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METHOD OF TREATING PATIENTS AFTER RECONSTRUCTIVE OPERATIONS ON KNEE JOINTS IN EARLY REHABILITATION PERIOD

机译:早期康复时期膝关节关节重建手术后的患者治疗方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to traumatology and rehabilitation, and can be used in treating patients after reconstructive operations on knee joints in early rehabilitation period. Operated joint is exposed to narrow-band optical radiation in close contact and labile manner. Radiated area is 78.5 cm2, the radiation intensity is 100 %. Pain syndrome is evaluated by BRISTOL KNEE SCORE scale in points. Microcirculation disorders in the operated joint is estimated as the difference between lengths of circles of a healthy and operated knee joint. In presence of 0 points pain syndrome and the disturbed microcirculation in the operated knee of 0.5-2.0 cm the knee is exposed to narrow-band optical radiation with the wavelength of 470 nm at the emission power of 100 mWt, the power density of 31 mWt/cm2 and the total dose of radiation for a single procedure of 1.4-2.8 J/cm2 for 5-10 minutes. From 3 to 10 procedures are performed. In presence of 0 points pain syndrome and the disturbed microcirculation in the operated joint of 2.1-3.0 cm the knee is initially exposed to narrow-band optical radiation with the wavelength of 470 nm, at the emission power of 100mWt, the power density of 31 mWt/cm2 and the total dose of radiation for a single procedure of 1.4-2.8 J/cm2. 4-5 procedures 5-10 minutes each are performed. They are followed by 5-7 procedures 5-10 minutes each, while exposing narrow-band optical radiation with the wave length of 540 nm, with the emission power of 10 mWt, the power density of 1.0 mWt/cm2 and the total dose of radiation for a single procedure of 0.05-0.1 J/cm2. In presence of 6 points pain syndrome and the disturbed microcirculation in the operated joint of 3.1-6.0 cm, the knee is exposed to narrow-band optical radiation with the wavelength of 470 nm and the wave length of 540 nm during one procedure. Initially it is radiated for 5-10 minutes with narrow-band optical radiation with the wave length of 540 nm, at the emission power of 10 mWt, the power density of 1 mWt/cm2 and the total dose of radiation for a single procedure of 0.05-0.1 J/cm2. After that, the exposure is for 5-10 minutes with narrow-band optical radiation with the wavelength of 470nm at the emission power of 100 mWt, the power density of 31 mWt/cm2 and the total dose of radiation for a single procedure of 1.4-2.8 J/cm2. 5-10 procedures are performed.;EFFECT: method provides increased range of motion in the operated joint due to reduction of pain syndrome and local hyperthermia, improving interstitial oedema caused by impaired microcirculation in the operated joint.;1 cl, 3 tbl, 5 ex
机译:领域:药物:本发明是指药物,即创伤学和康复医学,可用于在康复早期对膝关节进行重建手术后的患者。操作过的关节以紧密接触和不稳定的方式暴露于窄带光辐射中。辐射面积为78.5 cm 2 ,辐射强度为100%。疼痛综合症通过BRISTOL KNEE SCORE量表评估。手术关节中的微循环障碍估计为健康膝关节和手术膝关节的圆周长度之差。在存在0点疼痛综合征和0.5-2.0 cm的手术膝关节微循环受到干扰的情况下,在100 mWt的发射功率,31 mWt的功率密度下,膝盖暴露于波长为470 nm的窄带光辐射中/ cm 2 和单次程序的辐射总剂量1.4-2.8 J / cm 2 5-10分钟。执行3到10个过程。在存在0点疼痛综合征和2.1-3.0 cm的手术关节微循环受干扰的情况下,首先将膝盖暴露于波长为470 nm的窄带光辐射下,其发射功率为100mWt,功率密度为31 mWt / cm 2 和单个程序的总辐射剂量为1.4-2.8 J / cm 2 。 4-5个步骤,每个步骤5-10分钟。随后,每5-10分钟执行5-7个步骤,同时暴露波长为540 nm,发射功率为10 mWt,功率密度为1.0 mWt / cm 2 <的窄带光辐射。 / Sup>,单个过程的总辐射剂量为0.05-0.1 J / cm 2 。在存在6点疼痛综合症和3.1-6.0 cm的手术关节微循环受干扰的情况下,在一次手术中,膝盖暴露于波长为470 nm,波长为540 nm的窄带光辐射中。最初,它以波长540 nm的窄带光辐射辐射5-10分钟,发射功率为10 mWt,功率密度为1 mWt / cm 2 单个程序的辐射剂量为0.05-0.1 J / cm 2 。之后,以100 mWt的发射功率,31 mWt / cm 2 的总功率和总剂量用波长为470nm的窄带光辐射曝光5-10分钟1.4-2.8 J / cm 2 的单个过程的辐射强度。进行5-10个步骤。效果:由于减轻了疼痛综合征和局部热疗,该方法可增加手术关节的运动范围,改善由于手术关节微循环障碍引起的间质水肿。1cl,3 tbl,5前

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