SU1041117A1 - Duodendal ulcer treatment method - Google Patents

Abstract

A METHOD FOR TREATING THE DUOENCY-CENTRIC INTESTINE, including the frequent administration of drugs, characterized in that, in order to shorten the treatment time and reduce the recurrence of the disease, terlitlitin in the amount of 20-40 P in 10 ml of distilled water is applied to the crater of the ulcers, then to 37 40 ° C rosehip oil in an amount of 15-20 ml. ., r NIA /: ---: - 1. f, - - «« Е-i-d.

Description

The invention relates to medicine, more specifically gastroenterology, and relates to a method for treating patients with duodenal ulcer.

There is a known method of conservative treatment of ulcer disease, including prescribing a diet and administering drugs that affect the neuropsychiatric condition: chlorpromazine, meprobamate, gastrobamate, bromine, frenol, sleep therapy; anticholinergics: atropine in injections, platifillin, metacinna, gangliolytics (benzohexonium, pyrene, quaterone), DOXA antacids: calcium carbonate 2.0 g three times a day, magnesium oxide 0.25 g, magnesium trisilicate 0.5 g three times a day, alumina hydrate, bismuth, vikalin; hypothermia of the stomach; agents affecting mucosal trophism: methacyl 0.5 g three times a day, aloe, fibs in injections, non-specific treatment methods: b vitamins in injections, vitamins A, C, U; blood coagulated blood transfusion 75-100 ml at intervals of 2-5 days, 3-5 times per course; physiotherapy treatment: greening, thermotherapy, hydrotherapy, electrotherapy 1.

However, the known method is lengthy - the course of treatment reaches 3–4 months, a significant number of injections are given, the transfusion of canned blood often causes an allergic reaction of the body, and the remission of the disease indicated is short.

There is also known a method for treating duodenal ulcer ulcers, which includes inpatient treatment for 1.5 months, a diet, an individual prescribed psychotropic therapy depending on the type of the nervous system — benzohexonium, individual massed antacid therapy, red cell transfusion 1 time per week, galvanization of medium nerves, viti C in a dragee 2.

The disadvantage of this method is the duration of treatment, a weak clinical effect in the coming days (5-7 days) from the moment of the start of treatment, the presence of a prolonged pain syndrome (12-14 days), the duration of its disappearance (21-23 days) in the hospital. , dyspeptic symptoms that require long periods of treatment (1.5-2 months), the occurrence of frequent relapses.

The purpose of the invention is to reduce the duration of treatment and reduce the recurrence of the disease.

This goal is achieved by the fact that, according to the method of treatment of duodenal ulcer ulcers, including the administration of drugs, 20-40 grams are applied to the crater of the ulcers

in 10 ml of distilled water, then rosehip heated to 37-40 ° C in the amount of 15-20 ml.

Example. Case history 2736. Patient S., 40 years old, was admitted to the clinic for diseases of the stomach and duodenum on 12/28/1978, diagnosed with a branch disease with localization of ulcers in a duodenal bulb, the phase is active, with pain and dyspeptic syndrome. Complaints on admission to pain in the epigastric region, right hypochondrium, increasing 1.5-2 hours after ingestion, thinness, heartburn, during the increase in pain - vomiting. Sick for a year. The condition worsened in the fall. When viewed, the tongue is wet, at the root is lined with white bloom. The abdomen during palpation is soft, painful in the right hypochondrium and epigastric. The study of gastric juice with a gum mine revealed an increase in the maximum rate of section N ml mole per hour - 41.8 (in the norm of 5-20). The conclusion of an X-ray study of the stomach and duodenum is the ear of the duodenal bulb. The patient was prescribed a diet of 1-a, calcium carbonate, 2.0 g, eleven times a day, acephen, 1 tab. twice a day (morning and afternoon), azafen and 1 tab. three times a day, benzogeksoniy 0.1 g three times a day, vitamin C in pills 2 pills three times a day. On the third day of the hospital stay, the patient underwent esophagogastroduodenoscopy. On examination, the onion of the duodenal gland is deformed, on its front wall there is visible a size of 0.7 cm with a greenish patina on the bottom. The patient was assigned to the treatment of ulcers drugs through the fibroendoscope of the proposed method. After insertion of the endoscope, the gastric contents are sucked out from the cavity of the stomach with the help of an electric pump connected to a fibroendoscope. Then a hollow catheter is inserted into the channel of the endoscope, the distal end of which is brought to the Crater of the ulcer, and using a syringe through the catheter, terrylitin is first applied to the sound at a concentration of 30 until the ulcer is completely cleansed of fibrin plaque, then the same way is applied 37 ° C rosehip oil in the amount of 20 ml. The course of treatment consists of 3 procedures: 22.01; 26.01; 01.02. 1979 On the control study of 02/06/1979, the endoscopic bone was not found. The healing of the ulcer defect began on the 10th day from the start of the endoscopic manipulation.

Observations of the number of 193 patients who were treated by the proposed method and the control group of 250 patients whose treatment was carried out according to a known method, endoscopically found that the anatomical healing of ulcers exceeded by 2.7 times the corresponding data for the control group. Observations of the frequency of occurrence of relapses within 3 years before the agitated treatment method are as follows: 1 year and no relapses were observed, 2 years there were 8.9% relapses, 3rd year relapses 14.09%. In the control group of patients treated in a known manner in the 1st year, 7 were observed, relapses, in the 2nd year - 37.1%, in the 3rd year - 66.3% of relapses.

The proposed method for the treatment of duodenal ulcers, compared with the prototype, has the following advantages: the duration of hospital treatment in hospital is shortened by 21 days; recurrence is reduced by 88%; the method is simple to perform, complications when using the method was not observed.

Claims (1)

METHOD FOR TREATING A DUODENAL ULCER, including the introduction of drugs, characterized in that, in order to reduce the treatment time and reduce relapse of the disease, terrilithin is applied to the ulcer crater in an amount of 20-40 P in 10 ml of distilled water, then heated to 37-40 ° C rosehip oil in an amount of 15-20 ml.