EUROMEDICA 

Hanover

1-2  Juni 2007

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover

Russian Academy of Natural Sciences, Moscow


T.V. Buglai A SYSTEM APPROACH TO TREATMENT /REHABILITATION OF NEUROLOGICAL AND NEUROENDOCRINOLOGICAL PATIENTS INCLUDING DISTAL DIABETIC POLYNEUROPATHY
Medical Centre «Neurovic», Moscow, Russia

We use the term “system approach” to refer to an individual complex of the methods for treatment and rehabilitation (TR), that were carried out in accordance with the initial morphofunctional condition of the neurohumaral (MFCNH) sphere of the patient as well as changing MFCNH in the process of treatment and rehabilitation.

MFCNH was estimated on the basis of the combination of the results of the following investigations: clinical-neurological investigation; findings on levels of some hormones in blood; brain tomography, C-vertebrae; functional rography of C. vertebrae; when necessary examination of immune, biochemical and other blood parameters; ultrasound dopplerography, EEG, electroneuromyography, ultrasound etc. It was assumed that MFCNH relatively accurately reflects the condition of “basic metabolism “.

TR comprised two parts: non-medicamentous and medicamentous (tranquillizers, antidepressants, sedatives, anticonvulsants and neuroleptics were not applied). For TR the patients were selected for whom previous therapies were not effective.

Irrespective of nosology, genesis of the illnesses the patients might be divided into two main groups with domination of: 1) vegetative dysfunction (with panic attacks (PA), chronic fatigue, paroxysmal hemicrania, among the majority of the women - concomitant menstrual dysfunction; 2) movement disorders (with central or peripheral central paresis). Among two third of the patients of the both group malfunction of the gastrointestinal tract accompanied by constipation or rarely diarrhea was observed.

As the results of the TR was found: in the first group - regression of PA, paroxysmal hemicrania; in the second group – increase in muscle power, volumes of movements, improvement of sensibility in paretic extremities (regress of paresis); in both groups normalization or improvement in sleep quality, as well as digestion, menstrual cycle, improvement of working abilities, spirits; normalization or improvement of blood parameters. Among the patients with distal diabetic polyneuropathy with diabetes of the type a distinct trend normalization of blood sugar was reported, regression of PNP. However the obtained results for diabetes are not quite accurate due to insufficient study.