SU799751A1 - Method of treating patients with chronic prostatitis - Google Patents

Description

The invention relates to medicine, namely to urology.

A known method of treating patients with rectal irony prostatitis _

Ultrasound exposure [1]. ⁵

The disadvantage of this method is that ultrasound treatment • is performed against a background of reduced reactivity of the patient’s body, as a result of which 10-12 ultrasound procedures are always enough to stop the inflammatory process in the prostate, and an increase in the number of procedures over 12 often leads to an exacerbation of the disease. -15 veno reduces the effectiveness of ultrasound exposure in chronic prostatitis. Improvement is observed in 91.6% of patients.

The purpose of the invention is to increase the effectiveness of treatment.

This goal is achieved by the fact that before rectal exposure to ultrasound, an autohemotransfusion 25 fusion is performed in an amount of 250.0-306.0 ml of blood, and after a course of ultrasound therapy, rectal injections of a therapeutic oil mixture containing, ml: 30 are carried out

Fish oil '8-12

Vishnevsky ointment 2-4 Sea buckthorn oil Else. The method is as follows.

The patient enters the hospital fully examined in the clinic. After a 2-3-day observation in the urological department, the patient is sent to the transfusion department. Blood of the hospital or hospitals ^, where 250.0-300.0 ml of blood is taken from him.

Blood is stored in a standard preservative, in the blood transfusion department, at a temperature of + 4 ° C, 4-5 days. tHa fifth day, blood is delivered to the urological department and a single autohemotransfusion is performed.

3-4 days after autohemotransfusion, the patient is exposed to ultrasound using rectal radiation with a 2 cm ¹ circular radiating surface. The patient is laid on a couch on his right side, with his legs brought to his stomach. The mucous membrane of the rectum over the prostate is pre-lubricated with paraffin oil. A radiator inserted into the rectum produces slow longitudinal-transverse movements along the surface of the prostate protruding into the rectum. The impact is produced at an ultrasound intensity of 0.30, 4 W / cm ² · in the pulse mode ~ (with a pulse duration of 10 ms). The procedures are carried out daily, lasting 5-7 minutes, per course of treatment

10-12 procedures.

The intensity of the ultrasound is less than 0.3 W / cm ^r has no significant therapeutic effect USE OF ultrasonic intensity above 0.4 W / cm ² causes aggravation of inflammation.

After the course of ultrasound-15 goat therapy is completed, the patient is given rectal injections of the therapeutic oil mixture, heated to a temperature of 36-37 ^ 0, of the following composition, ml; fish oil 10.0; Vishnevsky ointment 3.0; 20 sea buckthorn oil 2.0.

The specified mixture is kept by the patient for 20-30 minutes, and then excreted. Rectal administration of the oil mixture is carried out daily, only 10- ^ 5 procedures. After the procedure, the remainder of the oil mixture on the rectal mucosa persists for more than 24 hours, as evidenced by a digital examination of the mucosa or radiography. _

The proposed method was used in 130 · 0 patients with chronic prostatitis aged 20 to 60 years, the bulk of patients - from 20 to 40 years. The duration of the disease was from 1 g to 10 children. Patients were repeatedly treated in various medical institutions, received medication and spa treatment, without effect.

124 patients had prostatopathic pain syndrome (40 pains in the lower abdomen, pain, itching, burning in the perineum, in the anus, in the scrotum, testicles, along the spermatic cord), 50 - radicular syndrome, 102 - dysuric syndrome, 2b patients complained of mucopurulent purulent discharge from the urethra.

Along with the urogenital syndrome, neurotic syndrome was no less pronounced in patients. Some patients complained of sexual dysfunction. In most patients, infectious and inflammatory phenomena and circulatory disorders in the pelvic area were expressed.

As a result of treatment by the proposed method, positive dynamics of clinical syndromes was noted. Sexual function was restored, inflammatory phenomena disappeared, which was confirmed by the study of microflora and formed elements in the secretion of the prostate.

The proposed method for the treatment of patients with chronic prostatitis has an anti-inflammatory, bacteriostatic effect, and the action of ultrasound exhibits pronounced analgesic, anti-inflammatory and absorbable properties. As a result of the treatment, clinical improvement was observed in 96.6% of patients, including a significant improvement in 75%, which is statistically significant. No adverse reactions were observed in patients ..

Claims (1)

This invention relates to medicine, namely, urology. A known method of treating patients with atonic prostatitis is rectal. Exposure to ultrasound I. The disadvantage of this method is that ultra sound treatment is performed against the background of reduced reactivity of the patient's body, as a result of which 10-12 ultrasound procedures are always sufficient to stop the inflammatory process in the prostate. and an increase in the number of (procedures over 12 often leads to exacerbation of the disease. All this significantly reduces the effectiveness of ultrasound sound effects in chronic prostatitis. Improved The goal of the invention is to increase the effectiveness of treatment. This goal is achieved by the fact that before the rectal exposure to ultrasound an autohemotransfusion is performed in an amount of 250.0-300.0 ml of blood, and after the ultrasound therapy the rectal injection is performed. nor medical oil mixture containing, ml: Fish oil 8-12 Vishnevsky ointment 2-4 Sea buckthorn oil The rest. The method is carried out as follows. The patient enters the hospital completely examined in the clinic. After a 2–3-day observation in the urology department, the patient is sent to the transfusion department of the hospital or hospital where he receives 250.0-300.0 ml of blood. The blood is stored in a standard preservative, in a blood transfusion unit, at a temperature of + 4 ° C, 4-5 days. On the fifth day, blood is delivered to the uro logical department and a single autotransfusion is performed. 3-4 days after autohemotherapy, the patient is exposed to ultrasound using rectal radiation with a circular radiating surface of 2 cm in area. The patient is placed on a couch on the right side, with legs tripped to the stomach. The mucous membrane of the rectum above the prostate is pre-lubricated with vaseline oil. The radiator inserted into the rectum produces slow longitudinal-transverse movements along the surface of the prostate projecting into the rectum. The impact was made at an ultrasound intensity of 0.30, 4 W / cm in a pulsed mode (with a pulse duration of 10 ms). Procedures are performed daily for a duration of 5-7 minutes, for a course of treatment 10-12 procedures. An ultrasound intensity of less than 0.3 W / cm does not have a significant therapeutic effect; the use of ultrasound with an intensity of more than 0.4 W / cm causes an aggravation of the inflammatory process. After completing the course of ultrasound therapy, the patient is given rectal injections of therapeutic oil mixture heated to a temperature of 36-37 ° C, the following composition, ml: fish oil 10.0; Vishnevsky ointment 3.0; sea buckthorn oil 2.0. This mixture is kept sick for 20-30 minutes, and then discharged. Rectal administration of the oil mixture is carried out daily, a total of 1012 procedures. After the procedure, the remainder of the oil mixture on the mucous membrane of the intestine is maintained for more than 24 hours, which is confirmed by finger examination of the mucosa or by X-ray. The proposed method has been applied in 1 patients with chronic prostatitis aged from 20 to 60 years. The main mass of patients is from 20 to 40 years. The duration of the disease was from 1g to 10 years. Patients were repeatedly treated in various medical institutions, received medical and sanitary treatment and spa treatment, without effect. In 124 patients, prostate pain syndrome (abdominal pain, pain, itching, burning in the perineum, in the back passage, in the scrotum , Ichachas, along the spermatic cord), in 50 - radical syndrome, in 102 - dysuric, 2b patients complained of mucous secretion from the urethra. Along with the urogenital syndrome in patients, the neurasthenic syndrome was no less pronounced. Some patients complained of sexual dysfunction, most patients expressed infectious-inflammatory phenomena and impaired blood flow in the pelvic area. As a result of the treatment by the proposed method, the positive dynamics of clinical syndromes is noted. The sexual function was restored, inflammatory events disappeared, which was confirmed by the study of microflora and formed elements in the prostate secretion. The proposed method of treating patients with chronic prostatitis has an anti-inflammatory, bactiostatic effect, and the effect of ultrasound exhibits pronounced analgesic, anti-inflammatory and resolving properties. As a result of the treatment, clinical improvement was observed in 96.6% of patients, including a significant improvement in 75%, which is statistically significant. Negative reactions in patients were not observed. The invention The method of treating patients with chronic prostatitis is rectal exposure to ultrasound, characterized in that, in order to increase the effectiveness of treatment, autohemotransfusion in the amount of 250.0-300.0 ml of blood is performed before rectal exposure to ultrasound, and after a course of ultrasound therapy rectal injections medical oil mixture containing fish oil, Vishnevsky ointment and sea buckthorn oil in the following ratio of components ml of fish oil 8-12, Vishnevsky ointment 2-4, sea buckthorn oil - the rest, Isto Information taken into account during the examination 1. V. Karpukhin, N. Nesterov. et al. Ultrasound therapy for patients with chronic prostatitis. -Bop, dew balneology, physiotherapy and physical therapy, 1977, No. 3, p. 75-77.