Abstract
Background. Thermometry of acupuncture points in patients with a cardio- neurological profile with a coma in clinic in the acute period of ischemic stroke is a factor that increases the effectiveness of treatment and extends early rehabilitation measures. Objective. The rationale for the application of monitoring the temperature of the skin surface in the area of representative acupuncture points to determine the area of influence and to control the dynamics of the course application of infrared radiation with terahertz modulation in complex treatment and early rehabilitation of patients in acute of ischemic stroke. Design and methods. The understanding of the normal values of temperature at acupuncture points was obtained according to the monitoring its temperature indicators (“Acupuncture Points Temperature Monitoring” test = APTM-test) in 120 conditionally healthy people: 60 men and 60 women aged 23 to 65 (mean age 58 ± 2.5 years). Sensitec NF-3101 (Nederland) infrared non-contact thermometer was used to measure the temperature in points. The study took place at the departments of cardiology, resuscitation and neurology at Almazov National Medical Research Centre. The study included 60 patients of cardio-neurological profile in the acute period of ischemic stroke with clinical symptoms of coma at 24 women and 36 men aged from 18 to 86 years (mean age 59 ± 1.2 years). Results. Exposure of acupuncture points (Bai Hui (GV 20), Guan Yuan (CV 4), Da Zhui (GV 14), Dabao (SP 21), He Gu (LI 4), Tai Chong (LV 3)) to infrared terahertz radiation was carried out prior to stabilization of temperature indicators within the normal range during regress of clinical symptoms with a decrease in thermal asymmetry at paired points in patients with acute ischemic stroke. Conclusion. A set of representative acupuncture points (APTM-test) was proposed to monitor the temperature, to select the area of exposure, and to control the dynamics of the clinical symptoms of patients in the acute period of ischemic stroke. Acupuncture points temperature and thermal asymmetry monitoring in patients with acute ischemic stroke allows us to evaluate the regression of clinical symptoms and increase the effectiveness of complex treatment and rehabilitation.
Highlights
Thermometry of acupuncture points in patients with a cardio- neurological profile with a coma in clinic in the acute period of ischemic stroke is a factor that increases the effectiveness of treatment and extends early rehabilitation measures
При локальном воздействии на парные точек акупунктуры (ТА) Да-Бао (RP21), Хэ-Гу (Gi4) и Тай-Чун (F3) кроме стабилизации показателей, характерных для температурного коридора нормы, важным считалось также уменьшение термоасимметрии в парных точках и регресс клинической симптоматики (в отдельных случаях до определенного значения) с последствием ожидаемого пролонгированного эффекта курсового лечения
Состояния гипотермии (температура тела ниже 35,0 °С) и гипертермии (температура выше 37,0 °С) происходит при непосредственном участии как центра терморегуляции, так и симпатического отдела вегетативной нервной системы
Summary
Thermometry of acupuncture points in patients with a cardio- neurological profile with a coma in clinic in the acute period of ischemic stroke is a factor that increases the effectiveness of treatment and extends early rehabilitation measures. Ammer «The technique of infrared imaging in medicine» (2000) было показано, что ИКТ как метод термометрии может давать достоверные результаты только при соблюдении исследователями определенных стандартов, таких как параметры кабинета для обследования, условия обработки изображений и анализа результатов. Полученные ими данные были положены в основу для дифференцированного применения ЛФФ при лечении и на этапах реабилитации пациентов с ИИ, а также в корректировке медикаментозной терапии.
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