SU1242186A1 - Method of treatment of tobacco smoking - Google Patents

Description

The invention relates to medicine, namely to narcology, and can be used for the treatment of tobacco smoking in narcological dispensaries, in the physiotherapy departments of polyclinics, hospitals and sanatoriums.

The purpose of the invention is to reduce the duration of treatment and prolong the remission. The method is carried out as follows.

6 electrodes moistened with physiological saline are fixed on the skin of the head above the frontal and central regions of the brain in both hemispheres and on the mastoid processes on the right and left using a plaster or elastic bandage. The electrodes located above the areas of the brain are interconnected and the packs of negative polarity pulses are applied to them, and the interconnected electrodes on the mastoid processes are of positive polarity. Stimulation parameters: pack duration 3-5 s, duty cycle 2, pulse duration 50-100 µs, pulse frequency 80-120 Hz, current density from 0.1 to 0, -2 mA / cm. CSF treatment consists of 7-10 sessions, lasting 30-40 minutes daily.

Indications for the use of the proposed method of treatment: tobacco smoking, continuous and periodic types of the disease.

Contraindications: tumors of any origin and localization, acute infectious diseases, decompensation of respiration and blood circulation, epilepsy

The first procedure is carried out 15-20 hours after smoking, i.e. in the initial stage of abstinence, which develops as a result of smoking. The assessment of the condition of patients before treatment, during therapy and after the end of the course of treatment is carried out using clinical and electrophysiological research methods.

The clinical study includes, in addition to the description of the medical history, a test of the manifestation of 14 symptoms of nicotine withdrawal: hyperhidrosis; distal extremities, chills like tremor, dizziness, headache, unpleasant sensations in the region of the heart, tachycardia, vasomotor lability, paroxysmal

heightened arterial pressure, thirst, bulimia, general weakness, increased emotional lability, sleep disturbance, uncertain anxiety.

Before the first procedure of electrostimulation, on the background of a 15–20-hour abstention from smoking, an initial phase of development of abstinence was observed, which often included 2–3. . symptom. Patients complained of headache, pain, heart attacks, dizziness. All patients noted a desire to smoke. After the procedure, patients reported improved well-being.

After carrying out 2-3 procedures, although the desire to smoke was preserved, the patient became unbearable tabac0: ny1yy smoke. Attempts to smoke ended in the fact that a disagreeable taste appeared in the mouth, and smoking was not a pleasure. Before each of the following procedures in patients with

1 clinical and laboratory studies clearly revealed a symptom of withdrawal syndrome, which were stopped by the next procedure. After electrostimulation, headaches disappeared or decreased in patients, blood pressure returned to normal, the heart rate decreased, and the respiratory rhythm became deeper and more even.

According to modern ideas about the pathogenetic mechanisms of drug addiction, the cessation of drug administration is accompanied by an excessive accumulation of noradrenaline precursors and, as a result, a significant activation of the sympathoadrenal system. Normalization of the function of this system and under the influence of electrostimulation is the main mechanism for stopping nicotine abstinence.

After conducting the course electr. stimulation (7–10 procedures) in patients with clinical and laboratory studies did not observe astinandia, although occasionally there was a state of gratuitous anxiety, increased emotional lability. All 50 patients after treatment stopped smoking tobacco. Follow-up surveillance for 1-3 years showed that out of 50 people

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35 (70%) did not completely smoke; the remaining 15 people (30%) significantly reduced the number of cigarettes smoked. In a clinical study, it was revealed that in these patients the type of the disease course changed: if prior to smoking, the nature of the tobacco smoking indicated a continuous type of flow with a pronounced physical dependence, then after treatment the type of flow became intermittent IMC. 5 out of 15 people underwent a second course of electrical stimulation and stopped smoking. The remaining 10 people didn’t have a complete refusal to smoke, they continued to smoke 2-3 cigarettes per day (20-40 cigarettes were smoked per day before treatment).

Primer p. Patient T., born in 1948. He started smoking from 14 years old since the age of 17, smoked systematically, smoked 15-20 cigarettes a day before starting treatment. Attempts to stop smoking did not undertake. The refusal to quit smoking resulted from the fact that some of his friends stopped smoking and were advised to follow their example.

After cessation of smoking, the patient experienced withdrawal symptoms in the form of headache, sleep disorders, unpleasant sensations in the heart, bulimia, and general weakness.

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in the lot. Conducting electrostimulation stopped this symptom). Electrostimulation was carried out in the following way: 6 electrodes moistened with saline were fixed over the frontal and central regions of the brain on the skin of the head and mastoid processes. The electrodes located above the areas of the brain were connected to each other, and packs of pulses of negative polarity were applied to them, and electrodes on the mastoid processes were connected to the anode of the electrostimulator.

Electrostimulation parameters: bursts of pulses, duration 5 with negative polarity, duration of the interval between packs 5 s, pulse duration 100 µs, pulse frequency 120 Hz., Current density during the first session 0.1 ml / cm in subsequent procedures, it increased as adaptation developed and, during 9 and 10 procedures, was 0.2 mA / cm.

After conducting a course of electrical stimulation, the patient cerates for a period of

two years.

f.

A comparative assessment of the effectiveness of treatment in the known and proposed methods of treatment is given in the table.

Claims (1)

METHOD OF TREATING TOBACCO KUR- NII by exposure to pulsed electric current, characterized in that, in order to lengthen remission, they act on the symmetrical frontal and central zones of the cerebral hemispheres with pulses of pulses of negative polarity for a packet duration of 3-5 s, duty cycle 2, pulse duration of 50 100 μs, pulse repetition rate 80-120 Hz 'with a gradual increase in current density from 0.1 to 0.2 mA / cm ¹ for 30-40 minutes and on the mastoid processes by pulse packets of positive polarity with similar parameters. No. Bie se