SU1736512A1 - Method of treating gastric and duodenal ulcer - Google Patents

Abstract

The invention relates to medicine, specifically to gastroenterology, and to methods of influencing the treatment of gastric and duodenal ulcers by gastroenterology, and to methods of affecting laser radiation, synchronized in power with the rhythms of pulse and respiration. The goal is to accelerate the healing of lesions. The laser therapy session is carried out. The invention relates to medicine, in particular gastroenterology, and can be used to treat exacerbations of the ulcer disease. The purpose of the invention is to accelerate the healing of lesions. The goal is achieved in that according to the method, the laser effect is synchronized with the rhythms of the pulse and respiration, with an increase in the maximum irradiation power during the systole and inspiratory phases with a modulation depth of 30%, which is effected by radiation with a wavelength of 940 nm, power on an empty stomach in the morning hours (9- 11 h) after standard premedication. The power supply of the laser and the Harmony L device is switched on, a breath sensor is placed on the patient’s chest and a pulse sensor is attached to the index finger, while the Harmony device is monitored using a test lamp and an ammeter, the patient is placed on the operating table and endoscopy is performed according to the standard technique with an endoscope 01 ympus with an end face optics. The quartz light guide from the source (laser) is conducted through the biopsy channel until it protrudes 0.2-0.5 mm from the channel. Irradiation of the edges of the ulcers is carried out in circular motions from a distance of 0.5-1.0 cm for 3-4 minutes at a wavelength of 940 nm, a power of 5-100 mW / cm2. 2-3 times a week with 3-4 sessions. The laser effect is synchronized with the rhythms of pulse and respiration, while increasing the maximum irradiation power during the systole and inspiratory phases with a modulation depth of 30%. 5-10 mW / cm from a distance of 0.5-1.0 cm for 3-4 minutes 2-3 times a week with the number of sessions 3-4. The method is carried out as follows. A treatment session was performed on an empty stomach in the morning (9-11 hours) after standard premedication. The power supply of the laser and the Harmony L device is turned on, a breath sensor is placed on the patient’s chest, and a pulse sensor is attached to the index finger. At the same time, the Harmony device is monitored according to the control word С vj:

Description

lamp and ammeter. The patient is placed on the operating table and an ecdoscopic study is carried out according to the standard technique with an endoscope Ol ympus with an end face arrangement of optics. The quartz light guide from the source (laser) is conducted through the biopsy channel until it protrudes 0.2-0.5 mm from the channel. The edges of the ulcer were irradiated in circular motions from a distance of 0.5-1 cm for 3-4 minutes.

The impact is produced by a laser with radiation at a wavelength of 940 nm using a Harmony instrument. With this device, the Harmony-L (laser version) signals from the patient’s pulse and respiration sensors modulate the carrier frequency of 10 Hz and the total signal with a modulation depth of the pulse (30%) and respiration (30%) with a delay of 02 s and controlled through power laser intensity laser irradiation. At the same time, the operation of the sensors and the device (output current of the laser power supply) is controlled by light and sound indicators. The timer of the device is not used due to the short duration of irradiation.

After the session is completed, first remove the network, then the endoscope removes the pulse and respiration sensors, turn off the power to the laser and the Harmony-L device.

The mean time for cicatrization of gastric ulcers is 17.7 ± 2.1 days (3.5 ± 0.7 sessions) and duodenal ulcers 13.5 ± 1.4 days (3 ± 0.3 sessions), relief of pain 1- 3 sessions.

Example. Sick KL A.L., 33 years old. was admitted to the hospital on 10.26.89 with a diagnosis of duodenal ulcer disease in the acute stage. Complaints of epigastric pain in a starving person, heartburn. At endoscopy of 10/24/89, the dorsum of the bulb of the duodenum measuring 0.7 x 1.1 cm was found. The appearance of a catarrhal bulbit. cicatricial link deformation of the bulb. 10.27.89

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started a course of laser therapy using the device Harmony. A laser therapy session was performed on an empty stomach in the morning (9-11 hours) after standard premedication.

5 Turned on the power supply of the laser and the device Harmony-L. A breath sensor was placed on the patient's chest and a pulse sensor was attached to the index finger, while the Harmony device was controlled by a test lamp and an ammeter. The patient was laid on the operating table and underwent an endoscopic study according to the generally accepted methodology with an Ol ympus endoscope with a flat location of the optic. A quartz light guide or a source (laser) was led through the biopsy channel until it was 0.2-0.5 mm out of the channel. The edges were irradiated by circular motions from a distance of 0.5 cm in

20 for 3 minutes After the session was completed, the light guide was first removed, then the endoscope, the pulse and respiration sensors were removed, and the power of the laser and the Harmony-L device were turned off. After the second session, the pain was

25 fully docked. A total of 3 sessions were performed, cicatrisation of ulcers was noted at EDGS of 11/14/89.

Claims (2)

1. The method of treating gastric and duodenal ulcers by affecting Laser irradiation, characterized in that, in order to accelerate the healing of lesions, laser irradiation is synchronized with rhythms, pulse and breathing, while increasing the maximum irradiation power during systole and inhalation with a modulation depth of 30%. 2. A method of pop .. 1, characterized in that they affect laser radiation 40 with a wavelength of 940 nm, a power of 5-100 mW / cm from a distance of 0.5-1.0 cm for 3-4 minutes, 2-3 times a 3-4 sessions per week.