RU2698011C1 - Method of treating burns by ultrasonic oscillations - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to treating burn injuries of a body surface. That is ensured by sanitation of foci of burn-affected skin. Baked surface area of the body is exposed to ultrasonic vibrations by immersing the burnt surface in an ultrasonic bath with an antiseptic. Exposure is performed by ultrasonic oscillations with varying frequency. On the first or first and second therapeutic day, exposure to ultrasound oscillations of frequency 38 to 88 kHz and intensity 0.5 to 2 W/cm² for 1–6 minutes. In a day, exposure to ultrasonic oscillations of lower frequency from 18 to 37 kHz and intensity from 0.5 to 2 W/cm² for 1–7 minutes. It is exposed through a contact medium in the form of a degassed aqueous medium in an ultrasonic bath containing an anolyte as an antiseptic obtained in the process of water electrolysis.

EFFECT: method provides higher functional properties and wider possibility of treating burns at various degrees of severity in adults and children due to immersing the burnt body surface in an ultrasonic bath containing an anolyte and exposing the burn area to ultrasonic oscillations with varying oscillation frequency and specified power.

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Description

The invention relates to the treatment of burn lesions of the body surface by means of ultrasonic vibrations.

In the field of ultrasonic vibrations in living tissues, ultrasound exerts a mechanical, thermal, physicochemical effect ("micromassage" of cells and tissues), while metabolic processes are activated, and the body's immune properties increase. Ultrasound has a pronounced analgesic, antispasmodic, anti-inflammatory and general tonic effect, stimulates blood and lymph circulation, regenerative processes, improves tissue trophism. In the presence of non-viable skin tissues (scab) under the influence of ultrasound, the tissues are quickly cleansed of dead tissue, granulation is accelerated. In the ultrasonic field, drugs penetrate the epidermis and upper layers of the dermis through the excretory ducts of the sebaceous glands.

Ultrasound in medicine is used in various dosages depending on diseases, their severity, etc. (Khmelev V.N. Application of high-intensity ultrasound in industry / V.N. Khmelev, A.N. Slivin, R.V. Barsukov, etc. ; Alt. State Technical University, BTI. - Biysk: Publishing House Alt. State Technical University, 2010. - 203 s).

Ultrasonic vibrations of a lower frequency have a greater penetrating ability in the tissue, and with an increase in the frequency of vibrations, the penetrating power of ultrasonic vibrations decreases. But high-frequency ultrasonic vibrations from 800 kHz to 2640 kHz have a higher degree of tissue absorption with low penetration. For this reason, the treatment of tissues through exposure to ultrasonic vibrations with a varying frequency of oscillation and power can significantly expand the treatment options for various degrees of burn severity.

Known ultrasound therapy for therapeutic purposes, including the rehabilitation of foci of chronic purulent infection, areas of burns on the surface of the body and subsequent exposure to ultrasonic vibrations using ultrasonic medical devices: - UTP-1, UZ-T5 and stationary - UTS-1 through a contact medium that excludes the presence of air between the working surface of the vibrator head and the surface of the human body, while the contact medium is a neutral oil or ointment form of a certain medication (with drug ultraphonophoresis) or carry out an impact on the surface of the human body through degassed water in the bath (Ulashchik B.C. General physiotherapy: textbook / B.C. Ulashchik, IV Lukomsky. - Minsk .: Book House, 2003).

A disadvantage of the known therapy is the local action of ultrasound, limited by the size of the contact surface of the emitter, possible pain when exposed to the wound surface, the need to purchase supplies.

The prior art also knows the effect on a person immersed in a liquid (aqueous solution of drugs) of hydroacoustic vibrations using an ultrasonic acoustic emitter with ultrasonic vibrations in the range from 20 kHz to 3000 Hz with a power of 0.05-0.5 W / cm ² for treatment diseases associated with damage to the skin (RU 2289386, IPC A61H 23/00, A61H 33/00, publ. 12/20/2006).

The known method relates to physiotherapy and is distinguished for the intended purpose of the claimed invention. In the known method, an ultrasonic acoustic emitter is used.

Known effects on the skin and mucous membranes by ultrasonic vibrations with a variable (changing) frequency of oscillations and variable (changing) power, which provides an effective therapeutic effect on the skin (WO 2008128180, IPC A61B 8/00, A61N 7/00, publ. 23.10.2008 )

In the known device there are ultrasonic transducers, in addition, the invention emphasizes the treatment of skin, its rejuvenation, reduction of wrinkles, as well as for the treatment of acne using the proposed device.

Known use for the treatment of burns and chronic wounds with anolyte solution (MD 985, IPC A61K 33/14, publ. 02.29.2000).

The literature describes the properties of anolyte. In the known solution do not use an ultrasonic bath containing anolyte. A disadvantage of the known solution is the need to maintain the presence of the required amount of anolyte solution in the institution, to monitor its condition, while in contrast to the combined technique (ultrasound and the anolyte produced during electrolysis), there are no advantages characteristic of the use of ultrasound. In the combined technique there is no need to produce anolyte separately, it is produced under the influence of ultrasonic vibrations during the operation of the bath

Known from the prior art solutions determine the general level of technology, are not considered particularly relevant and do not have the closest relationship to the claimed invention.

The closest solution to the claimed invention is the use of an ultrasonic bath UZV-1 in the complex treatment of children with deep burns of the hands and feet. An ultrasonic bath is a source of low-frequency ultrasound with a frequency of 37 kHz, with a total power of 0.15 kW, the overall dimensions of the working space of the bath are 150 × 140 × 100 mm, the volume of the working fluid of the bath is 1.8 l. A method for treating burn wounds consists in immersing a burned limb in an ultrasonic bath with an antiseptic solution (a weak solution of potassium permanganate) or water previously disinfected with ultrasound. Additionally, patients undergo standard therapy: analgesics, anti-inflammatory drugs, antibacterial and infusion therapy. Dressings are made one day after anesthesia and immersion of the burned area of the limb in an ultrasonic bath with a dissected dressing. An additional anti-scar treatment is recommended (Sharygin I.S., Khimchenkov A.V. Experience in using an ultrasonic bath UZV-1 in the traumatology and orthopedic department at the Vologda Regional Children's Hospital) / I.S. Sharygin, A.V. Khimchenkov, VG Bogatyrev // Education through life: collection of articles. - Yaroslavl, 2015. - P.192-199).

In the known solution, a positive effect of ultrasonic vibrations of a given frequency and power is revealed. The disadvantage of this method is the low functional properties. In addition, the known method can only be used in the treatment of burns in children. The prototype noted that a large number of studies of the influence of ultrasound in medicine and, in particular, in the treatment of wounds of various origins are known. Most solutions involve ultrasound treatment of wounds by transmitting ultrasonic vibrations with a special tool. However, an ultrasonic bath for the treatment of wounds was used only by employees of CITO them. Priorov.

The technical result consists in increasing the functional properties and expanding the possibility of treating burns at various degrees of severity in adults and children by immersing the burned surface of the body in an ultrasonic bath containing anolyte, and exposing the burned area to ultrasonic vibrations with a varying frequency of oscillation and a given power.

The essence of the invention lies in the fact that the method of treating burns by means of ultrasonic vibrations includes the sanation of the lesions of the skin burn and subsequent exposure of the burned area of the body surface with ultrasonic vibrations by immersing the burned surface in a degassed aqueous medium in an ultrasonic bath containing anolyte obtained by water electrolysis. The impact on the burned area of the body surface is carried out by ultrasonic vibrations with a varying frequency of oscillations, in the initial period they are affected by ultrasonic vibrations with a frequency of 38 to 88 kHz and an intensity of 0.5 to 2 W / cm ² for 1-6 minutes, then they are affected by ultrasonic vibrations for more low frequency from 18 to 37 kHz and intensity from 0.5 to 2 W / cm ² for 1-7 minutes

In FIG. 1 presents photographs of a burn of the right foot of a patient and the result of his treatment by means of ultrasonic vibrations (example 1); FIG. 2 - photographs of burns of the left forearm and the patient’s hand and the result of their treatment by ultrasonic vibrations (example 2); FIG. 3 - photographs of a burn of the left foot of the patient and the result of his treatment by means of ultrasonic vibrations (example 3).

The method is as follows. The impact on the surface of the body is carried out through the contact medium in the form of a degassed aqueous medium in an ultrasonic bath containing anolyte obtained in the process of electrolysis of water. In the initial period, they are affected by ultrasonic vibrations with a frequency from 38 to 88 kHz for 1-6 min and low power (intensity) from 0.5 to 2 W / cm ² , while the surface areas of the tissue are mainly processed, then for 1-7 min on the body area is affected by ultrasonic vibrations of lower frequencies from 18 to 37 kHz and low power (intensity) from 0.5 to 2 W / cm ² , the penetrating power of which is greater.

The developed method was tested on 37 patients with burns of various localization and depth of damage.

Example 1. Patient Ch., 1 year old, was hospitalized in the traumatology and orthopedic department of the Vologda Regional Children's Clinical Hospital on January 11, 2018 with complaints of the presence of a burn surface of the right foot. From the anamnesis: got injured as a result of capsizing a cup of hot water at home, sought medical help on the day of the injury, was hospitalized. After a set of studies, examinations, and surgical treatment of the burn surface under anesthesia, a thermal burn with hot fluid of the right foot of the I-II-III degree (ICBC) was diagnosed, the total area of the burn surface was 2%, and the area of the III degree burn was up to 1%. A comprehensive burn treatment was carried out, including with the use of ultrasonic influences. Ultrasonic vibrations were applied to the calcined area immersed in an ultrasonic bath with anolyte. In the initial period (day 2), treatment was carried out with ultrasonic vibrations at a frequency of 38 kHz for 5 min and a power (intensity) of 0.7 W / cm ² , while the surface region of the tissue was mainly treated, then the exposure was repeated after 1 day, 5 minutes per affected area of the limb, the frequency of ultrasonic vibrations was 18 kHz, power (intensity) 0.5 W / cm ² . On the 20th day after the start of treatment, the burn surface was epithelized, the patient was discharged from the hospital (Fig. 1).

Example 2. Patient M., 1.5 years old, was hospitalized in the traumatology and orthopedic department of the Vologda Regional Children's Clinical Hospital on 08/19/2018 with complaints of the presence of a burn surface of the left forearm and hand. From the anamnesis: the injury was received on August 18, 2018 when touching the hot surface of the iron. After the examination, treatment of the burn surface, a contact burn of the left forearm, hand I-II-III degree (ICBC) with a total area of 2-3%, a burn area of the III degree 1-2% was diagnosed. A complex burn treatment was prescribed and carried out, including using ultrasound. Ultrasonic vibrations were applied to the calcined area immersed in an ultrasonic bath with anolyte. In the initial period (1st day), exposure was carried out by ultrasonic vibrations with a frequency of 50 kHz for 5 min and a power (intensity) of 1 W / cm ² , then the effects were repeated after 1 day for 5 min, with a frequency of ultrasonic vibrations with a frequency of 27 kHz and power (intensity) 1 W / cm ² . On the 19th day after the start of treatment for burns, the surface was completely epithelized, the patient was discharged from the hospital on September 7, 2018 (Fig. 2).

Example 3. Patient K., 17 years old, was hospitalized in the traumatology and orthopedic department of the Vologda Regional Children's Clinical Hospital on August 27, 2018 with complaints of a non-healing burn of the left foot. He was injured in contact with hot bitumen on 08/22/2018, he did not seek medical help. After the inspection, treatment of the burn surface, a contact burn was diagnosed with hot bitumen of the left foot of the II-III degree (ICBC), an area of up to 1%. The burn was treated by ultrasound. Ultrasonic vibrations were applied to the calcined area immersed in an ultrasonic bath with anolyte. In the initial period (1st day), ultrasonic vibrations were applied at a frequency of 88 kHz for 6 min and a power (intensity) of 2 W / cm ² , while the surface region of the tissue was mainly treated, then the procedures were repeated after 1 day, during 6 min on the body part was exposed to ultrasonic vibrations with a frequency of 37 kHz and a power (intensity) of 1.5 W / cm ² . 11 days after the start of treatment, the burn completely epithelized, the patient was discharged from the hospital (Fig. 3).

With various degrees of severity of a burn, the frequencies of ultrasonic vibrations and the power (intensity) of exposure are determined by the attending physician individually for each patient. The criteria for the individual selection of the frequency of ultrasonic vibrations and the power (intensity) of the effect on the burned area are the degree of depth of the burn, the area of damage, the presence of necrotic or pronounced inflammatory changes in the wound. The choice of the frequency of ultrasonic vibrations depends on the depth of the affected segment of the limb to be affected. At each stage of therapy, the supervision of a doctor may be the reason for a radical review of its scheme.

The claimed invention is in no way limited to these preferred embodiments. Other possible embodiments of the invention within the scope of the claimed claims will be apparent to those skilled in the art.

Anolyte obtained by electrolysis has antiseptic, antiallergic, drying, antipruritic and anti-inflammatory properties (that is, it is a mild antiseptic). Anolyte stimulates lymphovenous hemodynamics, eliminating stagnation and alkalinity of the blood; improves the elimination of harmful waste products of cells by the skin; drains the intercellular space, eliminating swelling of the tissue; restores the integrity of cell membranes; carries out correction of electromagnetic homeostasis.

Compared with the known solution, the claimed invention allows to increase the functional properties and expand the possibilities of treating burns at various degrees of severity by immersing the burned surface of the body in an ultrasonic bath containing anolyte, and exposure to the burned area with ultrasonic vibrations with a varying vibration frequency and power.

Claims (1)

A method of treating burns by means of ultrasonic vibrations, including sanitation of lesions of a skin burn and subsequent exposure of the burned area of the body surface by ultrasonic vibrations by immersing the burned surface in an ultrasonic bath containing an antiseptic, characterized in that the effects on the burned area of the body surface are carried out by ultrasonic vibrations with a varying frequency oscillations in the first or on the first and second days of treatment are affected by ultrasonic vibrations with a frequency t 38 to 88 kHz and the intensity of 0.5 to 2 W / cm ² for 1-6 minutes, then the next day action of ultrasonic oscillations of lower frequency from 18 to 37 kHz and the intensity of 0.5 to 2 W / cm ² within 1-7 minutes, while acting through the contact medium in the form of a degassed aqueous medium in an ultrasonic bath containing as an antiseptic anolyte obtained in the process of electrolysis of water.

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