / I 55%. Pneumotachometry: inhale 94.6%, exhale 87.0%.

Based on the dynamics of clinical indicators and functional examination data, we evaluated the treatment results as an improvement.

The proposed method of treatment was tested on a group of children (30 people) - the main group and 30 children - the control group, which was treated in a known manner. Both groups of patients were clinically equivalent (Table 1).

All patients underwent sanatorium-resort treatment, including the sanatorium regimen, rational nutrition, physiotherapy exercises, massage, and the use of narzan baths. In addition, the children of the main group received physical exercises in the artificial salt microclimate chamber, and the control according to the known procedure in the artificial salt microclimate chamber.

Under the influence of treatment, changes in functional status were noted (Table 2).

Under the influence of treatment in children of both groups, positive changes in the indicators of external respiration function were noted. Patients in the control group showed positive changes below.

Analyzing the clinical and functional state of patients after treatment, we ascertained the following results (Table 3).

In the main group, 28 children (93.2%) completed treatment with improvement. In children of the control group, the treatment efficiency was 86.6%. Thus, the proposed method of treatment had a more pronounced positive effect on the condition of patients with bronchial asthma, which we associated with the combined effect of physical exercises and the artificial salt microclimate chamber on bronchial patency.

Claims (1)

A method of treating children with bronchial asthma, including the effects of procedures in an artificial salt microclimate chamber, characterized in that the effect is carried out simultaneously with physical exercises of a 15-minute volume, 80% of motor density: in a sitting position at a slow pace, static breathing 40 s, compression and unclenching of the hands, circular movements of the hands, circular movements of the feet, flexion and extension of the feet for 20 seconds, turning the head to the side, tilting the head, static breathing for 40 seconds, per treatment 10 procedures .