SU993959A1 - Method of treating reumatic arthritis - Google Patents

Description

(54) METHOD FOR TREATING RHEUMATOID ARTHRITIS

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The invention relates to clinical medicine, in particular rheumatology.

There is a known method of treating patients, a roar of a mating arthritis, which provides for external irradiation of the affected joints with a helium-neon laser. 11

There is also known a method for treating rheumatoid arthritis by introducing tetracycline into the joint cavity, with subsequent action on the outer and inner surfaces of the joint with laser lzgch 20.

However, this method is long lasting in the treatment of patients with a moderate degree of inflammation of the joints.

; The aim of the invention is to reduce the duration of treatment of patients with an average degree of activity of inflammation of the joints.

 This is achieved by the fact that according to the proposed method of treating rheumatoid arthritis, including the introduction of tetracycline into the joint cavity with the subsequent exposure of the external and internal surfaces of the joint with a laser beam, the external surface of the joint is heated with a helium-neon laser every day for 2-4 min. irradiation on the surface of the joint O, 12-O, 14 mW / cm and the inner surface of the joint is wrapped once a week for 4-SNKB with a density of irradiation on the surface of the synovial membrane O, 6-O, 7 mW / cm.

Example. Patient F., 29 years old, case history No. 16437, enrolled in

w clinic 29.1x .80. Ill with rheumatoid arthritis for 3 years. On admission, a diagnosis of RA, O sttedtek activity. The medical treatment that was previously carried out by Medicama 15 brought about a significant short-term effect.

Worried t pain, slight swelling in the left knee joint. On examination, moderate pernarptic edema

Claims (1)

20 tissues, insignificant, fluid accumulation of fluid in the joint cavity, ESR-25 mm / h, in the study of synovial fluid: qi / Toz 9.1OO in 1 mm, 7O% of neutrophils. 3993 1O-12 regotsitov in the field of vision, NRW, rheumatoid factor (dermatolov test 1: 2OO). A fetal examination of the synovial membrane revealed signs of subacute synovitis. All these clinical and laboratory indicators gave reason to diagnose the average ((I) degree of joint inflammation activity (according to the classification of A. I. Nesterov, M. G. Astapenko), as a result of the treatment with a helium laser by daily external irradiation of the knee joint for 3 min when the radiation density on the surface of the skin of the joint is 0.12 mW / cm and once a week for internal irradiation of the joint cavity for 4 min with an irradiation density of 0.6 mW / cm with preliminary insertion, O i m i i; into the cavity 0.025 tetracycline, diluted in 2 ml of a 2% solution of nvvocaine, showed clinical remission after 25 treatment sessions, arthritis disappeared, ESR normalized, signs of synovial inflammation decreased, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology showed a decrease in synovial fluid, rheumatoid factor decreased to 1: 100, histopathology revealed signs of synovitis inflammation, reduction of cell infiltration. When examining a patient after months, a remission rate was noted. Thus, the proposed method of treatment does not produce adverse reactions on the part of the body, which shortens the terms of treatment of patients in the early stages of the disease, serves as a prophylactic agent that prevents the progression of the disease. The invention The method of treating rheumatoid arthritis is the insertion of tetracyclo ' s into the joint cavity, followed by exposure to the outer and inner surfaces of the joint with a laser beam, in order to reduce the helium-neon level of the patients with an average degree of activity of inflammation of the joints. With a laser for 2-4 minutes, the irradiation density on the ./9 of the joint surface is 0.12-0.14 mW / cm% and the internal surface of the joint is irradiated once a week in 45 minutes with a density of about radiation on the surface of the shell sinovielnoy 0,6O, 7 mW / cm. Sources of information taken into account in the examination 1. Odinets 3. N. On the question of the use of laser light in the treatment of infectarthritis. Proceedings of the Kyrgyz Scientific Research Institute of balneology and physiotherapy. Top 3 Frunze, 1972, p. 101-103. 2-. USSR author's certificate No. 634753, MKI A 61 N 5/00, 1978 (prototype).