The experience of using iodine-bromine baths and ozone therapy at the stage of health resort treatment of patients with chronic cerebral ischemia
Lyubov A. Cherevaschenko , L. YU. Dadova , Nikolay N. Kulikov , Anatolii T. Tereshin , Igor A. Cherevashchenko
Russian Journal of Physiotherapy, Balneology and Rehabilitation ›› 2018, Vol. 17 ›› Issue (5) : 263 -271.
The experience of using iodine-bromine baths and ozone therapy at the stage of health resort treatment of patients with chronic cerebral ischemia
Background. Treatment of chronic cerebral ischemia should be aimed both to the main etiological factor and to the pathogenetic mechanisms of cerebral ischemia and hypoxia. The action of ozone therapy is characterized with a multilateral positive effect on the main aspects of chronic cerebral ischemia pathogenesis, such as chronic cerebral hypoxia, impaired microcirculation, rheological disorders, and activation of lipid peroxidation. The use of iodine-bromine baths in chronic cerebral ischemia has been proved to be accompanied by an improvement in cerebral circulation, normalization of the brain bioelectric processes, an initially impaired condition of the autonomic nervous system, and an increase in the level of adaptive capabilities of the body.
Aim: to develop effective pathogenetically substantiated methods for the combined use of iodine-bromine baths and ozone therapy in patients with chronic cerebral ischemia to increase the effectiveness of health resort treatment.
Methods. In accordance with the tasks set in the work, 90 patients with chronic cerebral ischemia of the degree 1, who were randomized into three treatment groups, were examined and treated. Patients of the control group (n = 30) received iodine-bromine baths, patients of the comparison group (n = 30) received ozone therapy, patients of the main group (n = 30) received iodine-bromine baths and ozone therapy. Examination of patients included Doppler ultrasound, electroencephalography, rheoencephalography, сardiointervalography, lipid metabolism studies, fibrinogen content studies.
Results. As a result of treatment, the improvement of clinical symptoms and the normalization of biochemical and neurophysiological parameters were noted in patients of all treatment groups. Overall efficiency (improvement and significant improvement) was 53.3% in the control group, in the comparison group it was 63.3%, and 73.3% in the main group.
Conclusion. The authors proved the practicability of rehabilitative treatment of early forms of vascular diseases of the brain at the stage of sanatorium and resort rehabilitation, which is due to significant compensatory reserves and high plasticity of the structural and functional formations of the brain with preserved ability to develop nonspecific elements of the nervous tissue and restore reversibly damaged structures.
chronic cerebral ischemia / iodine-bromine baths / ozone therapy
| [1] |
Antonova KV, Medvedev RB, Shabalina AA, et al. Carbohydrate metabolism disorders and cerebral atherosclerosis in patients with ischemic cerebrovascular diseases. Annaly klinicheskoi i eksperimental’noi nevrologii. 2016;10(1):20-26. (In Russ). |
| [2] |
Антонова К.В., Медведев Р.Б., Шабалина А.А., и др. Нарушения углеводного обмена и церебральный атеросклероз у больных с ишемическими нарушениями мозгового кровообращения // Анналы клинической и экспериментальной неврологии. — 2016. — Т.10. — №1. — C. 20-26. |
| [3] |
Kotenko KV, Epifanov VA, Epifanov AV, Korchazhkina NB. Reabilitatsiya pri zabolevaniyakh i povrezhdeniyakh nervnoi sistemy. Moscow: Geotar-Media; 2016. 656 p. (In Russ). |
| [4] |
Котенко К.В., Епифанов В.А., Епифанов А.В., Корчажкина Н.Б. Реабилитация при заболеваниях и повреждениях нервной системы. — M.: Геотар-Медиа; 2016. — 656 с. |
| [5] |
Kadykov AS, Manvelov LS, Shakhparonova NV. Khronicheskie sosudistye zabolevaniya golovnogo mozga. Distsirkulyatornaya entsefalopatiya. 4th ed., revised and updated. Moscow: GEOTAR-Media; 2018. 288 p. (In Russ). |
| [6] |
Кадыков А.С., Манвелов Л.С., Шахпаронова Н.В. Хронические сосудистые заболевания головного мозга. Дисциркуляторная энцефалопатия. — 4-е изд., перераб. и доп. — М.: ГЭОТАР-Медиа; 2018. — 288 c. |
| [7] |
Kamchatnov PR, Chugunov AV. Chronic cerebrovascular disease. Dokrot.Ru. 2017;(1):11–15. (In Russ). |
| [8] |
Камчатнов П.Р., Чугунов А.В. Хронические цереброваскулярные заболевания // Доктор.Ру. — 2017. — №1 — C. 11–15. |
| [9] |
Dolgova IN, Karpov SM, Minaeva OA, et al. Early neurophysiological indications of chronic ischemic brain. Health and education millenium. 2017;19(6):42-44. (In Russ). |
| [10] |
Долгова И.Н., Карпов С.М., Минаева О.А., и др. Ранние нейрофизиологические признаки хронической ишемии мозга // Журнал научных статей Здоровье и образование в XXI веке. — 2017. — Т.19. — №6. — С. 42-44. |
| [11] |
Kulikov AG. Ozone therapy - an effective physical method of treatment and rehabilitation. Medial’. 2013;(4):8-9. (In Russ). |
| [12] |
Куликов А.Г. Озонотерапия — эффективный физический метод лечения и реабилитации // Медиаль. — 2013. — №4. — С. 8-9. |
| [13] |
Parfenov VA, Neverovsky DV. Outpatient management of patients with dyscirculatory encephalopathy. Neurology, neuropsychiatry, psychosomatics. 2015;(1):37-42. (In Russ). |
| [14] |
Парфенов В.А., Неверовский Д.В. Ведение пациентов с дисциркуляторной энцефалопатией в амбулаторной практике // Неврология, нейропсихиатрия, психосоматика. — 2015. — №1. — С. 37-42. |
| [15] |
Maslennikov OV, Vedunova MV, Gribkova IA. Primenenie ozonoterapii pri zabolevaniyakh, assotsiirovannykh s aterosklerozom. Bioradikaly i antioksidanty. 2017;4(2):48-51. (In Russ). |
| [16] |
Масленников О.В., Ведунова М.В., Грибкова И.А. Применение озонотерапии при заболеваниях, ассоциированных с атеросклерозом // Биорадикалы и антиоксиданты. — 2017. — Т.4. — №2. — С. 48-51. |
| [17] |
Cherevaschenko LA, Dadova LY, Kulikov NN, Cherevaschenko IA. Ozone therapy and iodide-bromine baths in cognitive function correction in patients with chronic cerebral ischemia. Kurortnaya meditsina. 2016;(4):36–41. (In Russ). |
| [18] |
Череващенко Л.А., Дадова Л.Ю., Куликов Н.Н., Череващенко И.А. Озонотерапия и йодобромные ванны в коррекции когнитивных нарушений у больных хронической ишемией головного мозга // Курортная медицина. — 2016. — №4 — C. 36–41. |
| [19] |
Kishkun AA. Klinicheskaya laboratornaya diagnostika: uchebnoe posobie. Moscow: GEOTAR-Media; 2015. 976 p. (In Russ). |
| [20] |
Кишкун А.А. Клиническая лабораторная диагностика: учебное пособие. — М.: ГЭОТАР-Медиа; 2015. — 976 с. |
| [21] |
Shmidt EV. Klassifikatsiya sosudistykh porazhenii golovnogo i spinnogo mozga. Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova. |
| [22] |
Шмидт Е.В. Классификация сосудистых поражений головного и спинного мозга // Журнал невропатологии и психиатрии им. С.С. Корсакова. — 1985. — Т.85. — №9 — С. 1281–1288. |
Eco-Vector
/
| 〈 |
|
〉 |