RU2458672C1 - Method of integrated resort treatment of cystitis in women - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention is referred to medicine, physiotherapy. The method involves taking radon baths and drinking radon water. Baths with mineral water of thermal radon sources of natural water temperature approximately 38°C (radon water) are taken. Radon bath is taken for two days running followed by the one-day pause. Duration of the first procedure is 5 minutes, of the second one - 8 minutes, one the third one - 10 minutes. All the following procedures are 15 minutes long. 10-15 Baths are taken in total. The therapy is combined with keeping diet No.7b. Before noon, two hours after breakfast, the patient moderately drinks radon water 200 ml. On of the running bath-taking days, gynaecologic irrigations of radon water are prescribed for 15 minutes. On the other day mud applications on the underbelly are used during afternoon. The baths are combined with a detensor-therapy. During afternoon, two hours after dinner, the patient moderately drinks radon water 200 ml and takes a bath with radon water; then a resonant-acoustic fluctuations procedure follows. The bath is followed by a resonant acoustic oscillation procedure follows. On the bath-free days, intestinal lavage is prescribed before noon. During afternoon, 'Cedar Barrel' mini-phyto-sauna with deer-breeding antler products is applied.

EFFECT: method stimulates reparative processes, improved patient's quality of life, prolongs remission.

3 cl, 1 tbl

Description

The invention relates to medicine and can be used in the practice of doctors involved in balneology or rehabilitation.

Cystitis (Greek: kystis-bladder + -itis) - inflammation of the bladder, infection of the bladder, bacterial cystitis. Cystitis is an infectious and inflammatory process of the wall of the bladder, often localized in its mucous membrane. The first reason that a significant number of urological patients go to the doctor is their signs of bladder inflammation. Among all diseases of the urinary tract, infectious and inflammatory diseases occupy first place and have a high proportion (60-70%) among both urban and rural populations.

Every year, cystitis is detected in 15-20 thousand per 1 million people, and in one form or another every 4-5 women suffer from this disease, and 10% suffer from recurring cystitis. The recurrence rate after the first episode of cystitis is 50%, and in some women relapses occur more than three times a year. In addition, in women of young and middle age, recurrent cystitis can lead to prolonged or repeated disability due to frequent exacerbations. The development and maintenance of the inflammatory process in the bladder is largely facilitated by violations of the urodynamics of the lower urinary tract, microcirculation in the bladder mucosa and the presence of a bacterial agent. One of the reasons for the insufficient effectiveness of the treatment of patients with chronic cystitis and the frequent recurrence of the disease is the lack of a rational approach to therapeutic and preventive measures.

One of the main methods of treating women with chronic cystitis is complex drug therapy, including antibacterial drugs, parasympatholytics, drugs that restore the layer of mucopolysaccharides (Experience with spazmex in the complex treatment of interstitial cystitis in women. Klochikhin O.Z., Volkov D.Yu. , Vostokova E.I., Zhulina N.I. Urology. - Moscow. - Issue 2. - 2004. - P.23-25).

A known method of treating patients with chronic cystitis using transurethral resection (TUR) of the mucous membrane of the bladder in altered areas (Treatment of persistent dysuria in women. Neymark A.I., Chulyukova I.I., Mazyrko A.V., Neymark B.A. , Blinova, O.B. Urology. - Moscow. - Issue 1. - 2003. - P.46-49).

There is a method of treating women suffering from chronic cystitis, which consists in the use of an ozonized physiological solution of sodium chloride in complex pharmacotherapy and the use of transurethral resection of altered sections of the mucous membrane of the bladder (RU 2295350, 03.20.2007).

The closest analogue of the proposed method is a method according to which the treatment of chronic cystitis is carried out by taking radon baths and drinking radon water (prototype - Radon therapy for patients with chronic cystitis. Medical technology. Issues of balneology, physiotherapy and physiotherapy. 2007, No. 4, C. 52-55).

The objective of the present invention was to develop a method for the complex treatment of women with chronic cystitis at the spa stage.

The proposed method ensures the achievement of the following technical result: increasing the effectiveness of treatment of women with chronic cystitis at the spa stage by increasing the period of remission, stimulating reparative processes, improving microcirculation, improving the quality of life of patients.

The method is as follows.

A bath with mineral water of thermal radon springs with a natural water temperature of about 38 ° C (radon water) is taken for two days in a row, then a break day, the first procedure is 5 minutes, the second is 8 minutes, the third is 10 minutes, then all procedures are 15 minutes, a total of 10 -15 baths. Radon water baths are shared or take a half bath with immersion in water to the navel. Treatment is carried out against a background of diet No. 7b.

The first half of the day:

- two hours after breakfast, at a measured pace, the patient drinks 200 ml of radon water,

- on one of two days with baths in a row, perform gynecological irrigation with radon water for 15 minutes, and on the other - perform mud applications on the lower abdomen,

- Detensor therapy, and it is carried out only on those days when they take baths with radon water.

Afternoon:

- two hours after dinner, in sips at a measured pace, the patient drinks 200 ml of radon water,

- takes a bath with radon water, after which - a procedure for the program of resonant-acoustic vibrations.

On days without baths, intestinal lavage is performed in the first half of the day, and a Cedar Barrel mini-sauna with antler reindeer products in the afternoon.

The course of treatment is 9-14 days.

The use of radon water in the proposed method is due to the fact that it reduces the activity of the inflammatory process, improves the functional state of the lower urinary tract, stimulates reparative processes, improves microcirculation, which together provides an increase in the period of remission.

The specific used mineral radon water has an undoubted effect on the achieved result. Optimal, from the point of view of penetration into the body of radon and its decay products, is water with a natural temperature of about 38 ° C. It is known that when heated, radon escapes from water. At the same time, it is from warm water that a greater amount of radon enters the body than from cool water. In this regard, we used unheated radon water during the procedures, with a natural water temperature of about 38 ° C.

Water with such a characteristic can be obtained, in particular, in the resort of Belokurikha, in the sanatorium "Altai Castle". Water in the treatment rooms of the sanatorium comes from well No. 4E of the Belokurikhinsky field. Water temperature in the well + 42 ° C at air temperature + 15 ° C. The concentration of radon is 5.5-6.0 nKu / dm ³ . It is known that the concentration of radon undergoes drastic changes during its transportation from the source to the treatment room. So, for example, passing through pipelines, radon losses can be 65% or more. In this connection, in order to maintain the concentration of radon, and therefore, to achieve the maximum effectiveness of the procedures, it is advisable to take radon therapy procedures at a minimum distance from the well from which the radon water is taken. At such a distance is the sanatorium "Altai Castle".

In addition, we revealed an increase in efficiency when the procedure “Intestinal lavage” was included in the course of treatment of patients with cystitis. The lavage technique is patented (RU 2178696, 01/27/2002) and consists in the fact that a patient is given an empty stomach to drink a certain mixture of 200-400 ml every 5-10 minutes. As the intestines fill, diarrhea develops. Intestinal lavage is carried out until the appearance of liquid secretions from the rectum, not containing inclusions of chyme. The total volume of the mixture per procedure is an average of 3-6 liters. The mixture has the following composition: sodium phosphate, sodium chloride, sodium acetic acid, potassium chloride, calcium chloride, magnesium sulfate, citric acid, distilled water, vitamins A, E, D, C, B ₁ , B ₂ , B ₃ , B ₆ , B ₁₂ , B _c , K ₁ , H, PP, trace elements: potassium iodide, iron fumarate, copper oxide, zinc oxide, manganese sulfate, chromium chloride, sodium molybdate, sodium selenate, nickel sulfate, tin chloride, sodium metasilicate, metavanad sodium, medicinal substances based on normal microflora waste products intestines, eubiotics and pectins in the amount of one daily dose, non-mineral flavorings and food colors. The physiological nature of the mixture, the presence of probiotics and pectin in it ensure the normalization of mineral and vitamin metabolism between the enteral and internal environments of the body, microbiocenosis, which in turn increases the effectiveness of the treatment of cystitis.

Another significant component of the proposed comprehensive treatment is PRAC - resonant-acoustic vibration programs (PRAC) - a method of bioresonance effects on organs and systems whose functions have pronounced deviations from the physiological norm. Resonance-acoustic oscillations (PRAC) programs provide directed remote (non-contact) and non-drug restorative effects on the patient's body, depending on the diseases he has.

The resonant-acoustic vibrations (PRAC) programs are selected by forming music audio sequences for music therapy, ensure the restoration of a person’s bio-potential and the introduction of the body into self-regulation mode with the subsequent restoration of impaired functions of organs and systems. The PRAC methodology was approved by the Ministry of Health and Social Development of the Russian Federation (Commission Resolution on New Medical Technology of the Ministry of Health of the Russian Federation of October 9, 2002, protocol No. 3; registration certificate N229 / 03031002 / 4633-02 of December 26, 2002).

The effectiveness of using PRAC in the complex treatment of cystitis (the claimed method) was evaluated based on the analysis of the Hamilton scale and the questionnaire of quality of life SF-36. In women (34 women were examined) with chronic cystitis, symptoms such as depressive mood were identified before treatment; diurnal fluctuations of state; guilt; early and late insomnia; hypochondria. The average value of the total Hamilton score was 8.6, which corresponded to a mild degree of severity of depressive symptoms. According to the Hamilton score for assessing anxiety, the most pronounced symptoms were anxious and depressive moods, urogenital symptoms, tension, insomnia. The average level of anxiety of patients is 8.1 points, which corresponds to the "symptoms of anxiety", i.e. anxiety, combined with other mental disorders. According to the questionnaire of quality of life SF-36, the lowest indicators were observed on the scales: “general health”; “Role-based functioning due to emotional state”; "Vital activity". The decrease in these indicators of quality of life can be associated with the presence of anxiety-depressive disorders in the examined women.

Similar data were evaluated after treatment. The treatment included: 1 group - taking mineral baths, psychotherapy sessions, mud treatment procedures (applications on the lower abdomen), 2 group - treatment according to the claimed method. The course of baths, psychotherapy and mud therapy was identical in two groups.

Analysis of mental status on the 5th day showed that in two groups there was a correction of mental disorders in the form of a decrease in points on the scales: "irritability", "reactive aggression" and "shyness", an increase in points on the "sociability" scale, a decrease in the severity of daily fluctuations mood. However, only in patients of group 2 there was a significant increase in indicators (p> 0.001) of the quality of life questionnaire on the scales: “general health”; "Role functioning"; "Vital activity".

In the proposed method, detensor therapy is also used. Studies have shown that this particular method of influencing the spine, providing muscle relaxation and sparing traction of the spine, allows to achieve, in combination with other methods of exposure, the most optimal therapeutic effects (see table 1).

The effectiveness of the proposed methodology for the complex treatment of patients with chronic cystitis was also investigated in the following groups of patients: group 1 (n = 27) - they took treatment according to the prototype method (taking radon baths and drinking radon water), group 2 (n = 23) took mineral baths and carried out drinking mineral water, psychotherapy sessions, mud treatments (applications on the lower abdomen), cleansing enemas and general massage, group 3 (n = 28) - they took medical procedures according to the claimed methodology (table 1). The duration of the treatment procedures, as well as the course of treatment, was identical in all groups. The results obtained indicate significantly higher treatment results by the proposed method (group 3) compared with the results of groups 1 and 2.

Table 1. №№ Number of patients Microcirculation in the wall of the bladder Uroflowmetry Microcirculation index, perf.ed Kv,% Qmax Qred, ml / s Group 1 Before treatment 36.2 ± 1.81 8.7 ± 1.58 15.47 ± 1.1 10.78 ± 1.28 10 days after treatment 41.9 ± 2.2 10.5 ± 0.5 19.14 ± 1.3 12.81 ± 0.83 Group 2 Before treatment 34.8 ± 1.15 9.3 ± 1.12 16.91 ± 0.6 9.84 ± 1.08 10 days after treatment 38.9 ± 2.1
(p> 0.005) 10.1 ± 0.5 19.81 ± 0.4 12.43 ± 1.20
(p> 0.005) Group 3 Before treatment 34.4 ± 1.46 8.4 ± 1.81 15.04 ± 1.1 10.15 ± 0.82 10 days after treatment 41.9 ± 2.2
(p> 0.001) 12.1 ± 0.42
(p> 0.001) 19.41 ± 1.9
(p> 0.005) 14.20 ± 0.22
(P> 0.005)

The duration of disease remission in these three groups was: group 1 - during the year after the course of treatment, at least 1 relapse of cystitis was noted in 18 patients, group 2 - in 12 patients, group 3 - in 6 patients.

The data obtained allow us to conclude that the proposed method is effective in treating chronic cystitis in women at the spa stage.

Claims (3)

1. A method for the complex treatment of chronic cystitis in women at the spa stage, including taking radon baths and drinking radon water, characterized in that the mineral water bath of thermal radon sources with a natural water temperature of about 38 ° C (radon water) is taken for two days in a row, then - the break day, the first procedure is 5 minutes, the second - 8 minutes, the third - 10 minutes, then all procedures are 15 minutes, the treatment is carried out against the background of diet No. 7b; the first half of the day: two hours after breakfast, the patient drinks 200 ml of radon water in sips at a measured pace, on one of two days with baths in a row, they perform gynecological irrigation with radon water for 15 minutes, and in the other, perform mud applications on the lower abdomen, detensor therapy, and it is carried out only on those days when they take baths with radon water; afternoon: two hours after lunch, the patient drinks 200 ml of radon water in sips at a measured pace, takes a bath of radon water, after which - the procedure for the program of resonant-acoustic vibrations (PRAC); on non-bathing days, intestinal lavage is performed in the first half of the day, and a Cedar Barrel mini-sauna with antler reindeer products in the afternoon. 2. A method for the complex treatment of chronic cystitis in women at the spa stage according to claim 1, characterized in that the baths with radon water are shared or take a half bath with immersion in water to the navel. 3. The method of complex treatment of chronic cystitis in women at the spa stage according to claim 1, characterized in that the course of treatment is 9-14 days.