RU2524303C1 - Method of treating perceptive hearing loss - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: massage exposure is performed in the following sequence: interrupted pressure and petrissage of the posterior neck, from both sides of sternoclavicular-mastoid and trapezius muscles are applied in a face-down position. An olive-ended wooden pipe with a diameter equal to the ear hole is inserted into the ear passage of the sitting patient and rotated half-way for 2-4 min per each ear. That is followed by interrupted pressure covering auditory nerve outputs and pressure points surrounding each concha of the auricle for 2-3 minutes. The patient is transferred to respiration with an oxygen-helium mixture containing oxygen 30-50%, helium - the rest, for 7-10 minutes. The therapeutic sessions are daily for 8-10 days every 10-14 days. The total length of treatments makes two courses or more until hearing is restored completely.

EFFECT: effective treatment of the given pathology ensured by improving microcirculation of the central and peripheral acoustic analyser and increasing the speed of oxygen delivery to the acoustic organs.

Description

The method relates to medicine, namely to otorhinolaryngology and physiotherapy, and can be used to treat sensorineural hearing loss.

Known methods for the treatment of sensorineural hearing loss, involving the use of pharmacological agents (cortexin in combination with vascular and hormonal therapy) to stimulate the regeneration of the central and peripheral parts of the auditory analyzer, the impact of electric shock and laser radiation on the back of the neck to improve blood circulation and increase immunity, integrated audiovisual exposure in combination with electromagnetic cure; exposure to laser radiation to improve nutrition and metabolic processes in the cells of nerve fibers of the auditory nerve; percutaneous exposure in the projection of the cervical ganglia of the sympathetic nervous system and mastoid processes by a rotating field of electrical impulses, taking into account the state of the vegetative balance of the body; impact on biologically active points with bee stinging and taking honey and propolis extract and others (RF Patents No. 2199991 - 2003, No. 2286761 - 2006, No. 2297856; No. 2357744 - 2009, No. 2360709 - 2009, No. 2386457 - 2010, No. 2424830-2010 and other patents; Counter SA Electromagnetic stimulation of the auditory system, effect andsideeffects. - 1993;

Morenko V.M. Methods of electrophysical effects in the complex treatment of sensorineural hearing loss. - Abstract. diss. Doctor of Sciences - Stavropol, 2000. - S.3-37, etc.)

The disadvantages of these methods are the long treatment time and their low efficiency.

Closest to the claimed subject matter of the invention are two methods. A known method for the treatment of sensorineural hearing loss according to the patent No. 2232014 of 07/10/2004 according to the application No. 2003115986 of 05.28.2003, which provides for the intravenous administration of perftoran in the amount of 2.5-3 ml per kg of patient weight in combination with 40-45 inhalation % air-oxygen mixture within 10 minutes before the introduction of perfluorane and again within 10 minutes after. The method improves the transport function of blood through the use of perfluorane and increases the oxygen capacity of the blood through the use of hyperoxic oxygen-nitrogen breathing mixture.

The disadvantage of this method is the fact that it provides for an improvement in the delivery of oxygen throughout the body, including to the organ of hearing, but nothing is proposed to improve proper blood circulation in the region of the central and peripheral auditory analyzer. In addition, given that with sensorineural hearing loss, the local circulation of the hearing organ is significantly impaired: there are structural disorders of the auditory canal, spasms of the vessels supplying the auditory analyzer, circulatory disorders of the auditory nerves themselves, the effect of the use of hyperoxic oxygen-nitrogen (“air-oxygen”, authors write) respiratory mixtures will be low. This is due to the use of oxygen-nitrogen mixtures with a high oxygen content (pO ₂ = 68-69 kPa when using 40-45% air-oxygen mixture), which causes an additional spasm of arterioles and, accordingly, a decrease in the dose of oxygen delivered to the hearing organs.

There is also a method of treating sensorineural hearing loss according to patent application No. 99112869 dated 06/15/1999, which includes a physical effect that is performed by massage in the following sequence: when lying on the back, they intermittently apply pressure to the areas around each auricle at pain points in for 4-6 minutes, then massage with kneading techniques sequentially on the face, hands, legs, for 6-10 minutes, then in the supine position with kneading techniques - on the hands, back, legs for 6-10 minutes, rovodya treated daily for 12 days with an interval between the courses 14 days for a total treatment duration of three courses and over until complete recovery of hearing.

The disadvantage of the prototype is the lack within the method of the possibility of increasing the oxygen capacity of the blood to ensure oxygen delivery and a slight improvement in the local blood circulation of the auditory analyzer.

The objective of the invention is to remedy these disadvantages, namely, improving local circulation of the Central and peripheral departments of the auditory analyzer and ensuring quick delivery of oxygen to it.

This object is achieved in that in a method for the treatment of sensorineural hearing loss, including physical exposure and breathing a hyperoxic gas mixture, the physical effect is carried out by massage in the following sequence: in the supine position by intermittent pressure and kneading on the back of the neck, on both sides of the sternum -clavicular-mastoid and trapezius muscles, then in a sitting position a wooden tube with an olive-shaped end with a diameter equal to cervical opening, and act by half-rotation for 2-4 minutes on each ear, then intermittent pressure is applied to the exit areas of the auditory nerves and pain points around each auricle for 2-3 minutes, after which the patient is transferred to breathing with an oxygen-helium mixture containing 30-50% oxygen, the rest is helium, for 7-10 minutes; at the same time, treatment sessions are carried out daily for 8-10 days with breaks between courses of 10-14 days with a total duration of treatment of two courses or more until the hearing is fully restored.

The method was tested in the medical and health center "Style" (St. Petersburg, license No. 78-01-002438 dated 11/25/2011) in the treatment of 13 patients with acquired sensorineural hearing loss of various etiologies. The age of the patients ranged from 56 to 75 years, the duration of the disease was 4-15 years. Assessment of the quality of hearing was carried out by the methods of tonal and speech audiometry. The use of 2-3 courses of treatment significantly improved the general condition of patients and ensured an improvement in the quality of hearing.

The new method has significant differences from the prototype methods. The main difference is the increase in hearing due to the combined use of physical effects through massage, exposure to the auditory canal of patients and breathing with a hyperoxic oxygen-helium mixture.

The positive effect of the method is associated with improved microcirculation of the central and peripheral parts of the auditory analyzer and an increase in the rate of oxygen delivery to the hearing organs through the use of helium (up to 50-70%) in the composition of the hyperoxic mixture, which does not lead to a toxic effect.

A method of treating sensorineural hearing loss is as follows. The patient is laid on the couch while lying on his chest. The physician exercises physical effects through massage by intermittent pressure and kneading on the back of the neck, on both sides of the sternocleidomastoid and trapezius muscles. Then the patient is transferred to a sitting position on a chair, a wooden tube with an olive-shaped end with a diameter equal to the ear opening is inserted into the ear canal, and is applied by half-rotation for 2-4 minutes on each ear. After that, intermittent pressure is performed on the exit areas of the auditory nerves and pain points around each auricle for 2-3 minutes, after which the patient is breathed with an oxygen-helium mixture containing 30-50% oxygen, the rest is helium, for 7- 10 min. At the end of the session, the patient is released. Treatment sessions are carried out daily for 8-10 days with breaks between courses of 10-14 days with a total duration of treatment of two courses or more until the hearing is fully restored.

The method is absolutely safe. The invention is fully ready for use. Its implementation will improve the effectiveness of treatment due to the complex effect on the patient’s body and increase the duration of remission.

Claims (1)

A method for the treatment of sensorineural hearing loss, including physical exposure and respiration of a hyperoxic gas mixture, characterized in that the physical effect is carried out by massage in the following sequence: in the supine position by intermittent pressure and kneading on the back of the neck, on both sides of the sternocleidomarine mastoid and trapezius muscles, then in a sitting position in the ear canal insert a wooden tube with an olive-shaped end with a diameter equal to the ear hole, and act by half-rotation for 2-4 minutes in each ear, then intermittent pressure is applied to the exit areas of the auditory nerves and pain points around each auricle for 2-3 minutes, after which the patient is transferred to breathing with an oxygen-helium mixture containing 30-50 % oxygen, the rest is helium, for 7-10 minutes; at the same time, treatment sessions are carried out daily for 8-10 days with breaks between courses of 10-14 days with a total duration of treatment of two courses or more until the hearing is fully restored.