RU2377030C2 - Pelotherapy - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to physiotherapy. Therapeutic technique involves heating of applicators containing pre-homogenised Tambukan mud to 36-38°C. The homogenised mud contains (wt %): crystal skeleton 15.0÷25.0, colloid complex 10.0÷20.0, the rest - mud solution. The heated applicators are placed on a projection of a diseased organ. Then electrodes are placed on applicators with a cathode on one, and an anode on the other. Direct current of density 0.03-0.07 mA/cm² is supplied on the electrodes. In the first procedure the DC supply time is 10-20 minutes. In each following procedure, the DC supply time is two minutes more than in the previous one.

EFFECT: method improves clinical effectiveness ensured by higher activity of biological components of the mud.

7 cl, 4 ex

Description

The invention relates to medicine, namely to the field of mud therapy, and can be used in rehabilitation treatment and rehabilitation of patients with various non-infectious diseases, namely diseases of the musculoskeletal system, gynecological diseases, urological diseases, as well as diseases of the oral cavity.

Known (RU, patent 2141367) is a method of treating acute inflammatory diseases of the internal genital organs of women. The essence of the known method consists in the appointment of drug therapy and phonophoresis, and from 3-5 days prescribed phonophoresis of a 1% solution of the mud preparation "Eplir", with an intensity of 0.2-0.6 W / cm ² in a pulse mode (2 m / s) for projections of the uterine appendages according to the labile method, voicing each field in the 1st procedure for 3-4 minutes, increasing the exposure time from the 2nd procedure to 5-6 minutes. The course is 10-12 procedures.

The disadvantage of this method should be recognized as its lack of effectiveness, due to the low therapeutic properties of the mud preparation "Eplir".

The closest analogue of the developed method can be recognized as the method (Kholopov A.P. “Mud therapy”, Krasnodar, 2003, p. 92) of electric mud therapy, including the application of applicators in the form of cotton bags filled with medical mud heated to a temperature of 38- 42 ° С, while the applicator area does not exceed the value

1000 cm ² . A cathode is placed on one of the applicators, and an anode on the other, and the dirt acts as a hydrophilic gasket, the electrodes are closed with oilcloth and sandbags are placed on them. Then, an electric current with a density of 0.05 ÷ 0.06 mA / cm ² is supplied to the electrodes for 20-30 minutes. The course of treatment is from 15 to 20 procedures.

The disadvantage of this method should be recognized as its low efficiency, due to the lack of preparation of therapeutic mud for use, which leads to a weakening of the action of biologically active elements of therapeutic mud.

The technical problem solved by the developed technical solution is to develop an improved method of rehabilitation treatment and rehabilitation of patients with various non-communicable diseases.

The technical result obtained by the implementation of the developed method consists in increasing the efficiency of the rehabilitation treatment and rehabilitation of patients.

To achieve the specified technical result, it is proposed to use the developed method of electro-mud treatment. According to the developed method, the Tambukan mud applicators, previously heated in the package to a temperature of 30-40 ° C, are placed on the projection of the diseased organ, a cathode is placed on one of them, an anode is placed on the other, and a constant electric current with a current density of 0.03- is applied to the electrodes 0.07 mA / cm ² . Advantageously, in the first procedure, an electric current is supplied for 10-30 minutes. Typically, the electric current density is 0.05 mA / cm ² and the area of the applicator used is up to 1000 cm ² . Preferably, the applicator is heated to a temperature of 36-38 ° C. To obtain a significant therapeutic effect using homogenized mud containing a crystalline skeleton and a colloidal complex in the following ratio of these components (wt.%):

Crystalline skeleton 15.0 ÷ 25.0 Colloid complex 10.0 ÷ 20.0 Mud solution Rest

Mainly use the applicator shell, permeable to biologically active components, therapeutic mud. This allows you to not destroy the specified shell during the procedure. Preferably, an applicator sheath made of a nonwoven web is used.

A preferred example of the implementation of the developed method. For carrying out the "electric mud" procedures, tambucan mud applicators with an area of up to 1000 cm ^{2 are used} , previously heated to a temperature of 36-38 ° C. They are applied to the desired area of the body, then electrodes are placed on the applicators with a hydrophilic gasket corresponding to the applicator area, one of which is supplied with a positive potential from the Potok-1 apparatus, and a negative potential is applied to the other. Next, apply a thermal compress (heating pad) for mechanical and additional thermal effects. Then carry out layer-by-layer wrapping with a sheet and a blanket of the impact site. Use a constant electric current with a current density of 0.05 mA / cm ² , the exposure time of 15-30 minutes. Applicators are applied to areas of the body, depending on the purpose of the impact on the pathological process in various diseases (joints, spine, anterior abdominal wall, etc.).

The therapeutic mud of Lake Tambukan is a plastic thick colloidal substance of black and gray color. Therapeutic mud is viscous, sticks tightly to the skin. It consists, as noted above, of the liquid phase (mud solution), crystalline skeleton and colloidal complex. It is most preferable to use the therapeutic mud of Lake Tambukan containing a mud solution, a crystalline skeleton and a colloidal complex in the following percentages:

I. Mud solution 63.39, consisting of water and dissolved salts, with their content from the total mass of dirt:

Water 56.2 Dissolved salts 7.19

II. The crystalline skeleton of 21.45, consisting of a calcium-magnesian skeleton and a silicate skeleton, with their content from the total mass of dirt

Calcium Magnesian Skeleton 2.75 Silicate skeleton 18.7

III. The colloidal complex is 14.93, containing sulphurous iron in an amount of 0.93 percent of the total mass of dirt.

The crystalline skeleton of Tambukan mud consists of small particles of clay and sand that are slightly soluble in water, it contains a significant amount of calcium carbonate and calcium sulfate. The structure of the crystalline skeleton of mud is rather thin, which is of great importance in assessing its healing properties.

The colloidal fraction binds all particles of the crystalline skeleton and imparts plastic properties to dirt. The colloidal hydrosulfide of iron, which is always present in this mud, gives it a black color.

Organic matter plays an important role in the colloidal complex of Tambukan mud - a nutrient medium for biological processes that continuously occur in mud sediments.

The physicochemical and therapeutic properties of Tambukan mud are largely determined by biochemical substances, which are the product of the vital activity of microorganisms.

Biochemical processes transform the very substance of the mud and cause the appearance of various compounds of carbon, nitrogen, sulfur, iron, phosphorus and silicon.

Of particular importance are the groups of microorganisms that cause the precipitation of hydrous oxide of sulfur, participating in the decomposition of organic substances. Denitrifying, nitrifying and thionic bacteria also play a significant role.

Hydrogen sulfide, an important component of dirt, is formed due to the activity of sulfate-reducing microorganisms. The presence of methane, ammonia and other gases is also significantly associated with the vital activity of microflora.

The organic substrate of Tambukan mud, as well as other silt mud, is associated with the vital activity of various micro- and macroorganisms. The decomposition products of organic substances and their subsequent synthesis are always in significant amounts of mud. The main part of the organic matter of Tambukan mud is composed of humic acids and humuminolignin substances. Humic substances are formed in therapeutic mud from dead plant and animal organisms as a result of biological and biochemical processes. These processes occur in conditions of limited air intake. First, microbes decompose organic residues into simple compounds, and then synthesize new, complex formations. Humic acids and bitumens have high physiological activity, and their presence in the mud enhances its healing properties.

Tambukan mud is highly plastic, has a high heat capacity and relatively low heat transfer. These properties make it very convenient with the application method of mud therapy. The content of mineral salts in the mud, including such active chemical elements as iron, strontium, lithium, manganese and zinc, as well as the presence in the mud of organic compounds - humic acids and bitumen - make the mud chemically active, directly acting on the skin and mucous membranes shell. The presence of hydrogen sulfide, carbon dioxide and methane in the mud significantly increases this active effect.

The bacteriostatic and bactericidal action of dirt is of particular importance in such treatment methods, when the dirt is in direct contact with the mucous membranes of the intestines, vagina, always rich in bacterial flora.

According to its physicochemical and biological properties, Tambukan mud significantly exceeds the mud of other deposits and is a highly effective therapeutic agent.

After filling the initial shell (applicator) with therapeutic mud, it is desirable to isolate the surface of the therapeutic mud from contact with the external environment. For this purpose, the filled applicator shell can be placed in a gas-tight additional shell (for example, polymer films laminated with aluminum foil).

The developed method is illustrated by an example of its implementation.

The use of the developed treatment method was carried out on the basis of the Stavropol Regional Hospital for war veterans. From 2006 to 2007, the developed technique was tested on 30 patients who agreed to additional treatment.

1. Patient A., 31 years old. Diagnosis: chronic bilateral salpingitis, gonorrheal etiology. Colpitis. Cervical erosion. Adhesive process of the pelvic organs.

The treatment was carried out using a standard technique and additional use of the developed technique.

Prescribed medication: desensitizing (tavegil), analgesics, vitamins.

On the 5th day, physiobalneotherapy was started according to the developed method. For carrying out the "electro-mud" procedures, Tambukan mud applicators with an area of 600 cm ^{2 were used} , previously heated to a temperature of 36-37 ° C. One heated applicator was applied to the lumbosacral region, a wet hydrophilic pad and an electrode with the (+) sign - anode were placed on it. A second heated applicator of the same area was placed on the lower abdomen and a similar pad with an electrode connected to the sign (-) - cathode. To preserve heat, the patient was covered in layers with a sheet and a blanket.

A direct current of 15 mA was used at a current density of 0.05 mA / cm ² . The time of the first procedure was 15 minutes. Each subsequent procedure was increased, if necessary, by 2 minutes relative to the previous one (up to a maximum of 30 minutes). The procedures were carried out daily for 10 days. In the process of treatment, an analgesic effect was noted with 4-5 procedures, a decrease in exudative processes in the pelvic organs and an increase in their mobility, a physiological response was noted for the 7th procedure - adequate, early, local, mild severity, which did not require a change in the course of treatment.

The patient was discharged on the 16th day of treatment in satisfactory condition with significant improvement. No complaints. In the general and vaginal status of the pathology is not revealed. General clinical, biochemical analyzes within normal limits. Usually, for similar diseases, when conducting only the standard method of treatment, discharge is carried out on 20-22 days from the start of treatment.

After 2 months, the patient was called for a follow-up examination. No complaints. Pathology during examination was not detected. The long-term outcome of the treatment is regarded as good.

During 2006-2007, the developed technique was additionally tested on 38 patients who agreed to additional treatment for other diseases.

2. Patient P., 59 years old. Diagnosis: deforming osteoarthrosis of the left knee joint, secondary synovitis, impaired joint function of the first degree.

The disease is 3 months old. Upon admission, the patient complained of pain in the left knee joint, aggravated by the end of the day, when descending the stairs, pain at rest, night pain, forcing to resort to non-steroidal anti-inflammatory drugs (NSAIDs).

The prescribed drug treatment and magnetic laser therapy did not produce a lasting therapeutic effect. Pain in the left knee continued to bother, especially when moving, the patient was limited in movement and self-care.

On the 4th day, additional treatment was started according to the developed method.

For the galvanic mud treatment procedure, applicators of tambucan mud containing homogenized particles no larger than 0.2 mm in size, previously heated to 36-38 ° C, were used.

Two applicators of the same area (15 × 20 cm in size) were placed one on the other on opposite surfaces of the joint, a hydrophilic gasket was applied to each of them, and a current-carrying electrode was placed on top of it. One electrode was attached to the anode, the other to the cathode. A thermocompress with a temperature of 38 ° C was placed on top of the electrodes, and a layer-by-layer wrapping of a sheet and a blanket was carried out.

The current strength of 10-15 mA at a current density of 0.05 mA / cm ^{2 the} duration of the procedure is 15-30 minutes.

The procedures were performed daily for 10 days.

The patient was well-tolerated of the galvanic mud therapy procedure; pathological balneoreaction was not observed. Immediately after the procedure, the patient for 4-5 hours noted a decrease in pain and a weakening of contracture, an increase in the range of motion in the knee joint. This allowed the patient to perform exercises of therapeutic gymnastics with great ease and in a greater volume than without galvanic mud therapy.

A distinct improvement in the patient's condition, a decrease in arthralgia was noted after the 3rd procedure, which allowed to cancel the NSAIDs.

An objective examination showed a decrease in proliferative changes. Discharged in satisfactory condition with significant improvement. Control 4 months after galvanic mud therapy showed that the patient stopped taking NSAIDs.

3. Patient A., 68 years old. He was admitted to the neurological department of the hospital with a diagnosis of shoulder-shoulder periarthrosis syndrome, secondary myogenic shoulder joint contracture on the left.

During a clinical examination against the background of cervicobrachialgia, the pain was disturbed when the hand was brought to the shoulder blade, the inability to bend the shoulder forward and take it to the side to the horizontal line of the shoulder girdle. Pain was noted in all the muscles involved in the work of the shoulder girdle. The disease is 6 months old.

The use of traditional methods of treatment (drugs, injections, blockades, physiotherapy) was ineffective because of pronounced neurodystrophic tissue changes.

For the treatment of brachiocephalic periarthrosis, the developed technique of galvanic mud therapy with Tambukan mud applicators was used.

An applicator measuring 15 × 20 cm was applied to the suprascapular region on the left, over which a hydrophilic pad with an electrode connected to the anode (+) was placed, a second applicator was placed on the anterolateral surface of the shoulder joint, a hydrophilic pad with an electrode connected to the cathode was placed on it (-) .

Thermocompresses with a temperature of 38 ° C were placed on top of the electrodes and layered wrapping was performed. The current strength is up to 15-20 mA at a current density of 0.05 mA / cm ² . The duration of the procedure is 15-30 minutes. The treatment was carried out daily for 10 days, the patient tolerated the procedure well.

After the 3rd procedure, the patient decreased pain in the shoulder joint, neck muscles, increased range of motion in the cervical spine and shoulder. Dynamic observation showed that after each procedure, the range of motion in the frontal and sagittal planes increased by 5-7 °. By the end of treatment, movement in the shoulder joint increased significantly. After 4 months, the patient was called for a follow-up examination. No complaints.

The application of this technique has shown its high efficiency in a neurological hospital and has improved the "quality of life" of elderly and senile patients.

4. Patient D., 71 years old. Diagnosis: chronic cholecystitis, moderate, recurrent course, in the phase of incomplete remission. Hypokinetic type dyskinesia of the gallbladder.

The patient was disturbed by dull, aching pains in the right hypochondrium, back, under the right shoulder blade, aggravated by eating coarse, fried fatty foods, and physical exertion.

The pain was relieved by the use of heat and antispastic drugs. Periodically, nausea, belching, bitterness in the mouth bothered.

The diagnosis was confirmed using additional research methods: functional liver tests (determination of bilirubin and its fractions, cholesterol and its fractions, activity of ALT and ACT enzymes) and ultrasound. The basis of the treatment complex was the regimen “diet No. 5” (according to Povzner) corresponding to the disease, internal intake of Essentuki 4 mineral water and kinesitherapeutic (breathing exercises, walking with moderate physical activity) exercises. On the 5th day, galvanopeloid therapy was started according to the developed method.

An applicator of tambucan homogenized mud (size 15 × 20 cm), heated to a temperature of 36-38 ° C, was applied to the region of the right hypochondrium and lower ribs, on top of which a hydrophilic pad with an anode (+) was placed, a second applicator (size 15 × 20 cm) also placed on the right on the back symmetrically the projection of the first applicator, on which a pad with a cathode (-) was placed. Thermocompresses with a temperature of 38 ° C were placed on top of the electrodes. The current strength is 15-20 mA at a current density of 0.05 mA / cm ² , the duration of the procedures is 15-20 minutes, the course of treatment is 7 procedures every other day.

The control group of 21 people (5 women and 16 men, the average age is 64 ± 1.5 years) received tyubazha according to the classical technology against the background of the established medical complex.

An analysis of the results showed the advantage of galvanopeloid therapy in the treatment of patients with chronic cholecystitis with a hypokinetic type of gallbladder dyskinesia compared with classical tube technology.

Moreover, at the same time as a group of patients who agreed to additional preventive treatment, during the same period a group of patients was observed in the amount of 30 people, consisting of approximately patients of the same age categories and having similar diagnoses who received traditional therapy.

A comparative analysis showed that, in addition to faster recovery, there was a significantly lower number of requests for re-treatment.

The advantage of the developed method is the simplicity and safety of use, the possibility of using it in elderly patients.

An important advantage of batch galvanic mud therapy is its good tolerance and the possibility of use in complex treatment of patients who are contraindicated in the use of other physiotherapeutic procedures. In addition, batch galvanic mud therapy in the treatment complex allows increasing the therapeutic effect at the hospital rehabilitation stage by 4-6%, increasing the possibility of self-care and returning patients to work earlier.

Claims (7)

1. The method of electro-mud treatment, characterized in that the applicators of pre-homogenized Tambucan mud are heated to a temperature of 36-38 ° C, placed on the projection of the diseased organ with the possibility of further placement on one of the indicated cathode applicators, and on the other - the anode, these electrodes are placed on the applicators and is fed to them a constant electric current density of 0.03-0.07 mA / cm ^2, wherein at the first procedure, the feeding of electric current of 10-20 minutes, and with each subsequent procedure the feeding RE eskogo current is increased for two minutes as compared with the previous procedure, this time with homogenized dirt mud containing solution, crystal skeleton and colloidal complex with the following ratio of said components, wt.%:
Crystalline skeleton 15.0 ÷ 25.0 Colloid complex 10.0 ÷ 20.0 Mud solution Rest 2. The method according to claim 1, characterized in that the applicators, if necessary, are pressed down with a heating pad, which is heated to 50 ° C. 3. The method according to claim 1, characterized in that the electric current density is on average 0.05 mA / cm ² . 4. The method according to claim 1, characterized in that the area of the applicator used is up to 1000 cm ² . 5. The method according to claim 1, characterized in that use homogenized dirt containing particles with a size of not more than 0.2 mm 6. The method according to claim 1, characterized in that use the applicator shell, permeable to biologically active components of the therapeutic mud. 7. The method according to claim 1, characterized in that they use a tissue sheath of the applicator made of non-woven fabric.