| 摘要 |
FIELD: medicine; endocrinology. ^ SUBSTANCE: lowered caloric content diet #5 is prescribed, in combination with fasting days 2 times a week with caloricity of 1000-1200 kilocalorie per day. Therapeutic physical training with individual exercise dosage is carried out daily in the first half the day for 30-40 minutes, within 21-24 days. The general manual massage is alternated by days with Charcot's douche, during the course of 8-10 procedures. A Charcot's douche effects the back thigh surface , buttocks, frontal abdominal wall - clockwise at pressure of 1.5-2 atmospheres, water temperature of 36°C, 0.5-1 minute per zone, total effect time is 4 minutes. The procedure is caried out in the second half of the day, in the course of 10-12 procedures. Electrosleep is carried out by oculo-cervical method at frequency of 10-20 Hz, current intensity up to 1-2 mA, exposure time is 30 minutes. Besides the procedure is carried out in the middle of the day, daily, in the course of 10-15 procedures. Group and individual appointments with the psychologist are carried out on the daily basis, during 45-60 minutes, within 21-24 days. Patients with combination of obesity and struma in addition are provided with iodide-bromine baths with iodine concentration of 10 mg/l, Bromum of 25 mg/l, water temperature is 37°C, procedure duration is 8-10 minutes, alternating by days with Charcot's douche, in the course of 8-10 procedures. The general massage is carried out at the same day with iodide-bromine baths, iodbalance intake is 100-200 mkg/per day, daily, after meal. In case of psychocorection additional activities are done for formation of motivation, loss of weight and long-term iodine drugs intake, reduction of anxiety, aggression and increase of self-appraisal. ^ EFFECT: body weight reduction, normalisation of arterial pressure, increase of exercise tolerance, correction of metabolic, hormonal and vegetative status parameters. ^ 7 tbl, 2 ex |
