SU1286220A1 - Method of treatment of abstinence alcoholic syndrome - Google Patents

Abstract

This invention relates to the field of medicine, namely narcology. The purpose of the invention is to reduce the duration of treatment. Three electrodes are placed on the patient's head, they are tightly fixed and high-frequency bipolar pulses are fed to them. To eliminate pain under the electrodes, the pulses from the second generator are served in the pause between the bursts of pulses of the first generator. The procedure is carried out for 60-90 minutes. With mild and moderate degrees of alcohol withdrawal, the course of treatment is 1-2 procedures. with (L

Description

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This invention relates to medicine, namely narcology.

The purpose of the invention is to reduce the time of treatment with percutaneous electrostimulation.

The method is carried out as follows.

On the head of the patient impose

The patient was given 1 electrostimulation session (duration of the procedure

electrodes lubricated electrically conductive

paste and fixed tightly copper - 0 AOR min, an amplitude of about 250 mA). With a plaster plaster, and the first time the procedure is, the patient calmly leads the electrode to the area of the nose bridge, and the second forked one to the area of the mastoid processes. The third electrode is placed in the center of the hinge area on the border of the scalp. They are served out on the couch. After the end of the session, he noted the disappearance of headache, nausea. Objectively: the patient has become

Somewhat quieter, less irritable, the hectare of alcohol remained. BP 130/90 mm Hg, PS 100 beats / min, BH of 20 per min. The tremor of the fingers was preserved, the tendon reflexes were elevated, the Romberg staggered, the finger-nose held the test with an error.

Frequency bipolar pulses with a duration of (1.2 - 1-, 5) 10 s with a repetition rate of (100-180) 10 Hz, an amplitude of 250-400 mA, modulated by rectangular pulses of duration (3-4) 10 s a discrete frequency increasing 77-88-1OOHz from generators. Pulses from the first generator are supplied to the first and forked electrode on the mastoid processes, and to the first and third electrodes

25

pulses from the second generator are applied to the back of the head.

In order to avoid pain, the genus electrodes impulses from the second reHepaiTopa are served in the pause between the bursts of pulses of the first generator.

thirty

The next day, the procedure was repeated, but its parameters were increased (t 60 PLN, 1 AOO). After the procedure, the patient noted the occurrence of drowsiness, the disappearance of anxiety, and alcohol.

Objectively: the patient is in contact, calm, even mood, criticism of his condition, BP 130/90 mm, Hg, PS 80 beats / min, BH of 20 per min. The light tremor of the fingers was preserved, the tendon reflex. The procedure was carried out for 60-90 min-3-5 sy N, S D, finger-nasal test and in the prone position. For alcohol withdrawal syndrome (AAS), a mild and moderate degree of treatment is 1-2 procedures, with augmented AAS - 3 procedures daily.

PRI me R 1. Patient L., 31 years old. Diagnosis: chronic alcoholism stage 1 i, alcohol withdrawal syndrome. On admission the patient is pre-40

Romberg's sample EXECUTED without errors.

On the third day, the procedure was again performed; the stimulation parameters are similar to those of the second session. During the procedure, the patient was asleep. At the end, he noted an improvement in mood, general well-being.

Objectively: the patient is calm, her mood is new, her mood is even.

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l l complaints of weakness, nausea, ser-BP 130/90 mm Hg, Ps 76 beats./min, healing, headache.HD 20 per min. The tremor of the hands has stopped,

Objectively: the patient is agitated, restless, low mood, comes into contact with difficulty, (he actively demanded alcohol for drinking, was uncritical, there was no installation for treatment.

finger-nose test performed without errors, stable in the Romberg position.

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Example 2. Patient A., 54 years old. The diagnosis of chronic alcoholism stage 11, alcohol withdrawal syndrome. When entering the patient

Somatic: increased nutrition.

PS 120 UD. / MIN, single extrasystoles BH 20 per min.

Neurologically: to go dodging in the Romberg posture, overshooting when performing a finger-nose test, finger tremor, the language of the tendon reflexes evenly increased S D.

The patient was given 1 electrostimulation session (duration of the procedure

ZO min, the amplitude of the eye 250 mA). During the procedure, the patient calmly

ZO min, the amplitude of the eye 250 mA). During the procedure, the patient calmly

pressed on the couch. After the end of the session, he noted the disappearance of headache, nausea. Objectively: the patient has become

ZO min, the amplitude of the eye 250 mA). During the procedure, the patient calmly

Somewhat quieter, less irritable, the hectare of alcohol remained. BP 130/90 mm Hg, PS 100 beats / min, BH of 20 per min. The tremor of the fingers was preserved, the tendon reflexes were elevated, the Romberg staggered, the finger-nose held the test with an error.

The next day, the procedure was repeated, but its parameters were increased (t 60 mnn, 1 AOO). After the procedure, the patient noted the appearance of drowsiness, the disappearance of anxiety, ti to alcohol.

Objectively: the patient is in contact, calm, the mood is even, criticism of his condition has arisen, BP is 130/90 mm, Hg, PS 80 beats / min, BH of 20 per minute. The light tremor of the fingers of the hands, tendon reflexes N, S D, the finger-nose test and

sy N, S D, finger-nose test and

Romberg's sample EXECUTED without errors.

On the third day, the procedure was again performed; the stimulation parameters are similar to those of the second session. During the procedure, the patient was asleep. At the end, he noted an improvement in mood, general well-being.

Objectively: the patient is calm, balanced, the mood is even.

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BP 130/90 mm Hg, Ps 76 beats./min, BH of 20 per min. The tremor of the hands has stopped,

finger-nose test performed without errors, stable in the Romberg position.

Example 2. Patient A., 54 years old. The diagnosis of chronic alcoholism stage 11, alcohol withdrawal syndrome. When entering the patient

pronounced hyperhidrosis, cutaneous complaints of headache.

The ROBES of the face are hyperemic, the tongue is lined with brown with bloom, the liver is at the edge of the costal arch, painful on palpation, BP 150/90 mm Hg ,.

feeling of approaching death, b in the stomach.

Objectively: the patient is anxious, swarming depressed, in contact with all

feeling of approaching death, abdominal pain.

Objectively: the patient is anxious, the mood is depressed, reluctant to come in contact, rude in conversation, developed sharply expressed ha of alcohol.

Somatically: undernourishment, face and sclera of the gaps are hyperemic, the tongue is dry coated with brown patter. Heart sounds deaf, rapid, blood pressure 160/90 mm. Hg Art., PS 100 udmin BH 30 per minute, single. The boundaries of the liver slightly increased.

Neurologically: pronounced tremor of the whole body, overshooting when performing a finger-nose test, unstable in the Romberg position, tendon reflexes elevated, S D.

The patient was given a session of electrostimulation, the duration of the procedure was 90 minutes, the amplitude value of the current was 400 mA. During the procedure, the patient was dozing. At the end of the session, the patient noted a significant decrease in alcohol, a headache and abdominal pain, anxiety reduction.

Objectively: the patient became much calmer, did not conflict with Perso

bavits from the play. DC mm Hg, PS 95 beats./min, BH 22 per min. The tremor was significantly reduced, the finger-nose test performed with a smaller error: 30 Romberg's pose to go round the geals.

On the second day, the procedure was repeated, the stimulation parameters were the same. During the procedure, the patient was asleep. When I woke up, I felt myself vigorous, 35 well rested, T ha of alcohol completely disappeared.

Objectively: the patient is calm, balanced, the mood is even, BP 140/80 mm Hg, Ps 76 udmin, 40 BH 18, per min. The tremor disappeared, in the Romberg posture is stable, finger-nose pro

Bu performed without errors, tendon reflexes were somewhat increased, S D.

On the third day, the last procedure is carried out, the stimulation parameters are the same. During the procedure, the patient was dozing, at the end of her patient noted a significant improvement in mood, having prompted cheerfulness, expressed a desire to get down to work as soon as possible.

Objectively: the patient is calm, his mood is even, criticism for the disease has appeared, is correct, benevolent, BP is 130/80 mm Hg, PS 76 beats / min, BH 18 per min. The tremor was absent, in the Romberg posture is stable, the finger-nose test is performed without errors, the tendon reflexes are alive.

At the end of this course of treatment, the patient in good health proceeded to occupational therapy.

The use of the method makes it possible to shorten the duration of treatment up to 1-3 days depending on the severity of its course.

Claims (1)

Invention Formula A method of treating alcohol withdrawal syndrome by percutaneous exposure. a pulsed current on the brain, characterized in that, in order to shorten the time, transcutaneous electrical stimulation is performed in the area of the nose bridge, mastoid process and the occiput by bipolar pulses of 1.2-1.5 1 (5 with a pulse frequency of 100-180 10 Hz , with an amplitude of 250-400 mA, modulated by rectangular pulses with a duration of 3-4 -10 with a repetition rate of 77-88-100 Hz with a total duration of the procedure of 60-90 minutes.