RU2273468C1 - Method for treating the cases of vertebral column pain syndrome by applying reflexotherapy in acute period - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves combining pharmacopuncture and auricular mesotherapy. Pharmacopuncture is carried out with local anesthetic and glucocorticosteroid preparation solutions mixture using carpule syringe. Auricular mesotherapy is carried out with local anesthetic solution. Ultracaine is applicable as the local anesthetic. Diprosan is applicable as the glucocorticosteroid. Single procedure is administered. The treatment is continued by applying pharmacopuncture and auricular mesotherapy with local anesthetic solution like Ultracaine and carpule syringe.

EFFECT: reduced drug consumption.

2 cl

Description

The invention relates to medicine, in particular to the section of reflexology.

Known methods for reflexology of neurological manifestations of osteochondrosis of the spine: acupuncture, scarification and incisions in the area of acupuncture points and projections of meridians, implantation of catgut into the area of acupuncture points, pharmacopuncture, electrical methods for influencing acupuncture points, magnetopuncture, laser puncture, burning 8, 9].

However, in acute and subacute discogenic lumbalgia and lumbar ischialgia, the patient needs bed rest, which contributes to the rapid scarring of the fibrous ring cracks [3, 6, 13, 14]. In these conditions, therapeutic measures are aimed at the rapid removal of the pain syndrome while maintaining maximum peace. The effectiveness of reflexology as a method of dealing with pain in a similar situation is often mentioned in modern literature [1, 2, 3, 7].

It is difficult to use methods of reflexology at the patient’s bed, as they require the conditions of a reflexology cabinet, the presence of sterile needles and devices for preformed exposure to AT. In addition, there is evidence that the most appropriate irritation for skin receptors is mechanical irritation, and not every point on the skin surface that responds to mechanical irritations can be excited electrically [5].

Closest to this invention is the pharmacopuncture method described in the literature [4, 8, 9, 10]. Pharmacopuncture is a method that enhances and prolongs the effect of acupuncture [4], and mesotherapy - intradermal or subcutaneous injection of various drugs at acupuncture points [8, 10]. Mesotherapy provides prolonged stimulation of acupuncture points through prolonged infiltration and gives a greater likelihood of directly affecting the acupuncture point with drug infiltration of its localization zone.

The objective of the invention is to provide a method for the treatment of back pain in the acute period of such manifestations of vertebral pathology as lumbago, lumbalgia, lumbar ischialgia, which preserves the benefits of acupuncture, which can be used in the ward, if necessary at home, without disturbing the bed rest of patients, i.e. calling him to the clinic, which has good efficiency, does not require the availability of devices for electropuncture and other preformed methods of influencing AT, which does not cause complications that are well tolerated by patients.

The problem is solved in that the method is based on reflexology, namely, pharmacopuncture of a mixture of solutions of ultracaine and diprospan, in one medical procedure as a method that enhances and prolongs the effect of reflexology, carried out by means of a syringe and disposable injection needles in the amount of one procedure.

The method is as follows. Before the procedure, usually carried out in the ward (due to severe pain), 1 ml of this solution is taken from a carpool with an ultracain solution in a 1 ml single-use syringe. 1 ml of diprospan, previously collected from the ampoule by means of a 1 ml single-use syringe, is transferred to the same capsule. The resulting mixture of diprospan and ultracaine undergoes a reflexology procedure - pharmacopuncture. A karpulny syringe Aspiration Syringe Type C-1.8 cc manufactured by the United States, Super-Dent®, was used. Due to the use of sterile single-use needles of 30 G, pain in patients was minimized at the time of the procedure. 1.7 ml carpools were used. The flow rate of the mixture is 0.1-0.2 ml per AT, so at least ten paravertebral points were involved. The remaining 1 ml of ultracaine solution is used for auricular mesotherapy, including the points of the auricle used in such cases [16]. A mixture of ultracaine and diprospan was administered once. Further, according to the clinical picture and the presence of residual pain manifestations, treatment was continued, if necessary, by means of pharmacopuncture of ultracaine solution.

Thus, the task is solved thanks to the following. Pharmacopuncture in combination with auricular mesotherapy enhances the properties of reflexology and ensures the prolongation of the therapeutic effect, the removal of muscle-tonic and pain syndrome. The use of a mixture of diprospan and ultracain contributes to the rapid (due to ultracain) analgesic effect and prolongation of its action due to diprospan.

The proposed method of treatment was applied in 57 patients for the period 1999-2002. The group included patients with diagnoses of lumbago, lumbalgia, lumbar ischialgia, hernia of the lumbar spine with pain. All patients after the first procedure noted a good analgesic effect, the disappearance or significant reduction of spontaneous pain at rest immediately after the procedure, and their significant reduction or disappearance the day after the procedure.

A great achievement for dental anesthesiology was the release of local anesthetics in carps and the creation of a special karpulny syringe convenient for use. In recent years, dentists have been attracted to articaine preparations (synonyms: alfacaine, brilocaine, septonest, ubestezin, ultracaine, cytocartin) - the first thiophene derivative synthesized by H. Ruschmg et al. in 1969, Articaine is superior in activity not only to novocaine, but also to lidocaine, it has the highest ratio of activity and toxicity, i.e. has a large breadth of therapeutic effect. A feature of articaine is its high diffusion ability. The duration of surgical anesthesia of articaine tissues with a vasoconstrictor is 2.5-3 hours. Currently, two forms of articaine hydrochloride 4% are produced: with an adrenaline content of 1: 100000 and 1: 200000 [17].

In this case, the local anesthetic Ultracin D-S was introduced, the content of the vasoconstrictor was 1: 200000 or Ultracain D-S forte, the content of the vasoconstrictor was 1: 100000 used in dental practice.

Diprospan is a glucocorticosteroid preparation for intramuscular, intra- and periarticular, intrasynovial and intradermal injections. 1 ml of injection contains betamethasone 2 mg (in the form of disodium phosphate) and betamethasone (in the form of disodium phosphate) 5 mg. It has anti-inflammatory, anti-allergic effect. The testimony has arthritis, myositis, lumbago. If necessary, it can be mixed in one syringe with local anesthetics [15].

The proposed method for the treatment of pain manifestations of osteochondrosis of the spine in the acute period allows the use of convenient working material — karpulny syringe, single-use injection needles, does not require devices for conducting procedures of preformed exposure to acupuncture points, is technically simple, does not cause complications, saves the doctor’s working time, provides protective regime for the patient, provides doctor mobility - if necessary, the doctor can be used by a reflexologist in conditions of tsedurnogo cabinet clinic, hospital, hospital wards and at home.

Information sources

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17. 3oryan E.V., Rabinovich S.A., Anisimova E.N. Preparations of articaine and mepivacaine: features of pharmacological action and clinical use // Clinical Dentistry No. 2, 2002, S. 28-32.

Claims (2)

1. A method of treating pain in the acute period of the spine with a pharmacopuncture method, characterized in that in one procedure a combination of pharmacopuncture of a mixture of a local anesthetic solution, for example, ultracaine and a glucocorticosteroid drug, for example, diprospan, carried out by a carpul syringe, and auricular mesotherapy, a local anesthetic solution is used for example, ultracaine - in the amount of one procedure. 2. The method according to claim 1, characterized in that the treatment is continued through pharmacopuncture and auricular mesotherapy with a solution of local anesthetic, for example, ultracaine, carried out by means of a syringe.