SU1097343A1 - Method of treatment o patients ill with rheumatoid polyarthritis - Google Patents

Abstract

A method of treating patients with rheumatoid polyarthritis by exposing a patient to the radiant energy of the sun, characterized in that, in order to prolong the remission of the disease, exposure through a helioscreen with red light of solar radiation with a wavelength of 600-700 mmc is performed. (L

Description

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00 11 11; shbretenie refers to medicine, in general, to physiotherapy, and can be used in medical and sanatorium-resort institutions. A known method of treating patients with infectious nonspecific polyarthritis involves the use of morochromatic red light in the near part of the spectrum from gas lasers for 20 seconds locally on the affected joints in constant mode daily for 25 to 30 days. Once the total dose was less than A min with multiple lesions of the joints. Laser radiation was used with a wavelength of 6328 A and a radiation intensity of 12 to 0.1 mW cm / s 1. However, with this method, patients poorly transfer radiation from artificial light sources due to the fact that laser radiation has a high radiation level, which leads to a dramatic increase in reactions, especially from such dynamic organs as the adrenal glands. Also known is a method of treating rheumatoid polyarthritis by exposing the radiant energy of the sun 2. However, solar air screens are used to rationally use the solar spectrum, which eliminates the negative effect of excess heat rays, but does not effectively use the long-wavelength, most penetrating spectrum of heat rays, due to the known method has a relatively small therapeutic effect, since a wide range of radiation has insufficient specific physiological efficacy awn individual spectral regions. The aim of the invention is to prolong the remission of the disease. The goal is achieved by the fact that according to the method of treating patients with rheumatoid arthritis by exposing the patient to the radiant energy of the sun, the solar radiation with a wavelength of 600-700 mmk is emitted through a helio-screen with a red light. A patient with rheumatoid polyarthritis is prescribed a treatment for helio-aeroterosis 3 pyeas, laying him on a bed, which is rotated so that his axis is perpendicular to the sun's rays. The screening part of the screen is double layered. The layers are separated from each other by a distance of 20 cm. In each layer there are film filters of red 1 and veta inserted into frames of 20x50 cm. In the gaps between the frames of the upper layer there are frames of the second layer. Such an arrangement of the frames in an insignificant part covers the sky - the source of scattered radiation, and from the sun's rays only the rays reach the surface of the sunbed. missed the light filter. As a result, the entire scattered radiation flux with the addition of sunlight transmitted by a light filter falls on the patient's body surface. This makes it possible to dose solar energy in the required amount without fear of overheating of the body. Light filters with a resonance line at the MMK wavelength are used. The spectral range in the wavelength range from 600 to 700 μm also accounts for the highest intensity of scattered solar radiation. In this case, there is the effect of scattered solar radiation on the surface of the whole body and total radiation on the affected joints, composed of scattered radiation enriched by the rays of the long-wave part of the red spectrum of the corresponding wavelength. Dosing of solar energy under helio-screens with red light filters is carried out in biodoses. The treatment starts from 0.75 biodoze, adding 0.25 biodoses every other day, bringing to the tenth procedure up to 1.75 biodoses. In the second half, patients receive 2 biodoses until the end of treatment, for a course of 20 procedures. After 10 procedures of solar aero-therapy under red filters in the second half of the course of treatment, baths from Tashkent mineral water of 37 ° C were added for 15 minutes 5 times a week, 8-10 procedures. The calculation tables indicate the duration of exposure in minutes for various bio-doses of helium aero-therapy, depending on the month and the hour of the day. 31 When exposed to selective helium aerotherapy, the joints and the entire surface of the patient's body are irradiated. The therapeutic dose was divided into two parts — to irradiate the anterior and posterior surfaces of the body. For example, in order to obtain 1/2 biodine at 12 am in June, the patient should take a procedure of 10 minutes. This time is divided in half. Thus, the patient should lie 5 minutes on his back (1/4 biodoze) and 5 minutes on the abdomen (1/4 biodoze), and just lie for 10 minutes and get 1/2 biodozy. For example, Patient B, with rheumatoid polyarthritis, is prescribed daily new treatment, when exposed to the long-wavelength part of the red spectrum of solar radiation, for example, at a wavelength of D 600–700 mmk, with simultaneous exposure to scattered solar radiation. In this case, the spectral distribution of direct and scattered solar radiation for the conditions of the solar regime of a given locality (Tashkent city) and the month of the year is measured and given in the reference book. So, for the Vol D-620-700 mm range, the intensity of the total solar radiation in June a month at 12 hours is 20 kcal / / cm min. The scattered radiation flux, 20 kal / cm min, i.e. the patient is affected by solar radiation intensity,, 20 + K, 1., 20 +. + 0.62.1,, 94 cal / cm min, where, 62 is the transmittance. Consequently, in order for the patient to be exposed to heat radiation of 10 ka (1/2 biodoze), he should be under the helio screen for 10 minutes, then 5 calories are added every other day (1/4 biodoze), for which the residence time is also increased to 34 doses of radiation of 35-40 kcal (up to 2 doses), and the therapeutic dose is divided in half: to irradiate the anterior, then the posterior surfaces of the body. The efficacy of selective helioplasty in patients with rheumatoid arthritis can be judged by the tolerability of selective helium aerotherapy and integral flow (Table 1), balneological reaction, and cardiographic indicators (table 4). Analyzing the table. 1 A, it may be noted that, upon exposure to selective helium aerotherapy, after 5 treatments, joint pains in 20% of patients begin to decrease, sleep improvement in 20%; after 10 procedures: reduction of joint pain 40%, reduction of joint stiffness in 24%, improvement of mobility in them 16%, improvement of sleep 50% and improvement of general well-being of patients in 36%, When exposed to an integral flux of total solar radiation (Table 1B ) improvements were observed, starting with 10 treatments; joint pains 10% reduction in stiffness 20%, improvement of mobility 20%. In the same group, several patients had palpitations, shortness of breath, headaches, worsening of sleep, increased irritability, which appeared already from the first procedures. Table 1 shows the results of selective solar aero-therapy under red light filters in a group of 125 patients (A) and an integral flux of total solar radiation in a group of 50 patients (B), 1T a b l and c a 1

20

25

Reduced stiffness in the joints

123 98

75

93

50

123 98

62

50

24 Improving joint mobility Improving sleep 25 20 6250 Improving well-being Reducing joint pain Reducing joint stiffness Improving skin balance The balneological response was monitored in patients treated with red light filters and, for comparison, in patients who received an integral total radiation flux. Under the supervision of 100 patients, Balneoreaction in 25 patients out of 50 examined who received treatment under red light filters was mild compared with 35 patients out of 50 who received an integral stream of total solar radiation. In the first group, it lasted 2-3 days, in the second, before

Continued table. 1 20.16 4536 510 0080 25100 25100 4795 4795 5-8 days and in 10 patients was accompanied by swelling of the joints and an increase in temperature to 38 ° C in 4 patients. The functional state of the myocardium, according to electrocardiography, was studied in 70 patients who received selective helium aero-therapy. When studying the ECG in the initial state, 65 types of disorders were revealed in 65 patients: rhythm disturbance, changes in the ventricular complex, associated with impaired conduction function, deformation of the R-wave, disturbed

Claims (1)

METHOD FOR TREATING PATIENTS WITH RHEUMATOID POLYARTHRITIS by exposing the patient to the radiant energy of the sun, characterized in that, in order to lengthen the remission of the disease, they expose the solar radiation with a wavelength of 600-700 mmk through the solar screen with red light. SU, „, 1097343 1 1097343