RU2373917C1 - Method for treating patients suffering from abdominal obesity with applying magnetic-laser therapy within integrated resort treatment - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, to reflexotherapy, balneology, treatment of the patients suffering from abdominal obesity. The method involves diet 8, exercise therapy, internal and external application of mineral waters. Magnetic-laser reflexotherapy is carried out daily. Each of two symmetric acupuncture points is exposed to contact action on each of two acupuncture at wavelength 0.8-0.91 mcm, output power 4 Wt, magnetic induction 35 mTl. Auricular points are exposed to frequency 1000 Hz for 30 sec, on corporeal points - to frequency 5 Hz for 60 seconds according to the schedule. The 1st day: yintan, GI-11 (zujchi), E36 (zusanli). The 2nd day: thirst points, hunger points, P-7 (lezue). The 3rd day: mouth point, hypothalamus point, C-7 (shenmen). The 4th day: RP-4 (gunsun), MC-6 (nejguan), liver point, pancreas point. The 5th day: E-25 (tanshu), V-18 (ganshu), thirst point. The 6th day: V-25 (dachanshu), MC-7 (dalin), hunger point, thyroid point. The 7th day: hypothalamus point, endocrine glands point, mouth point. The 8th day: repetition of the 4th - RP-4 (gunsun), MC-6 (nejguan), liver point, pancreas point. The 9th day: thyroid point, thirst point, RP-9 (inlinzuan). The 10^th day - repetition of the 1st intan, GI-11 (zujchi), E36 (zusanli).

EFFECT: method provides high clinical effectiveness ensured by normalisation of hormonal and metabolic disorders.

3 ex, 8 tbl

Description

The invention relates to medicine, namely to the treatment of patients with abdominal obesity.

Acupuncture reflexology is widely used to treat nutritional and constitutional obesity.

We have studied the possibility of a magnetic laser effect on acupuncture points (auricular and corporal) in patients with abdominal obesity - the initial manifestation of the metabolic syndrome, its basis. Already in the presence of only abdominal obesity, changes in many hormonal indicators are observed, components of the metabolic syndrome appear. The purpose of the use of magnetic laser therapy is the correction of pathologically altered hormonal regulation, metabolic reactions. The reasons for this were its properties - to have a photoactivating and normalizing effect on the activity of the most important enzymes of metabolism, biosynthesis of proteins, DNA, RNA, cell proliferation, tissue regeneration, activity of the blood and lymph microcirculation system (V.A. Builin, 2004).

The most important feature of the biophysical action of laser light is that with a local effect on the surface of the body, the photoactivation effect of biological and physiological processes is manifested in separate areas and in internal organs. Point laser reflexology provides the ability to achieve the required power densities at low output radiation power of therapeutic lasers, and also significantly expands the indications and effectiveness of this therapy. The combination of magneto and laser therapy in one device has its advantages, since the magnetic field has a neurostimulating, trophic, anti-inflammatory and analgesic effect, enhances microcirculation, accelerates tissue regeneration (I.V. Karpukhin, 2001; E.A. Turova, 1998). In a constant magnetic field, the penetrating power of laser radiation increases significantly and the reflection coefficient decreases, which ensures maximum absorption of laser radiation (G.N. Ponomarenko, 1999).

The use of auriculotherapy also has its own characteristics, as the auricle is innervated mainly by sensitive afferent nerves and is an important sensory zone, upon stimulation of which a powerful flow of afferent impulse arises, directed to the brain. It is extremely important that this flow comes to the brain mainly at the level of its stem formations associated with the regulation of internal organs and the internal environment of the body, as well as with the reticular formation of the brain stem, which has a powerful regulatory effect on the limbic-reticular complex, endocrine apparatuses. (D.M. Tabeeva, Kazan, 1979, p. 110).

A special place is occupied by therapeutic mineral waters, which have a pronounced beneficial effect on the main pathogenetic links in the development of the syndrome: they stimulate enteroinsular functional relationships, contribute to a change in insulin secretion, normalization of impaired carbohydrate and lipid metabolism, and a decrease in the severity of insulin resistance and overweight. Mineral waters not only optimize the metabolism of carbohydrates and lipids, but also increase the activity of endogenous stress-limiting factors. The greatest hormone-modulating effect according to researchers of the Pyatigorsk Research Institute of Balneology has carbonic chloride-hydrocarbonate-sodium mineral water of average mineralization type Essentuki No. 4 and No. 17. Essentuki Mineral Water No. 4 is more preferable, because it has a wider range of indications and fewer restrictions in use compared to source No. 17, contributes to a moderate rate of weight loss (2.5-3 kg per treatment course), which is physiological and is currently recommended.

Closest to the claimed is a method of treating patients with alimentary obesity using complex spa therapy, including internal and external use of mineral waters (G.M. Krashenitsa "Spa treatment of patients with alimentary obesity: Dis .... Dr. med. Sciences. - M., 1973).

The disadvantage of this method is the insignificant decrease in hyperinsulinemia, which supports hyperphagia and is the basis for the development of other hormonal and metabolic disorders in abdominal obesity.

The technical result of the proposed method is the normalization of hormonal and metabolic disorders in abdominal obesity and, on this basis, moderate long-term (follow-up data) weight loss.

The technical result is achieved by the fact that patients with abdominal obesity are prescribed a diet 8, exercise therapy, internal and external use of mineral waters, magnetic laser reflexology daily contact for each of two symmetrical acupuncture points at a wavelength of 0.8-0.91 μM, output power 4 W, magnetic induction 35 mT on auricular points with a frequency of 1000 Hz for 30 seconds, at corporal points with a frequency of 5 Hz for 60 seconds. According to the scheme:

1st day: yin-tan, GI-11 (qu-chi), E36 (tsu-san-li),

2nd day: i.e. thirst, i.e. hunger, P-7 (le-tsue),

3rd day: t. Of mouth, t. Of the hypothalamus, C-7 (Shen-Men),

4th day: RP-4 (gun-sun), MS-6 (nei-guan), tons of liver, tons of pancreas,

5th day: E-25 (tian-shu), V-18 (gan-shu), i.e. thirst,

6th day: V-25 (da-chan-shu), MS-7 (da-lin), t. Hunger, t. Thyroid gland,

7th day: t. Hypothalamus, t. Endocrine glands, t.

8th day: the repetition of the 4th - RP-4 (gun-sun), MS-6 (nei-guan), tons of liver, tons of pancreas,

9th day: t. Thyroid gland, t. Thirst, RP-9 (yin-ling-quan),

10 - day repetition of the 1st yin-tan, GI-11 (qu-chi), E36 (tsu-san-li).

The method is performed as follows. Magneto-laser reflexology is dispensed to the classic auricular and corporal points used for various pathologies, but with a specific focus on the activation of metabolism, the normalization of hormonal regulation, and the increase in the adaptive capabilities of the body. The course of treatment consists of 10 sessions. For holiday procedures, the Rikta-02/1 (M1) magneto-infrared laser therapeutic apparatus is used.

Specifications:

1. The wavelengths of radiation, microns:

- laser (laser) 0.8-0.91,

- IR LED 0.86-0.96,

- Red LED 0.6-0.7.

2. The pulse power of the laser (laser) infrared radiation W, not less than 4.

3. The average power of infrared LED radiation mW 60 ± 30.

4. Magnetic induction mT 35 ± 10.

Registration certificate No. 29/06010201 / 2053-0.

The following acupuncture points were used:

Yin-tan is an extra-meridian point.

Location: located in the center of the epigastrium between the eyebrows.

Indications: eye diseases, trigeminal neuralgia, neurogenic vomiting, frontal sinus inflammation, headache, dizziness, insomnia, convulsions in children.

Qu-chi - 11 - (colon meridian).

L. - at the outer edge of the elbow, in the middle of the distance between the ulnar fold and the external condyle with a bent elbow joint.

P. tonsillitis, pain in the shoulder, shoulder blade, elbow, headache, hemiplegia, intercostal neuralgia, neurasthenia, anemia, skin diseases. The point is included in the group of general strengthening.

Zu-san-li - E-36

L. - outward from the scallop of the tibia 30 mm below the lower edge of the patella by 3 c.

P. - diseases of the digestive tract, lower extremities, general exhaustion, diseases of the oral cavity, urinary retention, hypertension, headache, dizziness, eye diseases. One of the main points in the practice of acupuncture has a restorative effect on the body.

Le Tzue - P7 - (lung meridian)

L. - at the radial edge of the radius 1.5 cm above the wrist fold immediately after the styloid process of the radius.

P. - tic and contracture of facial muscles, neuritis of the facial and trigeminal nerves, toothache, bronchial asthma, laryngitis, tonsillitis, headache in the back of the head, migraine, and hand diseases. One of the main points in the practice of acupuncture. Command point of wonderful meridians.

T. hypothalamus - (AT 26 a IV brain appendage).

L. - on the inner side of the anti-tragus, at the point corresponding to AT 35 VI - Tai-yang, located on the outer surface of the anti-tragus, in the middle of its base.

P. - dysfunction of the endocrine glands, an important point of analgesia.

C7 - Shen-Men - (AT 55X, the point of the central nervous system)

L. - at the lower edge of the end of the upper legs of the antihelix.

P. - point refers to the most commonly used in auriculotherapy in the treatment of many diseases. Acupuncture points has a sedative, analgesic, anti-inflammatory effect.

T. mouth - (AT 84 a XIV)

L. - under the leg of the curl, above the apex of the auditory responsibility.

P. - oral ulcers, glossitis, gingivitis.

T. Thirst - (AT 17 II)

L. - just above the middle of the line connecting the point of the top of the tragus and the outer nose.

P. - neurogenic thirst.

T. Hunger - (AT 18 II)

L: just below the middle of the line connecting the points of the adrenal gland and the external nose. The point of hunger is symmetrical to the point of thirst.

P: spicy and hr. gastritis, pancreatitis.

Gun-sun (RP4) (pancreatic spleen meridian)

L: on the anteroposterior edge of the base of the first metatarsal bone.

P: - gastrointestinal diseases, myocarditis, angina pectoris, pleurisy, edema of the head and face, epilepsy, metrorrhagia, habitual abortion.

Neu-Guan - (MC6) (pericardial meridian)

L: - between the tendons of the long palmar muscle and the radial flexor of the wrist, above the wrist fold 2 c.

P: - diseases of the heart, stomach, conjunctival hemorrhage, pain in the elbow joint and shoulder, psychosis, hypertension. One of the main points in the practice of acupuncture.

T. liver (AT 97 XV)

L: - below and posterior to the point of the pancreas and gall bladder at the inner side of the antihelix, above and posterior to the point of the stomach. On the left ear, the lower half of this zone is occupied by the spleen point.

P: - diseases of the liver, gall bladder, dizziness, convulsions, hemiplegia, muscle hypotension, blood diseases, hemorrhages, menopause.

T. Pancreas - (AT 96 XV) - Left

L: - in the upper outer corner of the shell bowl above the point of the duodenum. To find this point, you can draw a line along the inside of it in the shape of the anti-helix. In the middle of it will be the point of the pancreas on the left ear.

P: - diseases of the pancreas and gall bladder, dyspepsia.

Tien Shu - (E 25) - (stomach meridian)

L: - at the level of the navel, outward from the midline of the abdomen for 2 c

P: - diseases of the stomach and intestines, cholecystitis, nephritis, endometritis, menstrual irregularities. From a traditional point of view, the meridian of the stomach affects the internal organs in general.

Gan-shu - (V 18) (meridian of the bladder)

L: - outward 1.5 c from the gap IX and X of the thoracic vertebrae.

P: - jaundice, diseases of the stomach and intestines, dizziness, lacrimation, psychosis, intercostal neuralgia.

Da-chan-shu - (V 25) (bladder meridian)

L: - outward 1.5 c from the interval IV and V of the lumbar vertebrae.

P: - diseases of the genitourinary organs, lumbosacral pain, hemorrhoids.

Da-lin - (MS 7) (pericardial meridian)

L: - in the middle of the wrist joint between the tendons of the long palmar muscle and the radial flexor of the wrist

P: - diseases of the heart, stomach, intercostal neuralgia, headache, insomnia, psychosis, hypertension, plexitis.

T. Thyroid - AT 45 VII)

L: - at the level of the middle line drawn between the points of the cervical and thoracic spine, at the outer edge of the anti-helix, at the same level with the neck at the groove of the curl at the height of the end of the anti-helix.

P: - thyroid disease.

T. glands of internal secretion - (AT 22 IV)

L: - in the interstitial notch 0.2 cm lower from the middle of its deepening, along the inner edge.

P: - the point refers to one of the commonly used in acupuncture, chronic and acute cholecystitis, xp. Pancreatitis, neurogenic thirst, hyperhidrosis, menstrual irregularities, menopause neurosis, etc.

Yin-ling-quan - (RP 9) (meridian of the spleen-pancreas)

L: - at the posterior lower edge of the medial condyle of the tibia, below the lower edge of the patella by 2 centimeters at the level of the yang-lin-quan point.

P: - diarrhea, intestinal colic, spastic constipation, urinary incontinence, drives.

The method is illustrated by the following examples:

1. Patient X., 52 years old, was treated at the Essentuki Clinic of the Federal State Institution Scientific Research Institute of Health of the Russian Federation from 1.02.07 to 02.24.07 with a diagnosis of Obesity of the second stage (abdominal). Dyslipidemia. Osteocondritis of the spine. He has been obese since 1994. Weight gain - 5 kg over the past year. Was admitted to the hospital with complaints of increased fatigue, weakness, shortness of breath during physical exertion, climbing stairs, headaches, joint pain. On examination: height 157 cm, weight 96 kg, blood pressure 140/90 mm RT. Art., PS 72 beats / min, sat. filling and tension; fasting glycemia of 5.6 mmol / l, about. cholesterol 6.79 mmol / L, cholesterol-HDL 0.99 mmol / l, triglycerides 5.04 mmol / L, cholesterol-LDL 3.06 mmol / l, HS-VLDL 2.31 mmol / l, coefficient. atherogenicity (KA) 4.64.

The patient was prescribed spa treatment, including a moderately low-calorie diet No. 8, exercise therapy, intake of Essentuki mineral water No. 4, 180-200 ml 3 times a day 30 minutes before meals, carbon-mineral baths at a temperature of 36 ° C 10-15 min No. 10, a course of magnetolaser reflexotherapy for acupuncture points. After the treatment, the state of health improved, the initial complaints disappeared. Body weight decreased by 4 kg. HELL 130/80 mm Hg Fasting glycemia 4.6 mmol / l, about. cholesterol 4.97 mmol / L, cholesterol-HDL 1.2 mmol / l, triglycerides 1.21 mmol / l, cholesterol-LDL 2.37 mmol / l, cholesterol-VLDL 0.55 mmol / l, CA 3.0 .

Hormonal status before and after treatment:

Table 1 Hormone Testosterone (nmol / l) Insulin (μMU / ml) Cortisol (nmol / L) Leptin (ng / ml) At the beginning 3.2 23,4 685.9 46.8 In the end 2.6 12.5 557.5 36.9

In this case, a significant decrease in body weight was achieved against the background of normalization of the blood lipid spectrum, objective and subjective symptoms.

2. Patient B., 34 years old, was undergoing treatment at the Essentuki Clinic of the Federal State Institution Scientific Research Institute for Health Protection from 01/14/07 to 02/06/07 with a diagnosis of obesity of 1 tbsp. (abdominal). Hypertension 2 tbsp., Risk article 3. Osteochondrosis of the spine. Over the past 4 years, there has been an increase in body weight from 67 kg to 79 kg. Was admitted to the hospital with complaints of increased fatigue, weakness, shortness of breath during physical exertion, climbing stairs, headaches, pain along the spine. During the examination: height 157 cm, weight 82 kg, blood pressure 140/100 mm RT. Art., PS 80 bpm, sat. Filling and stress; fasting glycemia of 5.6 mmol / l, about. Cholesterol 6.84 mmol / L, cholesterol-HDL 1.13 mmol / l, triglycerides 1.85 mmol / l, cholesterol-LDL 4.78 mmol / l, cholesterol-VLDL 0.85 mmol / l, CA 4.16 .

The patient was prescribed spa treatment, including a low-calorie diet, exercise therapy, intake of Essentuki No. 4 mineral water of 180-200 ml 3 times a day 30 minutes before meals, carbon-mineral baths at a temperature of 36 ° C for 10-15 minutes, No. 10, a course of laser reflexotherapy acupuncture points. After the treatment, the state of health improved, the initial complaints disappeared. Body weight decreased by 2.5 kg. HELL 120/80 mm RT. Art. Fasting glycemia 3.9 mmol / l, about. Cholesterol 4.62 mmol / L, cholesterol-HDL 1.15 mmol / l, triglycerides 1.32 mmol / L, cholesterol-LDL 2.81 mmol / l, HS-VLDL 0.6 mmol / l, CA 3.0 .

Hormonal status before and after treatment:

table 2 Hormone Testosterone (nmol / l) Insulin (μMU / ml) Cortisol (nmol / L) Leptin (ng / ml) At the beginning 3.4 19.9 845.2 96.7 In the end 2.5 5,4 521.7 22.6

After the spa treatment according to the proposed method, the state of health improved, the initial symptoms disappeared, body weight decreased by 2.5 kg, blood pressure returned to normal, biochemical parameters. Discharged with significant improvement.

3. Patient G., 45 years old, was undergoing treatment at the Essentuki Clinic of the Federal State Institution Scientific Research Institute for Health Protection of the Russian Federation from 2.04.07 to 04.25.07 with a diagnosis of Abdominal obesity of 1 tbsp. alimentary-constitutional genesis. Dyslipidemia. Chronic gastroduodenitis in remission. In recent years, notes an increase in body weight. Was admitted to the hospital with complaints of fatigue, weakness, headaches, pain in the epigastric region. During the examination: height 158 cm, weight 78 kg BMI 30, blood pressure 130/100 mm RT. Art., PS 76 beats / min, sat. filling and tension; fasting glycemia 3.4 mmol / l, about. Cholesterol 7.27 mmol / L, HS-HDL 1.06 mmol / L, triglycerides 3.99 mmol / L, HS-LDL 4.21 mmol / L, HS-VLDL 1.83 mmol / L, CA 5.84 .

The patient was prescribed the complex described above. After the treatment, the state of health improved, the initial complaints disappeared. Body weight decreased by 5 kg. HELL 120/80 mm RT. Art. Fasting glycemia 4.1 mmol / l, about. Cholesterol 4.61 mmol / L, cholesterol-HDL 1.12 mmol / L, triglycerides 1.41 mmol / L, cholesterol-LDL 2.79 mmol / L, cholesterol-VLDL 0.64 mmol / L, CA - 3, eleven. Hormonal status before and after treatment:

Table 3 Hormone Testosterone (nmol / l) Insulin (μMU / ml) Cortisol (nmol / L) Leptin (ng / ml) At the beginning 7.6 24.6 722.4 106,2 In the end 6.5 3,5 547.4 82.9

After the spa treatment according to the proposed method, the state of health improved, the initial symptoms disappeared, body weight decreased by 2.5 kg, blood pressure returned to normal, biochemical parameters. Discharged with significant improvement.

Demonstrated by clinical examples, the proposed method was tested at the Essentuki Clinic of the Federal State Institution Pyatigorsk State Research Institute of Health and Social Development of Roszdrav for 50 patients (II LC) with abdominal obesity of varying degrees I-III (stage IV not indicated for spa treatment) who were prescribed the claimed method of treatment. The control was a group of patients (50 people - I gr.) With the same disease who were prescribed a similar course of spa treatment without the use of magnetic laser therapy.

Both groups were comparable in terms of the main clinical features, gender, age, height, and average body weight. All patients had abdominal obesity, as indicated by the size of the waist circumference in both men and women (Table 1).

Abdominal obesity was diagnosed based on criteria developed by an expert committee of the National Cholesterol Education Program (NCEP ATP III, 2001). According to ATP III, obesity is considered abdominal with RT> 102 cm in men and> 88 cm in women.

The frequency of disappearance of the symptoms characteristic of obesity (hyperphagia, general weakness, fatigue, increased irritability) more often disappeared in patients with II LC (100-88.2%), in comparison with I LC (89.5-71.4). The disappearance of symptoms characteristic of the pathology of the cardiovascular system (headaches, shortness of breath, increased blood pressure, pain in the heart) were also more often observed in patients with II LC compared with I LC (Table 2). The positive dynamics of the presented symptoms in patients receiving magnetic laser puncture was observed at an earlier date of treatment - in the first 10 days of hospital stay. As a result of the therapy, a decrease in body weight was observed in patients of both groups (Table 3). It was more pronounced in II LC and amounted to 3.55 ± 0.49 kg. More than half of patients in this group lost in the mass from 3.1 to 5 kg (p <0.05). Against the background of weight loss, a decrease in blood pressure was observed both in systolic and diastolic. It was statistically significant in the II LC. The same results were observed in terms of carbohydrate metabolism. The decrease in fasting blood glucose in the II LC was significant, p <0.05 (Table 4).

The study of the hormonal profile by ELISA showed that more pronounced positive results were obtained in II LK in comparison with I LK (Table 5). There was a significant decrease in insulin levels to 15.2 ± 2.8 μE / ml (p <0.05) and, accordingly, a decrease in insulin resistance (increase in the index to 5.46 ± 0.21; p <0.05) (Table 4) ; a decrease in the content of cortisol in blood plasma to 444.2 ± 22.0 nmol / L (p <0.05). The level of testosterone in men and women reached average values (p <0.05). There was a tendency to normalize levels of leptin, TSH, estradiol in II LC (Table 5). Indicators FT ₄ and STH were within normal values. The dynamics of lipid metabolism was more pronounced in II LC, statistically significantly reduced total cholesterol, LDL-C, cholesterol-VLDL, atherogenic coefficient, triglycerides, NEFA (Table 6), lipid peroxidation processes in terms of MDA significantly differed in II LC ( table 4) in comparison with I LC (p <0.05) (table 4).

The overall treatment results were high in both treatment complexes (Table 7), but patients with II LC were more often prescribed with the result of “significant improvement”.

Follow-up data were studied by the questionnaire method within a year after the treatment. Among patients II LC in 34 people. (68.0%) there was a further loss of body weight, in I LC only in 12 people. (24.0%) had the same result.

The studied groups were comparable in all clinical signs and differed only in the appointment in the II LC of laser therapy to acupuncture points according to the developed technique. Higher treatment results in this group can be assessed due to the effect of magnetic laser reflexology, which according to our data has a diverse effect on many pathogenetic links in the development of abdominal obesity, the basis of metabolic syndrome.

Table 4 Body weight loss Indicators Medical complexes I (n = 50) II (n = 50) Body mass Before treatment 97.94 ± 2.88 96.65 ± 2.31 After treatment 95.1 ± 2.36 93.1 ± 2.25 Weight loss (in kg) 2.84 ± 0.41 3.55 ± 0.40 Weight loss up to 3 kg 63.40% 49.20% 3.1 to 5 kg 36.60% 50.80% * Note: significance of differences in indicators * - p <0.05

Table 5 The dynamics of some indicators in patients with abdominal obesity Indicators Patient groups I (n = 50) II (n = 50) HELL (mmHg) GARDEN 136.3 ± 2.68 131.7 ± 2.79 130.4 ± 2.31 123.2 ± 1.84 * DBP 85.4 ± 1.71 82.8 ± 1.69 80.1 ± 1.69 * 76.5 ± 1.24 ** Blood glucose (mmol / l) 5.74 ± 0.27 5.76 ± 0.22 5.33 ± 0.21 4.88 ± 0.18 ** Malondialdehyde (mmol / L) 2.77 ± 0.073 2.76 ± 0.066 2.68 ± 0.077 2.44 ± 0.061 ** Insulin resistance (Glucose in mg%, insulin mmE / ml) 4.1 ± 0.18 * 4.0 ± 0.20 ** 5.1 ± 0.21 5.46 ± 0.21 Note: significance of differences in indicators * - p <0.05, ** - p <0.001

Table 6 Dynamics of hormonal indicators Indicators Patient groups I (n = 50) II (n = 50) Insulin (μMU / ml) n to 24.8 ± 3.2 25.6 ± 3.3 18.6 ± 3.1 15.2 ± 2.8 * Leptin (ng / ml) 33.5 ± 3.1 38.9 ± 4.3 29.6 ± 3.0 31.8 ± 3.7 TTG μmE / ml 3.84 ± 0.97 3.4 ± 0.81 3.26 ± 0.99 2.1 ± 0.88 FT4 pmol / L 20.67 ± 1.17 19.3 ± 0.97 19.55 ± 1.15 19.5 ± 1.11 Cortisol nmol / L 620.2 ± 30.8 608.1 ± 30.1 580.4 ± 29.6 444.2 ± 22.2 ** Testosterone in men nmol / L 12.2 ± 2.5 11.9 ± 2.3 13.3 ± 2.6 19.8 ± 2.6 * Testosterone in women nmol / L 4.28 ± 1.3 4.24 ± 1.2 3.15 ± 1.1 1.3 ± 0.8 * Estradiol in men pg / ml 39.5 ± 6.6 32.1 ± 5.0 29.5 ± 4.8 22.6 ± 3.9 Estradiol in women pg / ml 36.6 ± 5.8 43.9 ± 6.9 34.6 ± 5.4 38.2 ± 5.6 STG ng / ml 2.35 ± 031 2.46 ± 0.33 2.11 ± 0.32 2.15 ± 0.31 Note: significance of differences in indicators * - p <0.05, ** - p <0.001

Table 7 The dynamics of lipid metabolism Indicators Patient groups I (n = 50) II (n = 50) Total cholesterol 5.84 ± 0.2 5.45 ± 0.23 * 5.45 ± 0.23 4.76 ± 0.21 HS-LDL mmol / L 2.64 ± 0.16 2.91 ± 0.14 * 2.27 ± 0.15 2.3 ± 0.13 HS-VLDLP mmol / L 0.84 ± 0.068 0.93 ± 0.089 * 0.87 ± 0.064 0.71 ± 0.064 HS-HDL mmol / L 1.02 ± 0.031 1,08 ± 0,039 1.01 ± 0.038 1.11 ± 0.026 Atherogenic coefficient 5.6 ± 0.033 ** 4.21 ± 0.26 ** 4.03 ± 0.33 3.21 ± 0.28 Triglycerides 1.86 ± 0.15 2.03 ± 0.19 * 1.89 ± 0.14 1.55 ± 0.13 NEFC mmol / L 1.03 ± 0.02 1.02 ± 0.03 * 1,02 ± 0,02 0.92 ± 0.02

Table 8 The comparative effectiveness of spa treatment Treatment result Patient groups I (n = 50) II (n = 50) Significant improvement 12/06/00 15-30.0 * Improvement 32-64.0 30-60.0 Slight improvement 12-24.0 5-24.0 * Note: significance of differences in indicators * - p <0.05, ** - p <0.001

Claims (1)

A method of treating patients with abdominal obesity, including diet 8, exercise therapy, internal and external use of mineral waters, characterized in that magnetic laser reflexology is prescribed daily for contact at each of two symmetrical acupuncture points at a wavelength of 0.8-0.91 microns, output power 4 W, magnetic induction 35 mT, for auricular points with a frequency of 1000 Hz for 30 s, for corporal points with a frequency of 5 Hz for 60 s, according to the scheme:
1st day: yin-tan, GI-11 (pui-chi), E36 (tsu-san-li),
2nd day: i.e. thirst, i.e. hunger, P-7 (le-tsue),
3rd day: t. Of mouth, t. Of the hypothalamus, C-7 (Shen-Men),
4th day: RP-4 (gun-sun), MS-6 (nei-guan), tons of liver, tons of pancreas,
5th day: E-25 (tian-shu), V-18 (gan-shu), i.e. thirst,
6th day: V-25 (da-chan-shu), MS-7 (da-lin), t. Hunger, t. Thyroid gland,
7th day: t. Hypothalamus, t. Endocrine glands, t.
8th day: the repetition of the 4th - RP-4 (gun-sun), MS-6 (nei-guan), tons of liver, tons of pancreas,
9th day: t. Of the thyroid gland, t. Of thirst, RP-9 (yin-lin-quan), 10 - day repetition of the 1st yin-tan, GI - 11 (qu-chi), E36 (tsu-san -i).