SU1238760A1 - Method of treatment of patients suffering from postoperational enteroparesis - Google Patents

Description

The invention relates to medicine and can be used in surgical and resuscitation practice.

The purpose of the invention is to reduce the time of treatment of patients with postoperative intestinal paresis.

The method is carried out as follows.

On the second day after the operation, the clinical manifestations of the developing paresis of the pestle manifest as abdominal distension, lack of peristaltic gums and gas discharge; pain syndrome, moderate asthma, etc., process the skin at the site of the introduction of needles with an antiseptic solution. Acupuncture needles are inserted at GI-4, E-36, E-25, F-3, and at two points of the median line, located in the middle of the distance from the xiphoid process to the navel and from the navel to the pubic bone. Then the needles are supplied with current from the electrostimulation device. Bipolar pulses of rectangular shape with a duration of each phase of 20 ms, a frequency of 7-14 Hz, a force of 0.5-1.5 mA, selected individually according to the patient's feelings, are affected. The duration of the procedure is 20-30 minutes. Additionally, a hypertensive enema is prescribed after the procedure.

Example 1. Patient D., 68 years old, diagnosis: recurrent calculous cholecystitis. A history of allergies to many drugs and chemicals used in everyday life. On 2.01.83, cholecystectomy, Vishnevsky choledoch drainage, abdominal drainage were performed.

After the operation, functional intestinal paresis developed, which manifested itself in abdominal distension, absence of gas and auscultatory peristaltic noise. The confusion of the diaphragm reduced the excursion of the lungs, which was expressed in mild shortness of breath. Zhelulok, the patient was emptied through a probe.

To restore the intestinal motor function on the second day after the operation, the patient was injected with sterile nichrome needles, after having treated the skin with an antiseptic solution. The needles were inserted into the acupuncture points GI-4, E-25, E-36, F-3 symmetrically, as well as at two points located in the middle of the distance from the base of the xiphoid process of the sternum to the navel and from the navel to the symphysis of the pubic bone along middle meridian. A pulsed alternating current of rectangular shape with a duration of the positive and negative part of pulses of 20 ms and a frequency of 14 Hz was applied to the inserted needles. The current was 1.2 mA. The procedure lasted for 20 minutes. At the 19th minute, intestinal electrical activity was recorded on the gastroenterocarograph and auscultative peristaltic noise. Through

10 minutes after the end of the stimulation, the patient had gasses and his stomach fell off. Fifteen minutes after the end of the stimulation, an enema was made with a 40 ml hypertonic sodium chloride solution. After another 20 minutes, the patient had a chair. Dyspnea decreased, the patient managed to fall asleep.

Throughout the subsequent postoperative period, the intestinal motor function remained at a sufficient level without additional procedures, which made it possible to quickly switch to enteral feeding. Thus, in one day, the intestinal motility was restored. .

Example 2. Ill P., 38 years old, diagnosed with gastrointestinal bleeding. Operated on 10/16/85. The closure of a bleeding stomach ulcer was performed. After the operation, in connection with significant blood loss, the patient was transferred to the intensive care unit, where she developed postoperative intestinal paresis, expressed in the absence of discharge of gases and peristaltic auscultatory schum, severe abdominal distension, accompanied by severe pains.

On the second day after the operation, attempts were made to resolve intestinal paresis with the help of medications, as well as with the help of gastric decompression and the introduction of the venting tube, which were unsuccessful. By the end of the second day, after emptying the stomach through a probe and treating the skin with an antiseptic solution, the patient was injected with sterile nichrome needles at the GI-4, E-25, E-36, F-3 acupuncture points symmetrically, as well as at the anterior points the median meridian in the middle of the distance from the xiphoid process to the navel and from the navel to the pubic bone. Electric stimulation through the inserted needles was carried out with a pulsed symmetric alternating current of rectangular shape with a pulse duration of 20 ms each part of the pulse, with a frequency of 7 Hz, the peak value of the current was 0.8 mA. The procedure lasted 30 minutes. At the 22nd minute, a significant increase in the activity of the kin1echnik recorded using the phonogram: “s intestinal noise. 10 minutes after the end of the procedure, the patient was given an enema with a hypertonic solution of sodium chloride in a volume of 50 ml. 25 minutes after the end of the stimulation, the patient left the gases, his stomach fell, the pain syndrome diminished. Despite the preserved peristalsis, there was no swelling during the day, so the procedure was repeated the next day under the same conditions as the day before, but the current amplitude was increased to 1.3 mA

j1238760

without the appearance of a painful sensation in the patient, no one was noted. So mony. After the second procedure, there was stool function. The intestinal function was restored. Further, dysfunction of the intestine was restored in two days.

Claims (1)

METHOD FOR TREATING PATIENTS WITH POSTOPERATIVE INTESTINAL GASES BY ACCESSING POINTS OF ACUPUNCTURE BY ELECTRIC SHOCK THROUGH NEEDLES. the midline, in this case, they are affected by rectangular bipolar current pulses with a phase duration of 20 ms, a frequency of 7-14 Hz, a power of 0.5-1.5 mA for 20-30 minutes. u with QO