SU1041115A1 - Method of treating patients ill with postinfarct cardiosclerosis - Google Patents

Abstract

METHOD OF TREATING PATIENTS WITH POST-INFARCTIC CARDIOSCLEROSIS by conducting carbon dioxide baths, characterized in that, in order to prevent adverse reactions in the treatment of patients with moderate and severe disease severity, dry carbon dioxide baths are fed with carbon dioxide at a rate of 10-15 liters / minute heated to 28-32 ° C for 12-15 minutes daily. (L

Description

The invention relates to medicine, in particular to methods of treating cardiovascular diseases by balneological factors, and can be used in hospitals of inpatient and outpatient type, as well as in sanatorium-and-spa establishments.

There is a method of treating patients with post-infarction cadicosclerosis with aqueous carbonic baths, based on the use of narzan baths with a temperature of 35-36 ° 1.

The characteristic of this method is the indistinctness of indications in various variants of the course of the disease.

The closest in technical essence to the present invention is a method of treating patients with post-infarction cardiosclerosis by using aqueous carbon dioxide baths with a carbon dioxide concentration of 1.2 g / l, a temperature of 35-36 ° and a duration of 10 minutes. every other day 2.

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However, this method is contraindicated in the group of ill patients, i.e. in patients with postinflammatory cardiasclerosis with circulatory insufficiency and concomitant diseases.

The aim of the invention is the prevention of adverse reactions in the treatment of patients with moderate and severe severity of illness.

The goal is achieved by the implementation of the method of treating patients with post-infarction cardiosclerosis by means of carbon dioxide baths to carry out dry carbon dioxide baths with a supply of carbon dioxide at a rate of 10–15 l / min, heated to 28–32 ° C for 12–15 min, daily .

The method is carried out as follows.

Prior to the procedure, the bath is heated to 28-32 ° C. The naked patient is placed in a bath, which is covered on top with a plastic cap with a cutout for the head. The gap between it and the edges of the cutout is closed with a sheet or towel to eliminate the possibility of inhaling carbon dioxide. Then, within 12–15 minutes, carbon dioxide moisturized and heated to 28–32 ° C enters the bath at a rate of 10–15 l / min. After the indicated period of time, the carbon dioxide is completely removed from the bath using a suction fan, the cover is removed, the patient leaves the bath and is put on. In the course of treatment 10-12 procedures daily.

Example 1. Patient X., 51 years old. Clinical diagnosis: coronary artery disease, atherosclerosis of the aorta, coronary arteries III, atherosclerotic and postinfective cardiosclerosis, angina pectoris and tension, hypertensive disease And A article; circulatory failure 1 degree, curvature of the nasal septum, chronic adhesive otitis media. Transferred intramural myocardial infact of the anterior wall of the left ventricle.

Upon admission to the clinic of a complaint of burning pains behind the sternum, arising during a small physical exertion (self-care) and even at rest (including night pains), stopped by validol, nitroglycerin and Votchala drops, almost daily, 2-3 times, odeschku with a small physical exertion, accompanied by tachycardia (increased heart rate to 100 beats / min, headache,

pain, accompanied by an increase in blood pressure, dizziness.

In the objective status, the expansion of the borders of the heart to the left is noted - 1.5 cm outwards from the left mid-clavicular line. Heart tones sonorous, rhythmic, accent II

tones. on the aorta. Pulse 76 beats./min, rhythmic. HELL 170/90 mm RT. Art. Vesicular respiration in the lungs. The liver is not enlarged. Peripheral shades not.

The patient received treatment with dry carbon dioxide baths with a carbon dioxide supply of 10 minutes, a temperature of 32 ° C and a duration of 15 minutes. daily, a total of 10 procedures on the background of the diet number 10.

After taking 3 baths of chest pain

disturbed only in the mornings, the number of nitroglycerin tablets was reduced to one per day., after 6 baths, angina did not disturb the stenocardia of rest and tension, physical exercise (walking at a pace of 90-100 (step / min) did not cause shortness of breath and tachycardia.) headaches. Blood pressure returned to normal (120 / 80-130 / 80 mmHg). A single procedure was not observed after a course of treatment, and ECG dynamics were not observed. Exercise tolerance increased

50 W (for 4 min - horizontal displacement of the segment S T in the forward lead 1 mm down from the isoline, an attack of angina).

Example 2, Patient L., 50 years. Clinical diagnosis: ischemic heart disease, aortic atherosclerosis,

Coronary arteries III, atherosclerotic and post-infarction cardiosclerosis, angina pectoris and tension, circulatory failure 1 tbsp. He suffered focal myocardial infarction of the anterior lateral wall of the left ventricle. Upon admission to the clinic, he complained of pains in the region of the heart of a burning and stinging nature provoked by physical exertion (walking at a pace of more than 90 shtamin / min, ascending the ladder) by emotional factors; daily, up to 6 times a day, stopped by taking validol (6-8 tablets daily) and rest; pains in the chest in the morning on waking;

shortness of breath with moderate exertion.

In the objective status, the expansion of the heart borders to the left by 1 cm outwards from the left mid-clavicular line is noted. Heart sounds are muffled, rhythmic, systolic murmur at the apex, BP 120/70 mm Hg. Art., pulse 72 beats./min, rhythmic. Vesicular respiration in the lungs. The liver is not enlarged. Peripheral edema no. Blood cholesterol 363 mg.o / l (№115-240 mRO / o). ECG - ischemia in the area of high side wall.

The patient received treatment with dry carbon dioxide baths with a carbon dioxide supply of 15 l / min, a temperature of 28 ° C, with a duration of 15 minutes, daily, a total of 10 procedures.

After taking 3 baths, the exertion of angina pectoris was noted, the disappearance of pain in the heart at rest. ECG dynamics before and after a single bath were observed. After 5 baths, stress-stenocardia drastically decreased (no more than 1 time per week with agitation). Validol did not take. Dyspnea during physical activity did not disturb, a decrease in blood cholesterol to 237 mg ° / o (No. 115-240 mg./o) was noted, the disappearance of ischemia in the high sidewall region was observed on the ECG. Tolerance to physical activity increased to 75 W (for 5 min the horizontal displacement of the S segment in the forward lead is 1 mm down from the isoline).

The proposed method of treating patients with postinfarction cardiosclerosis has been applied to 70 patients with postinfarction cardiosclerosis with a combination of coronary insufficiency and circulatory insufficiency at different stages. All sick men aged 30-59 years. The duration of myocardial infarction from 8 months to 9 years. Of the concomitant diseases, 14 patients had hypertensive disease II A, 12 had II B stages, 11 had ventricular extrasystoles, and 18 had obliterating atherosclerosis of lower limb arteries. In 8 patients in

. history of repeated myocardial infarction, one patient In the past, suffered three myocardial infarction.

All patients had angina. voltages with a frequency of 1-2 times a week with significant physical exertion up to 10-12 attacks of pain per day with little physical activity. In 23 people, the pain arose at rest and even at night. The initial stage of circulatory failure was noted in 8 patients, Stage 1 - in 43, PA - in 19 patients. .

As a result of the application of the proposed method, a significant improvement in the well-being of the patients, expressed in

5 in the disappearance of attacks of angina pectoris at rest, a sharp decrease or even cessation of attacks of angina pectoris, the disappearance or reduction of signs of circulatory failure. None of the patients under the influence of a single

0 procedures did not show deterioration in the ECG, and in 1/4 of the patients there was a positive trend. After the course of treatment, the positive dynamics, expressed in a decrease or disappearance of myocardial ischemia, an increase in electrical activity, a decrease or a complete disappearance of extrasystole, was observed in 37.1% of patients. Under the influence of the course of treatment, an increase in tolerance to physical load was observed.

0 The proposed method of treating patients with postinfarction cardiosclerosis excludes a pronounced load effect on the cardiovascular system of hydrostatic pressure. combined with cooling and inhalation of carbon dioxide by the patient, which makes it possible to expand the indications for the use of dry carbon dioxide baths and use them in the treatment of patients with postinfarction cardiosclerosis of both light and heavy groups, including the combination of coronary insufficiency and circulatory failure.

The method can be applied in patients with concomitant arterial hypertension, diseases of the joints and spine, and chronic inflammatory processes in other organs.

Claims (1)

METHOD FOR TREATING PATIENTS WITH POST-INFARCT CARDIOSCLEROSIS by means of carbon dioxide baths, characterized in that, in order to prevent adverse reactions in the treatment of patients with moderate and severe disease severity, dry carbon dioxide baths are administered with a supply of carbon dioxide at a rate of 10-15 l / min, heated to 28–32 ° C for 12–15 minutes daily. SU „„ 1041115