RU2408356C1 - Method of treating patients with chronic nonspecific salpingo-ophoritis - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to gynecology and balneotherapy. The method involves aromatherapeutic baths. The baths are prepared with using natural essences. For this purpose, mixed natural essences of grapefruit, rosemary and lavender are taken in equal ratio, by 2-3 drops each. Before the procedure, the specified essences are poured on 15-30 grams of table salt. Then salt is poured into the bath containing 150-200 l of water of temperature 35-37°C. Duration of the procedure is 10-15 minutes. The therapeutic course is 10-12 procedures.

EFFECT: method provides higher clinical effectiveness in the patients with accompanying cardiovascular, gastrointestinal diseases, with a pathology of the vegetative nervous system and prolongs the remission.

3 ex

Description

The present invention relates to medicine, in particular to gynecology and balneotherapy, and can be used in medical institutions, sanatoriums, as well as at home on the recommendation of a physician.

The relevance of the search for optimal methods of treatment and prevention of chronic inflammatory diseases of the genitals is undeniable due to the fact that chronic inflammatory diseases of the uterus and its appendages still occupy a leading position in the structure of the causes of impaired reproductive function. The main manifestations of the inflammatory process in women are severe pain, adhesions of the uterine appendages and in the pelvis, which intensifies pain, as well as with the chronicity and duration of the inflammatory process of the development of the autonomic pathology in the form of vascular, sensitive, emotional disorders (Auzan P.A. Methods of psychological correction of patients with chronic nonspecific salpingo-oophoritis with pain. "Auth. Cand. Diss. 2005).

A number of researchers note in this category of patients, due to a violation of the autonomic regulation of body systems, the presence of an initial pathology of the cardiovascular system and the gastrointestinal tract. In addition to impaired reproductive function, all of the above causes irreparable damage to the quality of life (V.Kh. Khusainova, T.A. Fedorova. "Diagnosis, treatment and prevention of adhesions in the pelvis in women suffering from tubal-peritoneal form of infertility." G. Gynecology, 2002, No. 2, pp. 58-62).

There are various methods of treating chronic salpingo-oophoritis, which include the appointment of antibacterial, anti-inflammatory, analgesic drugs (V.V. Yaglov. "Inflammatory diseases of the pelvic organs." G. Gynecology, 2001, No. 3, pp. 93-97). However, antibacterial agents cause allergic reactions, addiction to the drug and other complications.

The most effective therapy is a comprehensive spa treatment including, in addition to physiotherapy, balneological procedures: hydrogen sulfide water in the form of vaginal irrigation and shared baths by exposure to biologically active points with electromagnetic radiation; EHF-therapy for paired reflexogenic points of the uterus and ovaries with the connection of iodine-bromine balneotherapy every other day in the form of vaginal irrigation and common baths, etc. (L.A. Agarkova. “Comparative evaluation of the treatment of inflammatory diseases of the uterus with various physical factors.” Abstract Ph.D., 2000, pp. 1-15).

There is also a method of treating patients with chronic nonspecific salpingo-oophoritis (CNS) using the course use of iodine-bromine baths in complex treatment (L.P. Markina, O.V. Yarustovskaya, L.S. Alisultanova and others. "Complex treatment of patients with chronic nonspecific salpingo-oophoritis with low-frequency magnetic field and iodine-bromine water. ”J.“ Questions of balneology, physiotherapy and exercise therapy ”, 1998, 4, p. 38-40).

However, this treatment method is not effective enough, since it does not allow achieving a pronounced regression of the pain syndrome, the main clinical manifestations of the disease.

There is also a method of treating patients with chronic nonspecific salpingo-oophoritis in sage baths (Olefirenko VT "Water-heat therapy", Moscow, "Medicine", 1978, p.101). The disadvantages of this method of treatment include the fact that the clary sage condensate used for sage baths contains synthetic stabilizers, the cooking method is quite time-consuming, since it requires the use of 2-3 liters of condensate per bath. Also, these baths are effective only with mild pain.

Closest to the proposed method is a method of treating patients with chronic salpingo-oophoritis by applying white turpentine baths according to Zalmanov’s recipe in the treatment of patients with chronic salpingo-oophoritis. The recipe for the preparation of BSV includes gum turpentine (turpentine oil obtained from the resin of coniferous trees), salicylic acid, baby soap, distilled water. Baths are prescribed in a course of 10-12 procedures, 15-50 ml of an emulsion or solution per bath, temperature 37-39 ° C, bath time 10-15 minutes (Kobzeva T.N., Eremina V.A., Rastorgueva V. I. “The use of turpentine baths for patients with chronic salpingo-oophoritis.” Military Medical Journal, 1982, 9, p. 53). However, the disadvantage of this method is that these aromatic baths of turpentine essential oil often cause skin irritation, which is due to both the irritating effect of turpentine itself and the chemical components of the prescriptions: salicylic acid, caustic soda, etc. Turpentine baths can not be prescribed at a water temperature below 37 ° C due to the poor solubility of turpentine in water, which limits the use of these baths to patients with concomitant diseases of the cardiovascular system. It is also known that patients with pathology of the vascular system, both central and peripheral, are 4 times more likely to give allergic reactions to the smell of needles (K.S. Ternova, L.Z. Geikhman, “Heart patient and forest”, Kiev, “ Naukova Dumka ", 1978, p. 62-63). The emulsion boiling process also presents certain difficulties, which requires strict observance of the technological rules, which, if not fulfilled, may cause spraying of the solution and the risk of skin burns for the laboratory assistant. The technology of long-term phased mixing of the emulsion in hot water, first in a three-liter tank, and then in the bath makes the process of preparing turpentine baths time-consuming for the nurse of a hydropathic clinic.

Despite the fact that treatment with turpentine baths does not require special medical equipment and these baths can be carried out at home under the supervision of a doctor, the presence of concomitant diseases in patients dictates the need to prescribe these baths only in a medical facility.

The technical result of the proposed method is the possibility of treating patients with chronic nonspecific salpingo-oophoritis with the presence of concomitant diseases of the cardiovascular system and the gastrointestinal tract, psychoemotional disorders, pathology of the autonomic nervous system, as well as an increase in the period of remission with a course of effective, easily prepared, prescribed and home conditions of aromatic baths.

The specified technical result is achieved by using a new recipe for essential oils without synthetic chemical additives and in a simple way to prepare the bath: 2-3 drops of natural essential oils of lavender, grapefruit, rosemary, taken in 1-2 tablespoons are taken in equal amounts in one bath (15- 30 grams) of table salt immediately before the procedure, then flavored salt is poured into the bath under a stream of water, stirring as the bath is filled to the desired level, at a bath temperature of 35-37 ° C, duration 12-15 minutes, daily or 2 days in a row, break day, for a course of 10-12 procedures.

When choosing the parameters of the method of treatment were guided by the following considerations:

1) rosemary essential oil contains cineole, camphor, borneol, limonene, camphene, bornyl acetate and other substances traditionally used in pharmacological practice for the production of ointments, plasters, tinctures and other drugs that used tonic, analgesic, antispasmodic, improving microcirculation processes in the skin, the inherent properties of rosemary.

2) Grapefruit essential oil contains limonene, octanal, decanal and other components; in pharmacology it is used for the production of syrups, tinctures. Unlike other citrus oils, it is less likely to produce allergic reactions. It has anti-stress, mild tonic, anti-inflammatory, normalizing the autonomic nervous system effect.

3) Lavender essential oil contains linalyl acetate and its esters, coumarins, geraniol and other substances widely used by pharmacists in the manufacture of ointments used to relieve pain in joints, muscles, spine, for resorption of skin scars, and treatment of chronic dermatoses. It has anti-stress, sedative, analgesic, anti-inflammatory, regulating the autonomic nervous system action.

4) In the conducted research studies, each of the proposed essential oils, used in combination with the action of a common bath, has a mild analgesic, anti-inflammatory and sedative effect. With complex exposure, positive therapeutic changes were statistically significant.

5) The selected essential oils complement each other in terms of chemical composition and therapeutic effect.

6) A dosage of 2-3 drops of essential oils of lavender, grapefruit, rosemary, applied to 15-30 g of table salt per bath, was chosen based on the minimum therapeutic dosages taken in pharmacy when incorporating essential oils in ointments and other drugs for use on the skin.

7) Sodium chloride chloride is used as a carrier and emulsifier to dissolve essential oils in water, and 15-30 g of salt is enough to achieve this.

8) The dissolution of essential oils in salt, and then in water immediately before the procedure, allows them to retain their smell and therapeutic properties, while aromatic packaged salt during storage loses the properties of essential oils due to their rapid oxidation and evaporation, and the addition of synthetic odor stabilizers to packages worsens the healing properties of both salt and essential oils.

9) The use of salt as a carrier allows you to expand the lower temperature limit for the bath to an indifferent temperature of 35-36 ° C.

10) The duration of the procedure and the number of baths per course were determined as a result of clinical observations and parameters adopted in balneotherapy (V.V. Nikolayevsky. “Aromatherapy”, Moscow, “Medicine”, 2000; Georgi D. Arnaudov. “Drug therapy”, “ Medicine and physical education ", Sofia, 1978; M.D. Mashkovsky." Medicines ", Moscow," Medicine ", 1993).

Method description

The method is as follows. Pre-cooked natural essential oils of rosemary, lavender, grapefruit should be in dark well-corked glass containers with a ground lid. Bottles with essential oils and salt are stored in a dry room, used as needed. Tap water of a temperature of 35-38 ° C is poured into the bath and 1-2 tablespoons of salt (15-30 g), pre-flavored in equal amounts with essential oils (2-3 drops of each oil) are poured under a stream of water, everything is thoroughly mixed. The duration of the bath is 10-15 minutes, taken 2 days in a row, a break day or daily with good tolerance, for a course of 10-12 procedures.

Clinical example 1.

Patient D., 30 years old, turned to the clinic of the Center with complaints of constant pain in the lower abdomen, aggravated by physical exertion, with radiation to the lumbar region, sacrum; violation of menstrual function as algodismenorrhea, hypermenorrhagia; pain discomfort during intercourse, infertility for 4 years. The patient also complained of pain in the epigastrium, frequent and loose stools, alternating with constipation. Notes poor performance, frequent mood changes, increased anxiety.

From the anamnesis it is known that she suffers from chronic salpingoophoritis for 9 years, notes stable exacerbations 2 times a year. There were no gynecological operations. In 1978, the patient underwent a laparotomy for acute appendicitis, diffuse peritonitis. Gynecological examination revealed: hyperemia of the mucous membrane of the vagina and cervix, moderate pain on palpation of the uterus, palpation of the uterus and uterus, severe structure of the appendages, uterus in the retroflexio position, shortening of the vaginal arches, leucorrhoea. When examining the vaginal discharge by the bacterioscopic method (Gram stain), the following were found: epithelial cells completely, white blood cells 20-25 in n / a. In a cultural study: the growth of normal microflora. In the clinical analysis of blood ESR - 15 mm / h, PDE - 14%. Ultrasound examination of the genitals: the uterus in the retroflexio position, an increase in the size of the ovaries, a small amount of free fluid in the adjacent space. Assessment of pain by visual analogue scale (VAS) in the lumbar region is 6. Psychological examinations by tests of SAN (health, activity, mood), Spielberg (personal and situational anxiety), Lusher (emotional instability, anxiety of varying severity) revealed in the patient latent moderate depression and emotional instability. The patient was consulted by a therapist and neuropathologist, after which a general diagnosis was made: the main disease is chronic salpingoophoritis in the subacute stage, concomitant disease is biliary dyskinesia, chronic gastritis with increased secretory activity, remission. Astheno-neurotic syndrome.

The patient was prescribed an outpatient treatment consisting of a course of aromatic baths in the amount of 12 procedures, every other day, 3 drops of rosemary, lavender, grapefruit essential oil per 30 g of sodium chloride salt as solvents per bath, at a bath temperature of 35-36 ° C. The patient tolerated the baths well, there was no significant dynamics in blood pressure before and after the baths, the pulse rate decreased by 4-6 beats after the first baths, from the middle of the course, the heart rate was within 65-75 beats per minute. After 3 baths, the patient noted that her chair returned to normal, it became easier to fall asleep, less often wakes up at night. In the middle of the course, the pain syndrome decreased, by the end of the course it almost completely disappeared. Assessment of pain by YOUR lower back - 3. The results of psychological testing showed a decrease in latent anxiety and a decrease in depression, an improvement in activity, mood and well-being. The overall treatment results for the combination of clinical and functional indicators were evaluated as improvement.

Clinical example 2

Patient G., 28 years old, complained of constant aching pain in the lower abdomen and lumbosacral region, painful menstruation, absence of pregnancy for 3 years, sleep disturbance, decreased performance, fatigue, periodically headaches, rises in blood pressure to 140 mmHg. 4-5 days before menstruation, the patient notes the appearance of irritability, tearfulness, frequent changes in mood, dizziness, and engorgement of the mammary glands.

From the anamnesis: suffers from inflammation of the uterus for 3 years. Repeatedly conducted previously outpatient and inpatient treatment had a short-term effect. Exacerbations of the disease - up to 3 times a year.

, СОЭ 4 мм/ч. Общий анализ мочи в пределах нормы. Результаты гормональных исследований выявили наличие нарушений гормональной функции яичников по типу недостаточности лютеиновой фазы цикла. По данным гистеросальпингографии - трубы проходимы, явления затрудненной проходимости маточных труб за счет перитубарных спаек. При У3-исследовании органов малого таза матка грушевидной формы, не увеличена, яичники с обеих сторон несколько больше нормы. Признаки спаечного процесса в малом тазу. Оценка болевого синдрома по визуальной аналоговой шкале (ВАШ) равна 8. Психологические обследования по тестам САН (самочувствие, активность, настроение), Спилберга (личностная и ситуационная тревожность), Люшера (эмоциональная неустойчивость, тревога разной степени выраженности) у больной выявили наличие тревожных расстройств и снижение настроения. Консультирована терапевтом и невропатологом. Поставлен общий диагноз: основное заболевание - хронический двухсторонний сальпингоофорит, стадия неполной ремиссии, рецидивирующее течение. Спаечный процесс в малом тазу, дисфункция яичников, недостаточность лютеиновой фазы цикла. Вторичная дисменорея. Предменструальный синдром. Бесплодие II; сопутствующее заболевание - вегетососудистая дистония по гипертоническому типу.During a gynecological examination revealed: prolapse of the walls of the vagina 2 tbsp., Hyperemia of the mucous membrane of the cervix. The body of the uterus is of normal size and density, deviated from the midline to the left, limited in mobility. Traction behind the cervix is painful. The ovaries at the corners of the uterus are enlarged, sensitive when examined. The discharge is light, in moderation. During bacterioscopic examination of the vaginal discharge with Gram stain: white blood cells - 1-2 in the field of view, rod flora, flat epithelium in large numbers, gn and trich were not found. Clinical blood test: hemoglobin 138 g / l, leukocytes 4.2

ESR 4 mm / h. General urine analysis within normal limits. The results of hormonal studies revealed the presence of hormonal dysfunctions of the ovaries by the type of luteal phase failure. According to hysterosalpingography - the tubes are passable, the phenomenon of obstructed patency of the fallopian tubes due to peritubular adhesions. In the U3-examination of the pelvic organs, the uterus is pear-shaped, not enlarged, the ovaries on both sides are slightly larger than normal. Signs of an adhesion process in the pelvis. Assessment of the pain syndrome by visual analogue scale (YOUR) is 8. Psychological examinations by the tests of SAN (health, activity, mood), Spielberg (personal and situational anxiety), Lusher (emotional instability, anxiety of varying severity) in the patient revealed the presence of anxiety disorders and mood decline. Consulted by a general practitioner and neurologist. The general diagnosis was made: the main disease is chronic bilateral salpingoophoritis, incomplete remission stage, recurrent course. Adhesive process in the pelvis, ovarian dysfunction, failure of the luteal phase of the cycle. Secondary dysmenorrhea. Premenstrual syndrome. Infertility II; concomitant disease - hypertensive vegetovascular dystonia.

The patient underwent treatment, consisting of a course of aromatic baths in the amount of 12 procedures, daily. The composition of the baths: 2 drops of essential oil of rosemary, lavender, grapefruit per 15 g of sodium chloride salt as solvents per bath, at a bath temperature of 35-36 ° C. The patient tolerated the procedure well. There was a tendency to a decrease in blood pressure (BP) by 10-15 mm Hg, a decrease in heart rate by 5-7 beats per minute after the first three baths was observed. By the 7-8th procedure, blood pressure and heart rate were within 115 / 70-120 / 80 and 70-72 beats per minute, respectively. After 5-6 baths, normalization of sleep was noted. During treatment, the intensity of pain decreased and almost disappeared by the end of the course of treatment. Assessment of pain according to YOUR - 3. The positive dynamics of the hormonal function of the ovaries was characterized by an increase in the level of progesterone in the blood serum and prolongation of the period of progesterone influences. Improvement of the psychoemotional state was expressed in the disappearance of fatigue, mood improvement, normalization of night sleep, which was confirmed by the results of psycho-diagnostic testing. The symptoms of premenstrual syndrome disappeared, 3 months after the end of treatment the desired pregnancy occurred.

The effectiveness of the therapy was rated as "significant improvement."

Clinical example 3

A 29-year-old patient K. complained of constant dull pain in the lower abdomen of a aching character, more on the right, aggravated by physical exertion and during menstruation, dyspareunia, painful menstruation, irritability, fatigue, frequent mood swings, dizziness, palpitations , periodic pain in the heart area stitching.

From the anamnesis it was found out that he suffers from chronic inflammation of the uterine appendages for 5 years with an annual spring-autumn exacerbation. Repeated outpatient and inpatient treatment with a short-term effect. In 2005, the patient underwent laparoscopy with resection of the right ovary about his apoplexy.

Gynecological examination: the uterus is of normal size, dense texture, in retroflexio, is fixed, traction for the cervix is painful. Appendages on both sides are slightly more than normal, heavy, sensitive to palpation. The right vault is shortened. The discharge is light, in moderation.

, СОЭ 7 мм/ч. Общий анализ мочи в пределах нормы. ЭКГ: ритм регулярный, синусовый. Электрическая ось сердца горизонтальная. Оценка болевого синдрома по визуальной аналоговой шкале (ВАШ) равна 7. Данные тестов функциональной диагностики и результаты гормональных исследований выявили наличие нерезко выраженной недостаточности лютеиновой фазы менструального цикла. По данным кимографической пертубации выявлено наличие функционального трубного бесплодия по типу гипертонуса маточных труб. Психологические обследования по тестам САН (самочувствие, активность, настроение), Спилберга (личностная и ситуационная тревожность), Люшера (эмоциональная неустойчивость, тревога разной степени выраженности) у больной выявили снижение всех показателей теста САН, повышение ситуационной тревожности и эмоциональную неустойчивость. Консультирована терапевтом и невропатологом. Поставлен основной диагноз: основное заболевание - хронический двухсторонний сальпингоофорит, стадия неполной ремиссии. Спаечный процесс в малом тазу. Дисфункция яичников, недостаточность лютеиновой фазы цикла. Вторичная дисменорея. Функциональное трубное бесплодие, гипертонус маточных труб. Тазовый ганглионеврит; сопутстствующее заболевание - вестибулопатия на фоне вегетососудистой дистонии по смешанному типу.Bacterioscopic examination of vaginal discharge with Gram stain: the number of leukocytes is 5-6 in the field of view, the epithelium is flat - a large number, the flora is mixed, gn and trih were not found. According to the results of PCR diagnostics - there is no data for the presence of sexually transmitted infections. Clinical blood test: white blood cells - 4.2

ESR 7 mm / h. General urine analysis within normal limits. ECG: the rhythm is regular, sinus. The electric axis of the heart is horizontal. Assessment of pain by visual analogue scale (VAS) is 7. The data of functional diagnostics tests and the results of hormonal studies revealed the presence of mild luteal phase insufficiency of the menstrual cycle. According to kimographic perturbation, the presence of functional tubal infertility by the type of uterine tubes hypertonicity was revealed. Psychological examinations according to the SAN tests (health, activity, mood), Spielberg (personal and situational anxiety), Lusher (emotional instability, anxiety of varying severity) in the patient revealed a decrease in all indicators of the SAN test, an increase in situational anxiety and emotional instability. Consulted by a general practitioner and neurologist. The main diagnosis was made: the main disease is chronic bilateral salpingoophoritis, the stage of incomplete remission. Adhesive process in the pelvis. Ovarian dysfunction, luteal phase failure. Secondary dysmenorrhea. Functional tubal infertility, hypertension of the fallopian tubes. Pelvic ganglioneuritis; concomitant disease - vestibulopathy on the background of mixed vascular vegetative dystonia.

The patient underwent treatment, consisting of a course of aromatic baths in the amount of 12 procedures, with the placement of 2 days in a row, the day of a break. The composition of the baths: 3 drops of essential oil of rosemary, lavender, grapefruit per 30 g of sodium chloride salt as solvents per bath, at a bath temperature of 35-36 ° C. The patient tolerated the procedure well. Blood pressure and pulse before and after taking baths without significant dynamics. After 7 baths, a significant decrease in the intensity of pain in the region of the heart was noted. Almost stopped the pain in the lower abdomen. Evaluation of pain according to YOUR - 2. The dynamics of the hormonal function of the ovaries was characterized by an increase in serum progesterone concentrations and an extension of the second phase of the menstrual cycle. The positive dynamics of the psychoemotional state manifested itself in the disappearance of fatigue, dizziness, improved mood, increased efficiency, which was confirmed by the results of psychodiagnostic testing.

A comprehensive assessment of the effectiveness of therapy was rated as "improvement."

The proposed method was used to treat 55 women aged 18 to 38 years, suffering from 2 to 12 years of age with chronic nonspecific salpingo-ophritis, complicated by ovarian dysfunction, menstrual and genital dysfunctions. In 48 patients, concomitant diseases were noted. In 39 patients, severe psychoemotional and autonomic syndromes were diagnosed to varying degrees - asthenic, astheno-neurotic, hypochondriac, vegetovascular dystonia, autonomic polyneuropathy, hyperventilation and other syndromes. Psychological testing before treatment found in most patients a hypochondriac interpretation of their condition, a tendency to anxiety, depression, as well as hyperreactivity to various stressful effects of life events against a background of prolonged pain syndrome. A number of patients (16) had concomitant diseases of the cardiovascular system and the gastrointestinal tract: labile hypertension was diagnosed in 4 patients, 5 patients had irritable bowel syndrome, 12 had chronic gastritis with various secretory activities, and 3 had syndrome irritable bowel.

Patients were treated using aromatic baths of the following composition: 3 drops of rosemary, lavender, grapefruit essential oil per 15-30 g of sodium chloride salt as solvents per bath, at a bath temperature of 35-37 ° C, with good tolerance baths were prescribed daily, with pronounced autonomic-vascular, autonomic-emotional manifestations - 2 days in a row, break day, for a course of 10-12 procedures. 15 patients took baths at home, prepared them on their own, showing themselves to a doctor for examination on the 5th, 10th, 15th day of treatment. The patient's aromatic bath procedures were well tolerated. There were no allergic reactions while taking the procedures. The positive dynamics of the pain symptom in the form of a decrease in intensity or relief of pain in the lower abdomen, lumbosacral region was observed in 31 and 10 patients, respectively. This was confirmed by the results of the YOUR test, the dynamics of which were characterized by a significant decrease in values from 9.1 ± 0.5 to 2.64 ± 0.04. A decrease in the intensity of pain was accompanied by an improvement in the indicators of psychoemotional status in the observed patients, expressed in a decrease in anxiety, tension, increased activity, mood (according to Spielberg and Lusher tests), normalization of vegetative tone in 43 patients. By the end of the course, patients with concomitant diseases from the autonomic, nervous and cardiovascular systems, the gastrointestinal tract, noted the disappearance or decrease of complaints at the beginning of treatment. Clinical indicators of concomitant diseases (examinations of the therapist and neuropathologist at the end of treatment) also underwent positive dynamics. The treatment had a positive effect on the hormonal function of the ovaries, mainly in patients with mild insufficiency of both phases or luteal phase of the menstrual cycle. Improvement of estrogen-progesterone ratios was realized to a greater extent due to an increase in the level of progesterone in the blood serum and prolongation of the period of progesterone influences. One of the clinical manifestations of improving the functional state of the ovaries was the improvement of menstrual function, mainly in the group of patients with secondary dysmenorrhea and hypermenorrhea, as well as a decrease in the frequency and severity of manifestations of premenstrual syndrome.

Assessment of the immediate effectiveness of the treatment was: “significant improvement” - 24.4%, “improvement” - 44.4%, without dynamics - 31.2%. Evaluation of long-term results of treatment indicates the preservation of the achieved results in 43.5% with a follow-up period of 3 and a decrease in this indicator to 11.3% by 6 months. The effectiveness of treatment by such an indicator as the onset of pregnancy was 25.2%.

Evaluation of the immediate and long-term results of the effectiveness of treatment of patients with chronic salpingo-oophoritis with aromatic baths shows that aromatic baths are a pathogenetically substantiated method of treating patients with chronic non-specific salpingo-oophoritis. Aromatic baths were effective mainly in patients suffering from chronic nonspecific salpingoophoritis for no more than 5-7 years, with mild pain, with mild insufficiency of both phases or luteal phase of the menstrual cycle - therapeutic effect was 66.8%, the duration of remission increased to years in 43.5% of patients. Under the influence of aromatic baths, the vegetative tone and psychoemotional status were normalized in the observed patients who had disorders in this area before treatment. This was manifested according to psychological testing in reducing anxiety and emotional stress, improving and deepening sleep, increasing activity, improving well-being, mood. There were no cases of worsening or exacerbation of concomitant diseases, and according to echocardiography, positive dynamics were observed in the form of normalization of hemodynamic types and improvement of diastolic function of the left ventricle.

Thus, the method of treating patients with chronic nonspecific salpingo-oophoritis, unlike the known ones, allows you to prescribe aromatic baths with the presence of concomitant diseases on the part of the cardiovascular system (causing normalization of hemodynamic types), on the part of the gastrointestinal tract (without causing an aggravation of the process), as well as the presence of pathology of the autonomic nervous system and psychoemotional status, causing the normalization or improvement of the activity of these body systems during the course of treatment, significantly affecting compensatory mechanisms in the studied pathology. This aspect of the action of aromatic baths also helps to increase the psycho-emotional adaptation of patients and improve their quality of life.

Claims (1)

A method of treating patients with chronic non-specific salpingo-oophoritis with the appointment of aromatherapy baths, characterized in that the patient is prescribed aromatherapy baths with natural essential oils without synthetic chemical additives and a simple method for preparing the bath, a mixture of natural essential oils of grapefruit, rosemary, lavender in equal amounts of 2-3 drops each immediately before the procedure, applied to 15-30 g of sodium chloride used as a solvent, then pour into a bath with a capacity of 150-200 l in odes, at a temperature of 35-37 ° C, lasting 10-15 minutes, for a course of 10-12 procedures.