RU2405526C2 - Method of arterial hypertension treatment in adolescents - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention belongs to medicine, notably to physiotherapy. Method involves impact of physical factors on patient's organism. In spa capsule patient is simultaneously influenced with dry sauna, ionisation by negative ions, vibratory massage, relaxing aroma- and music therapy. Dry sauna temperature is 55° C. Ionisation by negative ions is performed in medium mode. Vibratory massage is performed in low vibration mode of medium intensity with emphasis on lower extremities. First procedure lasts 15 minutes; duration grows gradually by 5 minutes per procedure up to 30-40 minutes. The therapeutic course consists of 5 procedures performed every other day.

EFFECT: method is well tolerated by patients, doesn't cause complications, and ensures trustworthy blood pressure reduction.

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Description

The invention relates to medicine, in particular to pediatrics, cardiology, physiotherapy and balneology, and in particular to a method for treating hypertension in adolescents using a physiotherapeutic rehabilitation capsule.

Known methods of treating children and adolescents with arterial hypertension using non-drug therapy, including: diet therapy, permissible physical activity, regimen measures to normalize sleep and rest [1, 2].

The disadvantages of these methods include the independence of the patient in carrying out these activities and the inability to verify regular conduct (the reliability is estimated from the words of the teenager).

Methods are also known for treating adolescents with arterial hypertension with physical factors: sedatives (electroconotherapy, electrophoresis of sedatives), hypotonic (sodium chloride baths), cardiotonic (carbon dioxide baths), vasodilator (CMT therapy, low-frequency magnetotherapy), vegetative correction gels , thalassotherapy) [3].

The disadvantages of these methods is the impossibility of the simultaneous use of several physical factors in optimal dosages without harm to the child's body.

It is known to use a physiotherapeutic rehabilitation capsule in the complex rehabilitation of patients with alcohol and drug addiction, consisting in the use in the withdrawal period of sessions in a rehabilitation physiotherapy capsule (Sibaritik, USA) with the function of a dry sauna with an adjustable (up to 85 ° C) temperature, aromatherapy system, vibration massage of the back and lower extremities, music, hypoallergenic inhalations (ion shower) from 14 to 20 sessions [4].

It is known to use complex physiotherapeutic effects using a physiotherapeutic capsule (Sibaritik, USA) according to the standard methodology, including simultaneous exposure to a dry sauna from 20 to 82 ° C, aeroionotherapy with a predominance of negatively charged ions, medium-intensity vibrational massage, relaxing aroma and music therapy , for a course of 10 procedures, lasting 45 minutes normalizes the initial vegetative tone and leads to a steady decrease in systolic and diastolic pressure with its normalization by the end of the course [5].

The disadvantage of this method is the lack of indication of age parameters, the general nature of the recommendations, which are inaccurate for use in adolescent and pediatric practice. So, the temperature regime is 82 ° C, the duration is 45 minutes and the course of 10 procedures is poorly tolerated by children because of the high temperature and the long duration of the procedure. A steady decrease in systolic and diastolic pressure with its normalization by the end of the course can be observed in adult patients, but not in adolescents. The use of complex technologies indicated by the author in the rehabilitation programs of patients exerts a sanogenetic effect on the equilibrium of autonomic homeostasis, synchronization of the control units of the functional state of the cardiovascular system, the nature of adaptive reactions, normalizing hemodynamics regardless of the type of tonic reactions - is not analyzed from the perspective of the age aspect.

It is known to use the physiotherapy capsule of the Sibaritik company for complex effects on the body, including a dry sauna with a temperature of up to 85 ° C, aeroionization, vibration massage of the back and lower extremities, relaxing aroma and music therapy, with a duration of 45 minutes and procedures every other day, provides weight loss, normalization of psychoemotional, autonomic and biochemical statuses, blood pressure - not analyzed from the perspective of the age aspect, the temperature regime is 85 ° , Duration 45 min [6].

The disadvantage of this method is poor tolerance by children due to the high temperature and long duration of the procedures.

Known methods of treating children with physical means. The total amount of physical energy used (intensity, area of exposure and duration) should be less than that which should be prescribed to an adult, treatment should be started in small doses and carried out, gradually increasing them; during thermal procedures, increased caution and the use of less significant temperature contrasts are necessary due to the greater sensitivity of the child to temperature changes, imperfect thermoregulation and the danger of overheating [7].

The disadvantage of these methods is the general nature of the recommendations, not taking into account the individual characteristics of the rehabilitation capsule, which has its own individual characteristics.

The closest technical solution, selected as a prototype, is a method of treating children with primary arterial hypertension, which includes conducting ultrasound inhalations with mineral water every other day, alternating with general hydrogen sulfide baths [8].

The disadvantage of this method is the need for the location of a medical institution close to sources of mineral and hydrogen sulfide water, the need for large areas for carrying out the proposed procedures, which makes it impossible to use the proposed method in a hospital and clinic.

The objective of the invention is to increase the effectiveness of the treatment of arterial hypertension in adolescents using a physiotherapy rehabilitation capsule.

This problem is achieved in that the method of treating arterial hypertension in adolescents, including exposure to the patient’s body with physical factors, is characterized in that, using a physiotherapeutic rehabilitation capsule, the procedure is performed simultaneously with the following physical factors: dry sauna, ionization with negative ions, vibration massage, relaxing aroma and music therapy, while a dry sauna is carried out at a temperature of 55 ° C, ionization by negatively charged ions They are used in the middle mode, with vibration massage they use a low mode of vibration of medium intensity with an emphasis on the lower limbs, and the first procedure is carried out for 15 minutes, with a gradual increase of 5 minutes in each subsequent procedure, bringing the exposure time to 30-40 minutes, a course of treatment of 5 treatments every other day.

We have modernized the method of conducting sessions in a physiotherapeutic rehabilitation capsule (Sibaritik, USA, certificate of conformity No. РОСС US.АЯ46.A50460, registration certificate No. 95/45, see instruction manual) in adolescents with hypertension, which consists in the following: the optimum temperature for the procedure is 55 ° C with the function of a dry sauna; the average ionization mode by negatively charged ions (on the electronic scoreboard it corresponded to 5); low vibration mode of medium intensity with an emphasis on the lower limbs; relaxing aroma and music therapy; 15 minutes exposure in the first procedure with a gradual increase of 5 minutes in each subsequent procedure, bringing the exposure time to 30-40 minutes. The course of treatment is 5 treatments every other day.

The effectiveness of the method of treating hypertension in adolescents using a physiotherapy rehabilitation capsule is shown in the following examples.

Example 1

Teenager M., 16 years old, young man.

Diagnosis: Labile arterial hypertension.

Received complaints of an increase in blood pressure up to 130/85 mm Hg, associated with meteorolability, headaches, dizziness, overweight.

Along with standard drug therapy, a correction course in a physiotherapeutic rehabilitation capsule was prescribed according to the proposed method, consisting of 5 procedures every other day.

By discharge, the blood pressure of the young man stabilized from 130/85 to 120/70 mm Hg, headaches stopped, dizziness became much less common. In addition, there was a decrease in weight from 102 kg to 96 kg.

Example 2

Teenager A., 14 years old, girl.

Diagnosis: Essential arterial hypertension, stage I, stage I, moderate risk. The syndrome of autonomic disorders in the structure of hypothalamic dysfunction.

Complaints: an increase in blood pressure to 140/70 mmHg, associated with emotional stress, accompanied by general malaise, asthenic manifestations, dizziness of a non-systemic nature.

Treatment: regimen events, standard drug therapy, a course of sessions in a rehabilitation capsule in the amount of 5 procedures carried out every other day is prescribed as a physiotherapeutic correction.

After the course of treatment, blood pressure decreased from 140/70 to 120/80 mm Hg, overall health improved, dizziness became much less common.

Thus, as can be seen from the above examples, in patients with a transient increase in blood pressure and a relatively short duration of the disease, after rehabilitation in a physiotherapeutic capsule, a decrease in blood pressure to standard values and relief of concomitant complaints were observed and, as a result, an improvement in the quality of life and social adaptation of patients.

On the basis of the Clinic of the State Institution Scientific Center ME of the VSNC SB RAMS, 30 adolescents with arterial hypertension aged from 12 to 17 years old (average age 15.0 ± 0.3), including 19 girls and received correction in a physiotherapy rehabilitation capsule, together with traditional treatment 11 boys. Efficiency criteria selected indicators of blood pressure, which were compared with federal and regional standards. The results were compared with a control group comparable in number, gender and age. All children had an increase in blood pressure at the time of admission to the hospital. An important criterion for selection was the absence of volume formations and foci of blastomagenic growth; computed tomography was preliminarily performed for all patients. After a course of treatment, a group of adolescents who received a physiotherapeutic rehabilitation capsule showed a significant decrease in systolic blood pressure from 125.5 ± 1.7 to 114.7 ± 1.3 mm Hg. (coefficient of student 5.1: p≤0.05), and diastolic blood pressure from 75.2 ± 1.2 to 71.2 ± 1.0 mmHg (coefficient of student 2.6: p≤0.05).

The proposed method for the treatment of hypertension in adolescents is well tolerated by patients, does not cause exacerbation and negative reactions and contributes to a significant decrease in blood pressure using a physiotherapeutic rehabilitation capsule.

Information sources

1. Dolgikh VV Essential arterial hypertension in children and adolescents: diagnosis, prevention and rehabilitation treatment / Methodological recommendations / VV Dolgikh, A.B-Zh. Bimbaev, T.A. Bairova, N.V. Duybanova. - Irkutsk, 2004 .-- p.6.

2. Dolgikh VV Pathogenesis of essential arterial hypertension in children / V.V. Dolgikh, L.I. Kolesnikova - Irkutsk, 1999. - p. 41.

3. Ponomorenko G.N. Private physiotherapy: Textbook. allowance / Ed. G.N. Ponomorenko. - M., "Medicine", 2005. - p.430-434.

4. Dudnik E.N. The experience of using physiotherapeutic multimodal devices “Alfa Okhu SPA System” in the comprehensive rehabilitation of patients with alcohol and drug addiction / Dudnik E.N., Yartseva L.A., Glazachev O.S., Platonenko V.P., T.N. Dudko , Bondarenko S.N. [Electron. resource] http://spa.biz.ua/print/en/article/11

5. Bank V.L. "The use of multifactor therapeutic and health impact technologies at the stationary stage of medical rehabilitation." Abstract of Cand. diss. M., 2007, p.1-23, published on the Internet.

6. Glazychev O.S. et al. “Exogenous-constitutional obesity: a new approach to solving the problem (preliminary results of the use of physiotherapeutic multifactor devices“ Alfa Okhu Spa ”in a comprehensive program for normalizing body weight”, p.1-10, published on the Internet).

7. “Special physiotherapy” edited by prof. L. Nikolova, Sofia, “Medicine and Physical Education”, 1983, p.136-137.

8. RF patent No. 2241470, A61K 35/08. A method of treating children with primary arterial hypertension is a prototype.

Claims (1)

A method of treating arterial hypertension in adolescents, including exposure to the patient’s body with physical factors, characterized in that, using a physiotherapy rehabilitation capsule, the procedure is performed simultaneously with the following physical factors: dry sauna, ionization with negative ions, vibration massage, relaxing aroma and music therapy, this dry sauna is carried out at a temperature of 55 ° C, ionization by negatively charged ions is carried out in the middle mode, with vib rational massage use a low mode of vibration of medium intensity with an emphasis on the lower extremities, and the first procedure is carried out for 15 minutes with a gradual increase of 5 minutes in each subsequent procedure, adjusting the exposure time to 30-40 minutes for a course of treatment of 5 procedures carried out through day.