SU1438811A1 - Method of treatment of patients ill with chronic nonspecific diseases of the lungs - Google Patents

Abstract

This invention relates to medicine, pulmonology and physiotherapy. The purpose of the invention is to reduce the duration of treatment and lengthen the remission period. To do this, the biologically active points of the anterior surface of the chest along the kidney and stomach meridian are affected by an electric exponential pulsed current in a discontinuous mode with a pulse frequency Hz, with an interval of 3-5 s and a force of 20-35 mA synchronously with the expiratory phase for 15-20 minutes. The posterolateral surfaces of the chest and the adrenal region are affected along the meridian of the urinary tract with the same parameters of the electric current. Electrodes are arranged in pairs in front and behind. The choice of points is determined by the existing identity with the somatic or autonomic innervation of the lungs (the points of the anterior and posterior surfaces of the chest). SL

Description

The invention relates to medicine, namely to pulmonology and physiotherapy.

The purpose of the invention is to reduce the duration of treatment and lengthen the remission period.

Example 1. Patient K, 21 g., Complained of occasional shortness of breath, dry cough, weakness, shortness of breath. Sick with chronic bronchitis for 15 years. Objectively: there is a pulmonary sound above the lungs, dry whistling wheezing, exhalation is extended, the number of breaths is 22 per minute, diffuse pneumosclerosis is determined radiographically, fibrous roots.

Diagnosis: chronic obstructive bronchin in the acute phase. Respiratory failure About degree.

Treatment was prescribed: respiratory gymnastics, bronchodilator powders Bromhexine, suprastin, expectorant mixture, electrical stimulation of respiratory muculature, as well as 15 procedures of the chest reflexogenic zones, 15 min exposure at a pulse current of 20 mA, frequency of 20-120 Hz with an interval of 3 s synchronously with the expiratory phase.

When selecting points for exposure to the respiratory organs, they were guided by the principle of common points (the dermomio, skeletomer is taken into account) with the lungs, which are inverted mainly by D, -, D, -, R. cops.

Consequently, predominantly dots were chosen that have somatic or vegetative innervation (points of the anterior and posterior surface of the chest) that are identical with the lungs. On the posterior surface of the chest, the points were located along the meridian, the bladder, on its 1st branch, which runs parallel to the posteriorly middle line at 1.5 tsun from the spinous processes of the vertebrae, and the second branch - 3 tsun of

On the anterior surface of the chest, the electrodes overlapped along the kidney meridian — in the chest region, the meridian passes at a distance of 2 tsun from the midline - and along the outer part of the meridian of the stomach at a distance of 4 tsun from the midline.

Thus, the effect was carried out on the muscles of the anterior and posterior

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her chest surface and biologically active points (BAT), located in the anterior and posterior surface of the chest.

The places of imposition of 8 electrodes (4 channels) alternated: on even days - 4 electrodes were superimposed on the posterior surface of the chest at a distance of 1.5 centimeters from the spinous processes of the spine, anteriorly at a distance of 2 cenne from the midline; on odd days m, respectively 3 tsun rear and 4 tsun front.

After the third electrostimulation session, there was a tendency to improve the general condition, which consisted in reducing the size and difficulty in breathing. By the end of the course of treatment, difficulty breathing disappeared. Remission phase reached. The patient in satisfactory condition was discharged home.

Example 2, Patient D, came to the clinic complaining of a cough with a separation of mucopurulent sputum, weakness. Sick with bronchoektatichesky disease for 7 years,

Objective: above the lungs there is a dulling of pulmonary sound, in the lower part of the left auscultatory breathing is hard, single moist rales on the left in the lower sections. Radiographs of pneumofibrosis, on the left of bronchiectasis, are radiologically expressed.

Diagnosis: Bronektatichesky disease of the lower lobe of the left lung zychkovyh segments, aggravation phase.

Treatment prescribed: Bromhexine, calcium gluconate, hemodenal v / v, suprastin.

Electrostimulation of respiratory muscles, and also reflexogenic zones of the chest in the amount of 18 procedures, exposure time 20 min, pulsed current 30 µA with a frequency of 20-120 Hz, pulse interval 4 s synchronous with the expiratory phase. Places of imposing electrodes alternated (imposing of electrodes was carried out as in example 1)

After the fourth session of electrostimulation, the relief of sputum separation, a change in its character from mucous-purulent to a serous-slimy condition, an improvement in the general condition, was noted. By the end of the course of treatment,

The remission phase has been reduced. Patient D. was discharged home in satisfactory condition.

Example 3. Sick A., 32 gda, was admitted to the clinic with complaints of attacks of suffocation, shortness of breath with little exertion, cough with separation of mucous sputum, weakness. Sick bronchial asthma for 5 years.

Objectively: there is a pulmonary sound above the lungs, dry whistling wheezing, the number of respiratory movements 25 per minute are heard during auscultation. X-ray: a moderate increase in pulmonary pattern.

Diagnosis: bronchial asthma, infectious-allergic genesis, stage I, moderate, body phase, respiratory failure, first degree. Considering the severity of the course of the disease, it was necessary to act on the sympatho-adrenal system in order to normalize its function and improve the tolerability of the drugs.

Treatment prescribed: euphyllinum in / in drip, Korglikon in / in drip, bronchodilator powders, suprastin no-sh / v, dimedrol in / m, electrical stimulation of the respiratory muscles, reflexogenic zones of the chest, I also in the area of projection of the adrenal cortex in the amount of 20 procedures, exposure time 20 min, pulsed current 35 µA with a frequency of 20-120 Hz, pulse interval 5 s synchronous with the videooho phase. By the end of the course of treatment, the attacks of suffocation, cough ceased, shortness of breath decreased. The patient was in remission of the disease.

The proposed treatment is applied in 210 patients. Chronic bronchitis - 120 patients; chronic obstructive bronchitis - 80 patients; chronic nonobstructive bronchitis of 40 patients.

Bronchial asthma - 70 patients.

Broncoectasis - 20 patients.

. Among them, women - 56.4%, men 43.6% between the ages of 21 and 60 years. All patients were admitted in the phase of recurrence of the disease.

As a result of the treatment by the proposed method, the attacks of suffocation disappeared, the sputum became easier to separate.

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and less viscous, there was an improvement in the general condition of the patients, a decrease in the respiratory rate and heart rate, and an increase in the overall resistance of the organism. The positive effect of electrostimulation on the nature of the process in patients was evidenced by data from the study of respiratory function, immunological and biochemical studies.

The use of electrostimulation in the complex treatment of patients with chronic non-sedimentary lung diseases at the inpatient stage reduces the use of drugs by 40-50%.

In patients with chronic non-obstructive bronchitis, the remission phase was achieved in 100% of cases; in patients with chronic obstructive bronchitis, the remission phase was achieved in 84.3% and the exacerbation phase of silence in 15.7%; in patients with bronchial asthma, the remission phase was achieved in 75.5%; the incomplete remission phase of 24.5% in patients with bronchiectasis - the remission phase was achieved in 82.6% of the incomplete remission phase of 17.4%.

Long-term results of treatment (1 g) indicate a stable therapeutic effect, as remission was maintained in 67.2% of patients.

The bronchial drainage function is improved, which contributes to the rapid elimination of inflammatory phenomena; when electrostimulation is applied to the projection area of the adrenal cortex, the tolerability of chemotherapy drugs is improved, the function of the sympatho-adrenal system is normalized; similarly, the heart rate and respiration rate are reduced, the general resistance of the organism increases, the histamine metabolism is normalized, the autoimmune processes of the organism decrease, the effects of bacterial sensitization decrease, i.e. treatment efficacy is enhanced.

Claims (1)

Invention Formula A method of treating patients with chronic nonspecific lung diseases, including exposure to the posterolateral electric current 51A38811 upper thorax and area mode with a pulse frequency of 20 adrenal glands, distinguishing 120 Hz, with an interval of 3-5 seconds, with a strength of 20 so that, in order to reduce 35 mA synchronously with the expiratory phase in the treatment time and prolong the period. gchenie 15-20 min, and the impact on remission, additionally affect the back side of the thoracic to the biologically active points in front of the cell, along the urine meridian, the chest surface is in a me- dium form with the same parameters as the elec- trianum of the kidneys and the stomach of the exponential-current, having the electro-pulsed current in interruptions in pairs in front and behind.