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INVENTION
Russian Federation Patent RU2234955

METHOD OF TREATMENT chronic obstructive bronchitis

METHOD OF TREATMENT chronic obstructive bronchitis

Name of the inventor: AY Lobanov (RU); Gilinskaya NY (RU); Chereiskaya NK (RU); Dorofeeva EF (RU); Eremin VA (RU)
The name of the patentee: Moscow Regional Research Clinical Institute (RU)
Address for correspondence: 129110, Moscow, ul. Shchepkina 61/2, Monica, Patent Group
Starting date of the patent: 2003.03.21

The invention relates to medicine and is intended for the treatment of chronic obstructive bronchitis. Carry out the impact of electromagnetic fields on the two. First, at the level of 4-7 thoracic vertebrae, and then at the level of 9-12 thoracic vertebrae. Rotating impact pulsed electromagnetic field induction 48-72 mT reverse rotation mode at the time of reversing from 4-6, with the repetition frequency of the electromagnetic field rotating parcels 20-30 Hz, for 7-10 minutes per field per treatment 7- 10 procedures. The method allows to increase the effectiveness of treatment of chronic obstructive bronchitis.

DESCRIPTION OF THE INVENTION

The invention relates to medicine, namely to therapy and physical therapy, and is intended for the treatment of chronic obstructive bronchitis.

A method of treating obstructive bronchitis comprising exposing one square roots in the projection light microwave electromagnetic field frequency of 460 MHz (the unit of "Wave 2"), the duration of exposure of 10 minutes daily, a course of 10-15 treatments (Electrotherapy in rehabilitative treatment patients with chronic bronchitis. Manual for physicians. Compilers Krupennikov AI et al., Moscow, 1999, p. 6).

The method has significant drawbacks: the impact only on the region roots of the lungs does not account for diffuse lesion of the bronchi in chronic obstructive bronchitis. When exposed to the electromagnetic field of the microwave in the organs and tissues there is heat with increased local temperature, which limits the indications for its use, but also apparatus used for this method, it requires a separate cabin with a screen of protective material, to protect the patient's eyes and caregivers glasses type "ARI-5", which makes it impossible to use the method in the House or in patients with severe and complicated disease.

A method of treating chronic obstructive pulmonary disease, including in vitro irradiation of blood in a disposable blood transfusion system, optical emission wavelength of 420-460 nm, with subsequent reinfusion rate of 5-7 sessions (RF patent №2173190, IPC A 61 N 5/067, publ. in 2001 YG).

The disadvantages of this method is invasive to the risk of infection and possible complications, cost and complexity of sampling methods, storage and reinfusion of blood, associated with the need to comply with the set terms and conditions, both on the part of medical personnel, as well as by the patient. The presence of wide contraindications.

The closest is a method of treating obstructive bronchitis using pulsed magnetic field frequency of 50 Hz, in a discontinuous mode (2 parcel 2 with pause) on the unit "Pole-2". The method consists of exposing using two cylindrical inductors installed first on the projection area of ​​the lungs of the roots (at the level of the thoracic vertebrae 4-7) - 1st Field, and then the lower parts of the lungs with the capture of the adrenal projection (at 9 thoracic - lumbar 1 vertebrae) - 2 field unlike poles to each other, subject to the polarity of the lines of force - in relation to the horizontal axis of the body or spine. This exposure for 10-12 minutes for each of the two fields. Procedures are carried out 4-6 times a week. In the course of 10 to 20 treatments. (. Techniques and methods of physiotherapy Handbook, edited by VM Bogolyubov, MA - 2002 - S.214-215).

The disadvantages of this method are: restriction of the use of only the phase of exacerbation subsides sluggish or partial remission of chronic obstructive bronchitis, low efficiency, increased duration of procedure and a single treatment course. The implementation of this methodology device "Pole-2" does not allow for the impact of magneto in the House for more severe conditions of patients.

The object of the invention is to remedy these shortcomings and improve the efficiency of treatment of patients with chronic obstructive bronchitis due to more intensive factor physiotherapy effects, reduce the time of a single procedure and duration of treatment, to extend the indication to the application of magnetic therapy in chronic obstructive pulmonary disease: is it possible to begin treatment of patients with first days of hospitalization, with any degree of severity of chronic obstructive bronchitis and any severity of respiratory failure.

For this purpose, a method of treating chronic obstructive bronchitis, electromagnetic effect includes two fields, at first at 4.7, and then at 9-12 thoracic vertebrae without timeslot affect proposed rotating induction electromagnetic field pulse mT 48-72 in reverse rotation mode of the electromagnetic field at the time of reversal of 4-6 seconds, with a repetition rate of parcels rotating electromagnetic field 20-30 Hz, for 7-10 minutes on each field, preferably daily, a course of treatment 7-10 procedures.

This method of treatment can reduce breathlessness and improve expectoration of sputum, increased peak expiratory rate of increase lung function and oxygen saturation of arterial blood, increase the glucocorticoid activity, to reduce the erythrocyte sedimentation rate. Thus, this method of treatment has a pronounced anti-inflammatory action and bronhodilyatiruyuschee.

The method is as follows.

Carry out the impact of rotating pulsed electromagnetic field (VIEMP) of the magneto device with two-channel source rotating pulsed electromagnetic fields "Pole-VIEM" (№29 / 06050602 / 4703-02 from 18.12.2002).

Assign effects VIEMP two inductors №3 unit "Pole-VIEM", having their contact in series into two fields: 1st field paravertebrally in the region of 4-7 thoracic vertebrae and the 2nd field in the region of paravertebral 9-12 thoracic vertebrae. Exposure is carried out with 3 intensity levels: ie the greatest value of the magnetic induction in the working surface - 60 ± 12 mT, frequency of repetition parcels VIEMP - 25 ± 5 Hz, reverse rotation of the electromagnetic field mode, the 1st stage of the time the automatic reversal - 5 ± 1 s. Exposure for 7-10 minutes on each field. The total duration of procedure - 14-20 minutes. Procedures are carried out mainly on a daily basis. The course of treatment 7-10 procedures.

According to the proposed method were treated 30 patients with a positive result.

example 1

Patient I. (East. Bol. №723002, 2002), 52 years old, was in the pulmonary department.

Diagnosis: chronic obstructive bronchitis 2A severity in the acute stage. Postpneumonic fibrosis of the upper lobe of the right lung.

When you receive a complaint of shortness of breath, coughing with hard discharged scanty sputum purulent character, pain in the right side of the chest, worse when moving, headache, dizziness, weakness.

OBJECTIVE: pulse 88 beats. in a minute. Blood pressure - 130/80 mm Hg Respiration rate - 20 per minute. Auscultation over the entire surface of the lungs auscultated hard breathing with multiple dry whistling wheezing on exhalation.

The survey results.

In the biochemical analysis of blood, general urinalysis indicators within the normal range. Complete blood count: an increase of ESR - 25 mm / h. Excretion of 17 glucocorticoids (17-ACS) - 6 mmol / day. ECG - normal position of the electrical axis of the heart, heart rate - 80 beats per minute. Conclusion: The version of the rules.

A study of respiratory function: VC - 67%, FVC - 64,6%, FEV1 -6 5.8% POS - 71.5%, MOS25 - 61.1%, MOS50 - 46%, MOS75 - 50.5% , Tiffno index - 78.9%.

Peak flow - 410 liters / min, the age norm 434 l / min.

oxygen saturation by pulse oximetry data - 91%.

Stepping six-minute test, carried out according to a standard protocol (Enright & Sherill, 1998): mild dyspnea (3 points on the Borg scale, 1982) and oxygen saturation (SaO 2) at the beginning of the sample and 91% at the end of the sample 89%.

The treatment by the developed technique: the impact of the two inductors VIEMP №3 unit "Pole-VIEM", having their contact in series into two fields: 1st field paravertebrally in the region of 4-7 thoracic vertebrae and the 2nd field in the region of paravertebral 9- 12 thoracic vertebrae. Exposure was carried out with 3 intensity levels: ie the greatest value of the magnetic induction in the working surface - 60 ± 12 mT, frequency of repetition parcels VIEMP - 25 ± 5 Hz, reverse rotation of the electromagnetic field mode, the 1st stage of the time the automatic reversal - 5 ± 1 s. Exposure to 7 minutes on each field. The total duration of procedure - 14 minutes. The procedures were carried out on a daily basis. The course of treatment was 10 procedures.

During the course of therapy WIMPs monitored single procedure influence on the patient's condition. The effect of the procedure according to the peak flow and pulse oximetry. After one treatment effects WIMPs by this technique increased the peak expiratory flow rate up to 570 l / min, and oxygen saturation increased to 94% and for further treatment VIEMP trend towards its reduction has been noted.

After treatment VIEMP patient noted a significant decrease in dyspnea, increased cough and productivity, improve sputum, change its character on the muco-purulent, stop worrying pain in the chest, stoped headache and dizziness.

Objective: Pulse - 78 beats. per minute of blood pressure - 120/80 mm Hg Respiration rate - 18 per minute. Auscultation marked decrease tone and decrease the severity of wheezing.

Results: in the general analysis of blood marked decrease in erythrocyte sedimentation rate 12 mm / h. Excretion of 17-ACS increased to 16 mmol / day.

A study of respiratory function showed an increase in both volume and speed parameters: VC - 74%, FVC - 68,1%, FEV1 - 72,6% POS - 87.8%, MOS25 - 79.6%, MOS50 - 61 , 7%, MOS75 - 79.6%, Tiffno index - 80.9%.

Peak expiratory flow increased, according to the peak flow - 590 liters / min, the age norm 434 l / min.

oxygen saturation by pulse oximetry data has risen to 98%.

Stepping six-minute test, carried out according to a standard protocol (Enright & Sherill, 1998): very light dyspnea (1 point on the Borg scale, 1982) and oxygen saturation (SaO 2) at the beginning of the sample and 98% at the end of the sample 95%.

Further observation showed no deterioration.

example 2

Patient V. (East. Bol. №310, 2003), 53 years old, was in the pulmonary department.

Diagnosis: chronic obstructive bronchitis 3 degrees of severity in the acute stage. Respiratory failure 2 tbsp.

When you receive a complaint of shortness of breath that occurs when the usual physical exertion, cough with difficult expectoration scanty mucous character, dizziness, weakness.

Objective: Pulse - 78 beats. in a minute. Blood pressure - 120/80 mm Hg Respiration rate - 22 per minute. Auscultation over the entire surface of the lungs auscultated hard breathing with multiple dry whistling wheezing different tone.

survey results

In the biochemical analysis of blood, general urinalysis indicators within the normal range. Complete blood count: an increase of ESR - 15 mm / h. Excretion of 17-ACS - 17 mmol / day. ECG - axis deviation to the left, the heart rate - 78 beats per minute. Conclusion: The blockade of the anterior branch of the upper left bundle branch block.

A study of respiratory function: VC - 47%, FVC - 36,6%, FEV1 - 27,8% POS - 40.2%, MOS25 - 13.4%, MOS50 - 13.4%, MOS75 - 29% , Tiffno index - 40.5%.

Peak flow - 190 liters / min, the age norm 434 l / min.

oxygen saturation by pulse oximetry data - 90%.

Stepping six-minute test, carried out according to a standard protocol (Enright & Sherill, 1998): severe dyspnea (5 points on the Borg scale, 1982) and oxygen saturation (SaO 2) at the beginning of the sample and 90% at the end of the sample 89%.

The treatment exposure VIEMP two inductors №3 unit "Pole-VIEM", having their contact in series into two fields: 1st field paravertebrally in the region of 4-7 thoracic vertebrae and the 2nd field in the region of paravertebral thoracic vertebrae 9-12 . Exposure was carried out with 3 intensity levels: ie the greatest value of the magnetic induction in the working surface - 60 ± 12 mT, frequency of repetition parcels VIEMP - 25 ± 5 Hz, reverse rotation of the electromagnetic field mode, the 1st stage of the time the automatic reversal - 5 ± 1 s. It worked for 10 minutes on each field. The total duration of procedure - 20 minutes. Treatments were performed daily. The course of treatment was 7 procedures.

During the course of therapy WIMPs monitored single procedure influence on the patient's condition. The effect of the procedure according to the peak flow and pulse oximetry. After one treatment effects WIMPs by this technique increased the peak expiratory flow rate up to 290 l / min, and oxygen saturation increased to 93% and for further treatment VIEMP trend towards its reduction has been noted.

After treatment VIEMP patient noted disappearance of shortness of breath, cough easing, improving sputum, dizziness docked.

Objective: Pulse - 78 beats. in a minute. Blood pressure - 120/80 mm Hg Respiration rate - 18 per minute. Auscultation marked decrease tone and decrease the severity of wheezing.

Results: in the general analysis of blood marked decrease in erythrocyte sedimentation rate of 10 mm / h. Excretion of 17-ACS increased to 19 mmol / day.

A study of respiratory function showed an increase in both volume and speed parameters: VC - 56%, FVC - 48,2%, FEV1 - 51,1% POS - 49.6%, MOS25 - 15.7%, MOS50 - 18 , 6%, MOS75 - 39.7%, Tiffno index - 45.4%.

Peak expiratory rate increased according peak flow - 440 liters / min, the age norm 434 l / min.

oxygen saturation by pulse oximetry data has risen to 97%. Stepping six-minute test, carried out according to a standard protocol (Enright & Sherill, 1998): mild dyspnea (2 points on the Borg scale, 1982) and oxygen saturation (SaO 2) at the beginning of the sample and 97% at the end of the sample 96%.

Further observation showed no deterioration.

The proposed new method of treatment of patients with chronic obstructive bronchitis using a rotating pulsed electromagnetic field treatment reduces to 7-10 procedures, and therefore reduces the length of hospital stay, reduce the period of temporary disability. It improves the quality of life of patients with chronic obstructive bronchitis, increased exercise tolerance and duration of disease remission, fewer people with complications and disability.

CLAIM

A method of treating chronic obstructive bronchitis, comprising an electromagnetic field effect on the two, first at 4-7 thoracic vertebrae, and then at the level of the thoracic vertebra 9-12, wherein the rotating impact pulsed electromagnetic field induction 48-72 mT, a reversing mode rotation reversal at time 6.4 s, a repetition frequency of the rotating electromagnetic field parcels 20-30 Hz, for 7-10 minutes per field per treatment 7-10 procedures.

print version
Publication date 06.01.2007gg