RU2289380C2 - Method of treating cerebral ischemic stroke, hemorrhagic stroke, and post-stroke conditions - Google Patents

Abstract

FIELD: neurology.

SUBSTANCE: patient receives daily medicinal massage of vertebral column region including elements of acupressure and manual therapy of thoracocervical portion of vertebral column, the latter having been preliminarily cooled with compresses. These techniques are alternated and repeated 2-3 times, after which medicinal massage of extremities is effected including elements of acupressure from knee across back surface of thigh and extremities are cooled with compresses to -18°C during 1-3 min, after which lymph drainage is performed from knee toward pelvis and from foot toward knee and this procedure is repeated 2-3 times. Treatment course comprises 1 to 6 weeks, while using diet composed of freshly squeezed grapefruit and pomegranate juices taken at ratio 1:1. In acute case, cooling compresses are placed onto the head, cervical zone, and backbone region of patient.

EFFECT: enhanced treatment efficiency and increased probability of survival of post-stroke patient.

5 cl

Description

The invention relates to medicine, in particular to neurology, and for the treatment of cerebral ischemic stroke and hemorrhagic stroke and post-stroke conditions, and the method can also be used to prevent ischemic and hemorrhagic strokes.

A known method of treating hemorrhagic stroke, which consists in the differentiation of drug therapy, which is carried out taking into account the arteriovenous difference in the partial oxygen tension in the blood, intracranial pressure, perfusion blood pressure, volumetric blood flow of the internal carotid arteries, as well as using anti-thrombotic pneumomassage from the first day of the disease, reflexotherapy in the form of acupressure using the brake method and shiatsu therapy for damaged limbs (see RF patent No. 2170087, class A 61 K 31/00, about published on October 7, 2001).

Known adopted as a prototype is a method of treating cerebral ischemic stroke, which consists in carrying out intravenous low-power helium-neon laser therapy, drug therapy (actavegin, glycine, piracetam, tocopherol, cerobrolizin), acupuncture point therapy (see RF patent No. 2145895). A 61 N 5/06, A 61 K 31/16, publ. 02.27.2000).

The disadvantages of the prototype (as well as the analogue) are the lack of treatment effectiveness, incomplete restoration of motor functions, the inapplicability of the method in the case of allergic reactions in the patient to the medications used, the duration of treatment, the likelihood of repeated strokes, low survival rate.

The objective of the invention is to increase the effectiveness of the treatment of cerebral ischemic and hemorrhagic strokes, as well as post-stroke conditions, reduce treatment time and achieve maximum, that is, complete restoration of impaired speech functions, limb functions, motor disorders and increase patient survival.

To solve the problem in a method for the treatment of strokes and post-stroke conditions, including therapeutic therapeutic methods aimed at improving the outflow of venous fluid from the cranial cavity, improving blood supply to the brain, improving blood properties, improving blood vessels and therapeutic limb massage, the patient is prescribed cooling compresses in the acute period on the head area, on the cervical-collar zone and on the spine, the patient is prescribed non-drug naturopathic therapy using a diet from St. squeezed juices of grapefruit and pomegranate, excluding traditional nutrition, along with therapeutic limb massage, including acupressure, lymphatic drainage, aimed at restoring capillary and venous circulation and improving nerve conduction, apply therapeutic massage with elements of manual therapy of the spine, short-term cooling of the spine and end with the repetition of massage of the spine and massage of the limbs, and these techniques can be alternated several times.

The inventive method is as follows.

From the first minutes, if a patient is suspected of having a stroke, a gel compress is applied to the cervical-collar zone and to the head and spine region with a temperature of -18 ° C, lasting from 1 to 3 minutes with an interval of 2-5 minutes. In the case of a hemorrhagic stroke, cold stops intracranial hemorrhage and reduces the amount of damage to brain tissue, i.e. contributes to the preservation of the areas of the brain that underwent destruction, reducing and normalizing intracranial pressure due to the inclusion of capillary circulation and improvement of venous outflow from the cranial cavity, thereby reducing the pronounced swelling of the brain. In the case of ischemic stroke, the use of cold gel compresses from the first hours of the disease also preserves brain cells by improving capillary circulation and increasing cerebral perfusion and oxygenation of brain structures. These events allow you to gain time before establishing the type of stroke, its location and severity.

The patient is prescribed a diet of freshly squeezed juice of grapefruit and pomegranate in a ratio of 1: 1 lasting 1-6 weeks, excluding traditional nutrition. The content in these juices of organic acids, a complex of organic minerals and a natural-vitamin complex is irreplaceable in its effect on the whole organism as a whole, and mainly on the human vascular system. Due to its unique composition, natural freshly squeezed grapefruit and pomegranate juices also have pronounced anti-inflammatory properties, antioxidant properties, contain B vitamins, carotene, vitamin E, thiamine, riboflavin, niacin, tritophan, panitosenate, biotin, folacin and tannin, folic, sali , citric, pantothenic acid, volatile, vitamin C, which allows you to do without drug therapy. These juices, for example, replace cyclooxygenase inhibitors: aspirin, indomethacin, and so on, and the digestibility of natural vitamins by the body is obvious. On the 2-3 day of the diet, the patient's blood pressure decreases, intracranial pressure returns to normal.

A cooling procedure is performed daily for the patient: a helium compress is applied to the spine with a temperature of -18 ° C for 1-3 minutes, after which the patient is given a gentle, warming massage of the spine with elements of acupressure and manual therapy of the cervicothoracic spine, which allows you to remove blocks and improve the innervation of the most important organs (heart, lungs, brain), thus improving the trophism of these organs. For example, if a patient has tachycardia, the pulse is reduced from 120 beats per minute to 90 beats after traction elements of the thoracic spine. These techniques alternate, repeating 2-3 times per session. This improves capillary and systemic circulation, as evidenced by pronounced hyperemia of the skin, thus there is a sharp improvement in the venous outflow from the cranial cavity, which reduces intracranial hypertension and increases the level of oxygen uptake by brain structures, and the severity of cerebral edema decreases. Patients have stopped attacks of angina pectoris, systemic arterial pressure is normalized, and the vascular tone of cerebral vessels and other vessels improves. In the process of these procedures, the blood vessel walls are trained, which improves cerebral, general trophism.

Then the patient is given a therapeutic massage with acupressure elements on the limbs from the knee along the back of the thigh, after which a gel compress is applied with a temperature of up to -18 ° C and a duration of 1-3 minutes, after which a massage is performed with lymphatic drainage elements from the knee up to the pelvis and then from the foot to the knee. Repeat 2-3 times. The procedure improves capillary and venous circulation in the limbs.

Natural grapefruit and pomegranate juices increase blood flow and saturate the blood with the necessary vitamins and microelements, improve the rheological properties of blood, blood vessels become elastic, thus normalizing organ and general blood flow, normalizing metabolism and improving central and peripheral hemodynamics. The alternation of cooling procedures with a warming massage with elements of acupressure and lymphatic drainage also improves the condition of the walls of blood vessels, both main and capillary, improves capillary venous circulation and helps restore limb functions.

The course of treatment of the claimed method is 1-6 weeks with a maximum recovery of impaired limb functions and speech disorders. If necessary, the course of treatment can be continued.

The inventive method has undoubted advantages over the known methods of treating stroke and post-stroke conditions, primarily because it is drug-free. An advantage of the proposed method is its versatility for the treatment of both cerebral ischemic stroke and hemorrhagic stroke. The advantage of the proposed method is to provide assistance from the first minutes of the acute stage of a stroke, which leads to a positive dynamics of the rehabilitation process, and most importantly to increase the survival of patients after a stroke. The uniqueness of the treatment method is due to its simplicity of its effect on the blood structure and its effect on the vascular system. The treatment mechanism has a wide effect on almost the entire body, and is not selective, as in the selection of one or another therapeutic drug. The method has a positive effect on the condition of all blood vessels without exception, improves blood properties and stimulates blood circulation, angina attacks cease, and motor functions improve. With pronounced atherosclerotic changes in the vascular wall of the arteries, resorption, excretion of atherosclerotic plaques occurs, which helps to increase the level of assimilation of oxygen by the brain structures.

The inventive method can be used for the prevention of hypertension, diabetes mellitus, metabolic diseases and so on.

Claims (5)

1. A method of treating cerebral ischemic stroke, hemorrhagic stroke and post-stroke conditions, including therapeutic massage of the extremities, characterized in that the patient is first treated daily with a therapeutic massage of the spinal area with elements of acupressure and manual therapy of the cervicothoracic spine, pre-cooling the spine with compresses, techniques alternate, repeating 2-3 times, then conduct therapeutic massage of the limbs with acupressure elements from the knee along the back of the thigh and cool limbs with compresses, after which lymphatic drainage is performed from the knee up to the pelvis and from the foot to the knee, repeating 2-3 times, the course of treatment is 1-6 weeks, while using a diet of freshly squeezed grapefruit and pomegranate juices. 2. The method according to claim 1, characterized in that the cooling temperature is up to -18 ° C. 3. The method according to claim 1, characterized in that the duration of the application of compresses is 1-3 minutes 4. The method according to claim 1, characterized in that the juice ratio is 1: 1. 5. The method according to claim 1, characterized in that in the acute period the patient is given cooling compresses on his head, on the cervical-collar zone, on the spine.