RU2413549C1 - Method of treating post-trauma pareses and neurites in oncological patients in post-operational period - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to oncology, physiotherapy. Method includes influence on zone of pathologic focus with magnetic-laser radiation with application of infrared spectrum of laser radiation, with frequency 80 Hz and constant magnetic field with value of magnetic induction 25-50 mT. Influence is performed daily, in accordance with labile method, with radiation power 1 W. Duration of impact on one field is 30-60 seconds. Starting with 5-8 day, said zones are additionally subjected to impact of scenar therapy. Impact is performed in dosed and non-dosed modes, with duration 5-10 minutes. Total number of procedures is 12-15.

EFFECT: method increases treatment efficiency due to reduction of complication severity and reduces duration of rehabilitation.

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Description

The invention relates to medicine, namely to Oncology, surgery, physiotherapy, and can be used to treat post-traumatic paresis and neuritis in cancer patients in the postoperative period.

A known method of treating patients using physiotherapy in patients in the postoperative period in the treatment of various kinds of postoperative complications by exposure to vibration and electrical stimulation (1). However, the scope of the known method is limited, since it is not recommended for the treatment of postoperative complications in cancer patients due to the possibility of relapse of the tumor process.

Closest to the proposed is a method of treating post-traumatic paresis and neuritis in cancer patients in the postoperative period, including exposure to magnetic laser radiation using an infrared spectrum of laser radiation with a frequency of 80 Hz and a constant magnetic field with magnetic induction of 25-50 mT (2). However, the known method gives an insufficiently pronounced therapeutic effect.

A new technical task is to increase efficiency by obtaining a more pronounced therapeutic effect, expanding the scope for the treatment of postoperative complications with the presence of paresis and neuritis in cancer patients.

To solve the problem in a method for the treatment of post-traumatic paresis and neuritis in cancer patients in the postoperative period, including exposure to the area of the pathological focus by laser radiation, using an infrared spectrum of laser radiation, a frequency of 80 Hz and a constant magnetic field with a magnetic induction value of 25-50 mT, exposure magnetic laser radiation is carried out daily, according to a labile technique, with a radiation power of 1 W, while acting for 30-60 seconds on one field and additional but, starting from the 5-8th day of the laser-laser therapy, the same zones are affected by the scenar-therapy in the dosed and non-dosed mode, for 5-10 minutes, the total number of procedures is 12-15.

In the analyzed literature, this combination of distinctive features was not found, and they do not explicitly follow from the prior art for a specialist. Thus, the proposed method meets the criteria of the invention of "novelty" and "inventive step". This method has passed clinical trials on the basis of clinics of the State Research Institute of Oncology SB RAMS. Thus, it meets the criteria of the invention "industrially applicable".

The method is as follows: daily appoint the procedure of the laser using the infrared spectrum of the laser radiation according to the labile technique with a frequency of 80 Hz, a power of 1 W and simultaneously a magnetic field with a magnetic induction of 25-50 mT for 30-60 seconds per field, and then from 5-8 days additionally after conducting magnetic laser therapy, scenar therapy is prescribed for this zone in a metered and non-metered mode for 5-10 minutes in an amount of up to 12-15 procedures carried out daily.

Example 1 Patient K., 48 years old, presented complaints of pain in the postoperative region, a feeling of numbness in the upper and lower extremities on the left, impaired movement in them. Diagnosis: Cystic tumor of the right parietal lobe, condition after surgery of osteoplastic craniotomy in the right parietal-occipital region. The treatment was carried out in accordance with the claimed method, namely, the magnetic laser was assigned to the zone of the left arm and leg for 60 seconds, a frequency of 80 Hz, a power of 1 W, magnetic induction of 50 mT, from 8 days onwards, after this, the scanner was attached to this zone in dosed and non-dosed mode for 10 minutes. A total of 15 procedures were performed daily. After the treatment was completed, the pain syndrome completely stopped, sensitivity was restored, and the range of movements in the arm and leg improved.

Example 2 Patient J., 43 years old, presented complaints of pain in the throat, hoarseness of the voice, stiffness of the movement of the muscles of the face. Diagnosis: Cancer of the larynxopharynx T1N0M0, condition after surgery, paresis of the nerve. The following treatment was carried out in accordance with the claimed method, namely, the magnetic laser was assigned to the area of the lower part of the face and neck surface for 30 seconds, with a power of 1 W, a frequency of 80 Hz, and magnetic induction of 25 mT, from 5 days on this zone was additionally connected to Scenar therapy in dosed and undosed mode 5 minutes. The procedures were carried out daily in an amount of 12. After the treatment was completed, the pain syndrome completely stopped, the voice and facial expressions were restored.

The treatment of the claimed method in 30 patients after surgery was carried out in the State Research Institute of Oncology SB RAMS. The treatment results were evaluated according to the clinic and paraclinical research methods (general blood count, rheography, myography).

The mode of the proposed method is the physical factors of influence and its mode is selected on the basis of clinical observations. The simultaneous influence of factors in a sequential order is necessary to influence not only the muscular, but also the nervous system. Also, the regimen used allows for the treatment of complications in stages. At the first stage, remove the inflammatory reaction and improve trophism both on the part of the muscular system and on the part of the nerve fiber through the use of a magnetic laser. At the next stage of treatment, when scenar therapy is used, opportunities arise for stimulation and restoration of their functional activity. The developed and selected mode of combined and consistent application of physiotherapy allows you to achieve a new technical result. The parameters of the factors exposure regimen are selected for the treatment of cancer patients. According to observations of patients within 3 years after treatment, no relapse of the tumor process was noted.

Thus, the proposed method is promising for use after surgical interventions in cancer patients, as it reduces the severity of postoperative complications and in a short time to restore the function of the damaged nerve and does not cause recurrence of the tumor process.

Information sources

1. Physiotherapy of peripheral nerve injuries. L.P. Strelis, E.F. Levitsky, N.G. Abdulkina, Tomsk, 2001, p. 187-193.

2. Patent RU No. 2258543, published 08/20/2005 (prototype).

Claims (1)

A method for the treatment of post-traumatic paresis and neuritis in cancer patients in the postoperative period, including exposure to the area of the pathological focus by laser radiation, using an infrared spectrum of laser radiation, a frequency of 80 Hz and a constant magnetic field with a magnetic induction of 25-50 mT, characterized in that the exposure to a laser radiation is carried out daily, according to a labile technique, with a radiation power of 1 W, while they act for 30-60 s per field and additionally, starting from 5-8 days conducting laser therapy, the same zones are affected by scenar therapy in a dosed and non-dosed mode for 5-10 minutes, the total number of procedures is 12-15.