UA5870U - Method for treating syndrome of obstructive sleep apnea - Google Patents

Abstract

The method for treating the syndrome of the obstructive sleep apnea comprises the impact of the physical factor onto the selected area of the airways, namely amplipulse therapy is applied onto the area of the pulmonary roots.

Description

The useful model refers to the field of medicine, namely to physiotherapy, rochnopathy, and can be used in the treatment of sleep apnea syndrome.

The issue of treating snoring with or without obstructive sleep apnea syndrome (OSAS) has received considerable attention only in the last decade.

Modern medical science has made it possible to look at snoring and related problems in a different way. First of all, it became obvious that there can be many causes of snoring, and the consequences of prolonged snoring are quite serious and even fatal. The set of causes, and more often pathological conditions that lead to the appearance of snoring, are currently combined into a single concept, that is, snoring is not just a physical phenomenon, but a disease.

There is a known method of treating patients with snoring by means of outpatient laser surgical intervention |), which consists in using in one case - radiation of a COz" laser (1-10.6 μm) exclusively in the "super pulse" mode, and in the second - radiation of a series of surgical lasers (1-1.54; 2.09; 1.06; 0.81 μm) of pulsed-periodic action, which is transmitted through a quartz monofiber with a diameter of 400-600 μm.

With the help of these techniques, the soft tissues of the palate are not dissected or excised, under their influence there is a qualitative change in the tissues of the soft palate (sealing, volume reduction), which contributes to its "tightening", increasing the lumen of the nasopharynx, and the disappearance of snoring.

But when performing the specified technique, it is possible to treat only snoring - a secondary manifestation of sleep apnea, and the patient's sleep apnea itself remains, in addition, snoring is affected by only one localization. Snoring recurs and after some time the need for surgery arises. As you know, the cause of snoring is various parts of the respiratory tract, and in the specified method only one part is affected - the soft palate, which only reduces snoring.

The closest to the proposed technical solution is the method of treating breathing disorders during sleep in patients with persistent heart failure |2|.

In this study, the necessity of using respiratory support during sleep in patients with OSA is substantiated. The most promising in this regard is intranasal ventilation with constant positive pressure in the respiratory tract, the so-called CPAP therapy. This technique involves the creation of a positive pressure gradient in the airways during the inhalation phase by attaching a mask device, which is another breathing frame, to the patient's face during sleep. Air is constantly supplied from the compressor under pressure, which prevents exhalation from falling through the respiratory tract. In this way, most of the causes of sleep apnea are eliminated. This method can eliminate the obstruction of the upper respiratory tract and contribute to reducing the work of breathing; at the same time, contractility and ejection from the left and right ventricles increase.

But a significant drawback of this method is the need to constantly use the specified respiratory apparatus during sleep, which causes physical and psychological sleep discomfort for the patient, as well as for relatives surrounding the patient (the noise of the compressor prevents sleep for both the patient and others). There is a need to conduct psychotherapy both for the patient and those around him during sleep, who accept such patients as disabled.

The basis of a useful model is the task of improving the method of treating obstructive sleep apnea syndrome by applying a physical factor to the respiratory tract, namely amplipulsotherapy, which will allow to achieve a more pronounced etiopathogenetic therapeutic effect in a shorter period of time.

The task is solved by the fact that, according to a useful model, for the treatment of obstructive sleep apnea syndrome, amplipulse therapy is used on the lung roots, sequentially in MI and II modes of operation, with a modulation frequency of 30-50 Hz, a modulation amplitude of 0-10095, and a duration of the procedure of 8-12 waves, every day, a total course of 8-10 procedures.

The method is carried out as follows.

The patient underwent amplipulsotherapy according to the proposed method: - The patient lies on a flat couch on his stomach; - Pre-moistened and wrung-out rag pads are placed on the projection area of the lung roots; - Plate electrodes, which are fixed with rubber bandages, were placed transversely on top of the gaskets; - The effect is carried out by sequentially applying two types of modulation: IM and I modes of operation (RR), modulation frequency 30-50 Hz, modulation depth 0-10095, for 6-8 minutes (one procedure), 8-10 procedures per course of treatment .

The influence began with the IM mode of operation, which is characterized by the alternation of two sinusoidal currents with different modulation frequencies, and the second modulation frequency is always equal to 150 Hz (that is, the maximum). This mode was used to determine the sensitivity of the patient. Since the current during amplipulsotherapy increases until the patient feels a pronounced vibration, an increase in the current when alternating modulated current parcels and pauses (I mode of operation) can lead to a sharp increase in the feeling of vibration after the pause.

This can cause the patient to feel fear or protective muscle spasm, which is unacceptable. While at

THEIR mode of operation has no pauses, which allows you to smoothly increase the current until the patient's sensitivity threshold is reached, even at the maximum modulation frequency (150 Hu). After determining the sensitivity threshold, it is used

Its operating mode, in which sinusoidal modulated current pulses alternate with pauses, provides the best toning effect. The frequency of modulation in the 1st mode of operation was 30-50 Hz, to ensure the impact on the deepest structures of the chest. During the adaptation of the patient's body to vibration, the depth of current modulation was increased. However, taking into account the presence of cardiac pathology in the patients, the effects were limited in terms of time and severity of the stimulating effect.

An example of specific use of the method.

Patient T., 57 years old, suffers from hypertension I! st., obesity And! Art. The frequency of hospitalization is 3-4 times a year.

The reasons for hospitalization are hypertensive crises, mainly at night. Drug therapy did not give the desired result. During the last hospitalization in March 2004, the patient underwent 24-hour respiratory monitoring, which revealed a severe form of sleep apnea syndrome, which provoked nocturnal pressure increases. The patient underwent 10 physiotherapeutic procedures using the "Amplipulse 4" device according to the proposed method.

Amplipulsterpy was carried out sequentially, in IM and HER modes with a modulation frequency of 30 Gu and a modulation amplitude of 5095, the duration of the procedure was 10 waves, every day.

During subsequent nocturnal cardiorespiratory monitoring, the severity of apnea significantly decreased. Nocturnal increases in blood pressure disappeared, and the need for medication decreased.

The patient was discharged in a satisfactory condition without clinical manifestations of apnea.

Compared to the prototype, the proposed technical solution allows to normalize breathing disorders during sleep in patients with obstructive apnea syndrome, improve cardiac geodynamics, and reduce the number of apnea episodes.

Literature: 1. A.N. Nasedkin, V.G. Zenger. Outpatient laser surgical treatment of patients with snoring. - M., MMA named after I.I. Sechenova // News of otorhinolaryngology and logopathology, 2003. - P. 107-109. 2. I.M. Voronin, A.M. Belov, A.G. Chuchalyn Breathing disorders during sleep in patients with congestive heart failure.

P. 40-44.

Claims (1)

The method of treatment of obstructive sleep apnea syndrome, which includes the influence of a physical factor on the area of the respiratory tract, which is distinguished by the fact that amplipulsotherapy is applied to the area of the roots of the lungs consecutively in IM 1 CPU operating modes, modulation frequency 30-50 Hz, modulation amplitude 0-100906, duration procedures 8-12 minutes, every day, a total course of 8-10 procedures.