SU770500A1 - Method of treating patients - Google Patents

Description

The invention relates to medicine,

namely, physiotherapy and cardiology.

There is a method of treating patients

after myocardial infarction, the introduction of Panangin by electrophoresis

on the interscapular area at a current density of 0.03-0.07 mA / cm ² £ 1].

However, this method has a low

therapeutic efficacy that

leads to delays in rehabilitation.

The aim of the invention is to reduce the time of rehabilitation.

The goal is achieved

the fact that in the process

treatment of patients with heart attack

myocardium, panangin electrophoresis

carry out on the left shoulder region transcardinally.

The method is carried out as follows

in a way.

In the period of early rehabilitation

patients who had myocardial infarction (30-45 days after the acute onset of the disease), along with complex therapy (exercise therapy, massage of the neck area, dosed walking, diet), parangin electrophoresis is prescribed.

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potassium and magnesium asparaginate according to the following procedure: a hydrophilic pad of 150 cm ² is moistened with a 2% panangin solution, placed on the area of the left shoulder blade and connected to the cathode of the galvanization apparatus; indifferent electrode of the same area, moistened with warm water, impose on the heart area. The current density is 0.030.07 mA / cm, ^{2 the} duration of the procedure is from 10 to 20 minutes, the course is 10-12 procedures. The first 6 procedures are carried out every other day, and the next - daily.

Example. Patient B., 47 years old, was admitted on day 34 after acute onset of the disease with a diagnosis of coronary heart disease. Atherbsclerosis of coronary arteries Post-infarction cardiosclerosis (transferred large-focal myocardial infarction on the posterolateral wall of the left ventricle). Chronic coronary insufficiency

The patient complained of periodic pains of a pricking character in the region of the heart with their irradiation to the left arm, a feeling of lack of air and a heartbeat with moderate physical activity.

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770,500

four

stress, general weakness,

insomnia

An objective study revealed a percussion - left border of relative heart dullness at 1 dly outwards from the midclavicular line, right and upper within the normal range ^ musculature - muffled heart sounds, pulse 78 beats per 1 minute, rhythmic, satisfactory filling and stress. Blood pressure 120/80 mm Hg. Art. ECG sinus rhythm correct 75 cuts in 1 min. Cicatricial changes on the posterior-lateral wall of the left ventricle, malnutrition on the anterolateral wall of the heart. In the lungs - vesicular breathing. The abdomen is soft, painless on palpation. Urinary tract * without pathology;

The patient received panangin electrophoresis on the left scapular region, transocardially, in complex therapy. Method: with a 2% Panangin solution, a hydrophilic pad of 150 cm is moistened and placed on the left shoulder area and connected to the cathode of the galvanizing apparatus, an indifferent electrode of the same area moistened with warm water is superimposed on the heart area and connected to the anode. The current is 5-8 mA, i.e. the current density is from 0.033 to 0.05 x mA / cm, ^{2 the} duration of the first 2 procedures is 10 minutes, the third is 15 minutes, and the next are 20 minutes each. In the course of 10 treatments. The first 5 procedures were prescribed. Through the day, followed daily. The patient began electrophoresis procedures on day 3.

The patient, well tolerated the procedure of electrophoresis of Panangin, after 3 procedures noted a noticeable decrease in the existing complaints, after 5 complaints he did not present. After the treatment, the pulse was 72 beats per 1 minute, the blood pressure was 120/70 mm Hg.

According to the ECG, a significant improvement was noted in the nutrition of the anterior-lateral region of the heart and a marked decrease in the ischemia zone in the focus area (that is, on the posterior-lateral wall of the left ventricle).

The patient was discharged with significant improvement, stayed in the hospital for 27 days, began work at the end of even 10

one month from the day of myocardial infarction.

Clinical observations on 70 patients confirm the high efficacy of using 2% electrophoresis of Panangin's solution according to the transcardial method in complex therapy in patients who have had a myocardial infarction 30-45 days after the acute onset of the disease.

All patients tolerated Panangin's electrophoresis procedures well, no adverse events were observed in any of the observed patients.

The average stay of persons who received Panangin electrophoresis according to the transcardiac method was 26.9 days, and with the known method it was 30.1 days, i.e. it was possible to reduce the rehabilitation time by 3.2 days.

20 When studying the long-term results of treatment, it was found that by the end of the fourth month from the onset of myocardial infarction disease, 72.2% of patients left by the proposed method began to work, and by the end of the sixth month - 89.6. And in a known manner, respectively, 66.4 and 84.3%.

30 Thus, the use of panangine electrophoresis according to the transcardial technique will allow in the period of early rehabilitation (30-45 days after the acute onset of the disease)

35 in the complex therapy to reduce the time of rehabilitation.

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Claims (1)

Claim A method of treating patients who have suffered a myocardial infarction by electrophoresis of a panangin solution on the interscapular region, characterized in that, in order to shorten the rehabilitation period, panangin electrophoresis is carried out on the left scapular region transcardially.