RU2556507C1 - Method for eliminating cosmetic skin defects - Google Patents

Abstract

FIELD: chemistry.SUBSTANCE: invention refers to medicine and can be used for the skin regeneration following deformities caused by various factors (burn, tattoo removal), cicatrical skin changes, including postoperative striae atrophy of skin. The method involves the integrated action: full-body hydrodynamic massage (FBHDM) and hydrodynamic massage (HDM) of the skin deformity by means of an attachment configured to supply water similarly to a water funnel; a whole bowel irrigation; a psychotherapy. The FBHDM procedures are performed for 3 days running with one-day pause; the massage aims at the massage treatment of the whole body surface, including the head. The HDM of the skin deformity first involves the whole deformity region and the attachment is used to perform circular and differently directed motions. Then, the deformity is exposed point by point with the attachment kept in each point for 20-30 sec; the whole area is treated in such a manner. The whole bowel irrigation is performed on the days free from the FBHDM procedures. The psychotherapy involves a music therapy accompanying the FBHDM, HDM of the skin deformity, and the whole bowel irrigation. Performing the FBHDM procedures is accompanied by the relaxing music therapy, whereas the whole bowel irrigation and the HDM of the skin deformity are restorative. The integrated therapeutic course makes at least 14 days starting with the HDM procedures.EFFECT: method enables eliminating the cosmetic skin defects by the integrated effect: improving trophism of the given region, accelerating the repair processes, increasing the immune system activity, improving the body functionality provided eliminating the risk of side effects and complications of the treatment.7 cl, 2 tbl

Description

The invention relates to medicine and can be used to restore the skin after deformations caused by various factors (after burns, after removal of tattoos and unsuccessful tattooing, cicatricial changes in the skin, including postoperative, skin stretch marks).

In case of any violation of the integrity of the skin, as a result of the biological mechanism of connecting damaged tissues, a scar forms, which, in essence, is a ligament represented by connective tissue. According to literature, more than 25 million people in the world annually acquire scars after injuries or surgical interventions. Of these, 4 million - after the burns, accompanied by pronounced aesthetic and functional disorders (Perlovskaya V.V., Stalmakhovich V.N. Therapeutic tactics for cicatricial skin lesions in children. Siberian Medical Journal (Irkutsk). 2012. T. 114. No. 7. S. 113-116).

Known methods for eliminating skin deformations can be divided into the following groups:

1. Skin plastics (Tursunov BS, Elmuradov GK Surgical rehabilitation of burned. Allergology and immunology. 2007. T. 8. No. 1. P. 288). The most common way to eliminate cicatricial changes in the skin is plastic with local tissues (RU 2108064, 04/10/1998; RU 2195888, 01/10/2003).

The method is quite effective, especially in the case of contracture due to scar tissue.

2. Conservative therapy.

In addition to surgical methods for treating skin deformities, there are various effective therapeutic methods: physiotherapy, cryodestruction, compression dressings, hormone and enzyme therapy, beech therapy, NO therapy, mechanical vacuum therapy, as well as dermabrasion and peeling (Sergeev Yu.N., Asirova G. V., Pushkareva N.V. Peculiarities of planning conservative therapy for the elimination of pathological scars of the face and neck.The journal of scientific articles: Health and education in the XXI century. 2009. T. 11. No. 1. P. 96-100).

As the closest analogue, the method was used, which consists in a complex effect on the skin defect region with EHF radiation of the mm wavelength range and massage (RU 2237499, 10.10.2004). The main disadvantage of this method is the use of an EHF emitter, which requires a high level of knowledge from the personnel performing the impact, as erroneous calculation of exposure parameters, neglect of the individual characteristics of the skin can lead to serious complications.

The present invention was the development of a comprehensive method of post-traumatic skin repair.

The proposed method ensures the achievement of the following technical result - the elimination of cosmetic skin defects by improving trophism in this area, accelerating reparative processes, increasing the activity of the immune system, improving the functional state of the body, provided that there is no risk of side effects and treatment complications.

The developed complex includes the use of the following methods:

1. Detoxification of the body, deep physiological cleansing from endoecological blockages, "environmental dirt" (Kaznacheev VP, Chernyavsky EF Belokurikha Resort. Novosibirsk: Publishing House SB RAS, 2011) using unique natural factors and innovative technologies, correction of parameters homeostasis, functional disorders and intestinal microbiocenosis through the procedure "Intestinal lavage".

The necessary full-fledged cleansing of all body systems is provided by the technology of intestinal lavage developed at the Scientific Research Institute of the Joint Venture. N.V. Sklifosovsky (Khalfin R.A., Leonov B.I., Mashkov O.A., Matkevich V.A., Rybkin E.A. Method of detoxification of the body and correction of homeostasis parameters, functional disorders and intestinal microbiocenosis using intestinal lavage in combination with programs of resonant-acoustic vibrations (PRAC). A manual for doctors of the Ministry of Health and Social Development of the Russian Federation. Moscow. 2005). A non-invasive method removes toxins, allergens, congestive bile, cleanses blood, lymph, intestines, lowers cholesterol and glucose levels (developed by a group of scientists and authors: candidate of medical sciences Matkevich V.A., doctor of medical sciences Mashkov O. A., Doctor of Engineering Leonov B.I.). In the process of intestinal lavage, the work of the bile excretion system, intestines, and the state of its microbiocenosis improves. The processes of restoration of protective functions are included, all types of exchanges are normalized: carbohydrate, fat, protein, mineral, development is stopped and the threat of chronic diseases is eliminated. A combination of intestinal lavage with highly effective innovative technology of underwater hydrodynamic massage with a unique patented nozzle (RU 141830, 02.24.2014) enhances the effectiveness of detoxification.

2. The method of hydrodynamic massage based on a complex effect - the thermal, suction effect of a liquid funnel and mechanical effects on the skin, subcutaneous fat, muscles (for example, using a nozzle - RU 141830, 02.24.2014). Acting (non-traumatic) on the entire surface of the body, including the head, face skin, it accelerates cellular metabolism, increases the skin's resistance to negative environmental influences, restores its water-lipid balance, strengthening the first line of immune defense.

Using a nozzle forming a liquid funnel during hydrodynamic massage allows the following results to be achieved without traumatic effects:

- increased microcirculation in the skin and metabolism in the dermal layers, which leads to a follicle-stimulating effect;

- activation of the activity of the glands, therefore, normalizes the function of the skin by improving metabolic processes.

The impact on the surface of the skin, on which there are many reflexogenic zones, affects the internal organs, optimizing their work.

Thus, the performance of hydrodynamic massage allows you to have a non-aggressive effect on all layers of the skin while achieving maximum effect.

3. Sound therapy (procedures according to the program of resonant-acoustic vibrations (PRAC), reconstructive sound resonance therapy using resonators (a musical self-sounding instrument made in the form of a cup and called - singing cups), which ensures normalization of the functional state of the body.

One of the types of PRAC sound therapy - resonance-acoustic vibration programs (PRAC) - a method of bioresonance effects on organs and systems, provides directed remote (non-contact) and non-drug restorative effects on the patient's body, depending on the diseases he has. 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 resonant-acoustic vibration programs (PRAC) are selected by forming music audio sequences for music therapy (RU 2408397, 01/10/2011), restore the body’s bio-potential, introduce it into self-regulation mode, which relieves tension, fear, motivates the feeling of emotional well-being, instills confidence in success treatment, revives the harmony of its internal environment and with the outside world, promotes rejuvenation and active longevity.

Another method of sound therapy that we use in the complex is sound resonance therapy using resonators (singing bowls). The therapeutic effect of the complex is based on the principle that components of the acoustic field produced by a multilayer acoustic resonator interact with the patient’s body. As a result of this effect, the general tone of the body increases, destructive emotions, habits, programs and attitudes are eliminated. This harmonizing practice allows you to quickly relax and free yourself from blocks and clamps, from the hustle and bustle of thoughts, contributes to the equilibrium state of the right and left hemispheres. At the emotional level, relaxation occurs, peace comes. Sound therapy, like a tuning fork, allows you to "properly" configure each organ, restore its harmonious functioning, is a necessary "tuner" that increases the effectiveness of each procedure (Khalfin R.A., Leonov B.I., Mashkov O.A., Rybkin E .A. Restoring the psychosomatic state of a person by exposure to resonant-acoustic vibration programs (PRAC). A manual for doctors of the Ministry of Health and Social Development of the Russian Federation. Moscow. 2004).

The effectiveness of the application of the developed complex for the pathologies under consideration is due to the following.

With any massage effect on the skin, the number of red blood cells and leukocyte cells increases, and microcirculation also increases. Massage effect causes the expansion of functioning capillaries and the opening of reserve ones. There are 31 capillaries in each square millimeter of the muscle’s cross-section, and after massage treatment their number increases to 1400 (Dribnokhod Yu.Yu., Cosmetology, Rostov-on-Don, 2008).

Massage also has a significant effect on lymph circulation. Usually it moves at a speed of 4-5 mm per second, and as a result of massage, the lymph current accelerates. Moreover, in addition to a direct effect on the local lymphatic flow, this kind of effect has a reflex effect on the entire lymphatic system, improving the function of the lymph vessels.

Massage effect activates the synthesis of histamine and acetylcholine in the tissues. Histamine widens the lumen and increases the permeability of capillaries. Acetylcholine increases the rate of transmission of excitation from the motor nerves to skeletal muscles, resulting in an increase in the amount of hemoglobin, red blood cells and white blood cells in the blood.

The combined effect of local rarefaction and vibration due to the flow of water on various tissues increases the depth of effective exposure, enhances the blood supply to tissues at the site of exposure.

The sound of music during hydromassage allows you to have a tonic or relaxing effect on muscles and the vascular wall, which, in turn, has a differentiated effect on microcirculation, optimizing the functioning of the vascular apparatus.

Conducting lavage during the course of exposure normalizes the intestinal microbiocenosis, thereby providing an improvement in metabolic processes in the body.

All these factors ultimately contribute to creating ideal conditions for improving blood circulation, saturating the skin with oxygen and nutrients. This determines the feasibility and even necessity of carrying out the developed course of procedures to stimulate regenerative processes in the field of skin deformation.

The method is as follows.

The complex exposure course is conducted daily for at least 14 days and includes:

1. General hydrodynamic massage procedures (OGDM):

- Procedures spend 3 days in a row, then a day break. The duration of the procedure is at least 20 minutes. During the massage, they thoroughly work out with massage movements the entire surface of the client's body, including the head.

For the procedure, the client is placed in a bath with water. Set the shower head on the surface of the human body. Moreover, the nozzle is made in such a way that the water is supplied on the principle of a water funnel.

They give water. Maintaining a snug fit of the nozzle to the surface, massage movements are performed by moving the nozzle over the body.

As water for hydrodynamic massage can be used tap, radon, drinking or mineral water, as well as water with the addition of extracts of medicinal herbs or a solution of medicinal substances. The optimal in terms of the results achieved is the use of a water temperature of 32-38 ° C.

Hydrodynamic massage is performed by smoothly absorbing a liquid funnel and gently stroking the skin when a specialist performs body massage movements under gentle pressure on the skin. All massage movements are performed in the direction of the outflow of blood and lymph from the periphery in accordance with the anatomical structure of the muscles (i.e. from the periphery to the center).

2. Procedures for hydrodynamic massage of the skin deformation region:

During the entire course of action, they affect the area of skin deformation with the help of a nozzle of hydrodynamic massage.

Massage of the skin deformity area is performed before OGDM and intestinal lavage procedure.

During the massage, the entire area of post-traumatic deformation of the skin is first treated, for which alternating circular and multidirectional movements are performed using the nozzle. Then they act pointwise on this area, holding the nozzle at each point for 20-30 seconds and thus treat the entire area.

3. Intestinal lavage procedures:

- the procedures are carried out on those days when a general hydrodynamic massage is not performed.

4. Psychotherapy procedures carried out in the form of music therapy:

- music therapy is carried out against the background of OGDM, hydrodynamic massage of the area of skin deformation, intestinal lavage. At the same time, OGDM is accompanied by music therapy of a relaxing nature, and intestinal lavage and hydrodynamic massage of the area of skin deformation are of a tonic nature.

Music therapy can be implemented through the use of procedures according to the program of resonant-acoustic vibrations (PRAC) or the use of a musical self-sounding instrument made in the form of a bowl, referred to as a “singing bowl”. "Singing bowls" allow you to "perform" various types of musical compositions. When carrying out the described procedures, the sound recording of “singing bowls” can be used.

To confirm the results achieved using the developed solution, an assessment of changes in microcirculation indicators was carried out.

The study group consisted of 40 people whose average age was 40.04 ± 5.18 years, comparable in age and gender. All subjects had skin defects - striae after weight loss, scars after injuries, scars after unsuccessful tattooing, skin defects after removal of tattoos.

In this group, two subgroups were distinguished - the 1st (18 people) - took a course of mechano-vacuum exposure and rational psychotherapy aimed at relieving emotional stress (a course of 14 sessions), the 2nd (22 people) - took a course developed by us procedures (course of 14 sessions) (table. 1).

Table 1 Dynamics of microcirculation in the area of skin defect after a course of exposure according to LDF (M ± m) Indicator, norm subgroup 1 subgroup 2 M bases., 5.20 ± 0.11 6.28 ± 0.11 6.65 ± 0.10 PE 5.54 ± 0.12 ** 6.30 ± 0.12 ** Kv 7.79 ± 0.61 8.16 ± 0.64 11.43 ± 0.51% 9.95 ± 0.72 * 11.67 ± 0.61 ** TM max., 18.13 ± 1.32 19.27 ± 1.29 23.11 ± 1.19 PE 21.66 + 1.42 * 22.57 + 1.36 * RKK, thermal test, 220.34 ± 4.83 220.18 ± 3.30 248.61 ± 13.01% 230.13 ± 5.20 ** 254.85 ± 4.55 **

Note: in the numerator - indicators before the course of exposure, in the denominator - after the course; one (*) or two (**) asterisks indicate the significance of differences by the paired t-test for repeated measurements at p <0.05 and p <0.001, respectively.

Abbreviations: TM max. - the level of maximum perfusion during thermal testing, RKK - reserve capillary blood flow, Kv - coefficient of variation.

According to the data obtained, people who received a course of procedures using the inventive development had significantly better dynamics of microcirculation indicators than people receiving a course of other procedures.

These subgroups of patients were assessed for quality of life (Table 2).

table 2 subgroup 1 subgroup 2 Before treatment After treatment p Before treatment After treatment p Quality of life according to the SF 36 questionnaire: Physical component of health 30.16 39.77 32.39 52.34 p <0.05 Mental component of health 65.23 70.43 p <0.05 59.31 84.68 p <0.01

The data obtained allow us to conclude that the developed integrated method for eliminating cosmetic skin defects allows achieving qualitatively better effects in comparison with known methods.

Claims (7)

1. A method of treating post-traumatic skin defects, comprising the following complex effects: general hydrodynamic massage (OGDM) and hydrodynamic massage of the skin deformation region, carried out using a nozzle made with the possibility of water supply on the principle of a water funnel; intestinal lavage; psychotherapy:
- OGDM procedures are carried out for 3 days in a row, then a day break, during massage massage the entire surface of the body, including the head;
- procedures for hydrodynamic massage of the area of skin deformation: during the massage, the entire area of skin deformation is treated first, for which alternating circular and multidirectional movements are performed using the nozzle, then they act on the deformation area pointwise, holding the nozzle at each point for 20-30 seconds, and treating this way the whole area;
- intestinal lavage procedures are carried out on those days when OGDM is not performed;
- psychotherapy procedures are carried out in the form of music therapy, implemented against the background of OGDM, hydrodynamic massage of the area of skin deformation and intestinal lavage, and OGDM accompanied by music therapy of a relaxing nature, and intestinal lavage and hydrodynamic massage of the region of skin deformation - tonic;
- at the same time, the course of the complex effect is at least 14 days, the course begins with hydrodynamic massage procedures. 2. The method according to p. 1, in which the duration of the OGDM procedure is at least 20 minutes. 3. The method according to p. 1, in which tap water, radon, drinking or mineral water is used as water for performing hydrodynamic massage. 4. The method according to p. 1, in which water is used to perform hydrodynamic massage using water with the addition of herbal extracts or solutions of medicinal substances. 5. The method according to p. 1, in which the most acceptable water temperature for conducting OGDM is 32-38 ° C. 6. The method according to p. 1, in which music therapy is implemented through the application of procedures according to the program of resonant-acoustic vibrations (PRAC). 7. The method according to p. 1, in which music therapy is implemented through the use of musical self-sounding instrument, made in the form of a bowl, referred to as a "singing bowl".