RESUMO
The comparative analysis data were presented, concerning the results of complex treatment of 28 patients, suffering ischemic-gangrenous form of the diabetic foot syndrome, developing on background of chronic ischemia of the lower extremities stage IV. In 14 patients (main group) a routine complex of the treatment measures was added by application of an active pressure (negative pressure wound therapy - NPWT) and a capicor preparation; 14 patients (the comparison group) were treated in accordance to routine scheme. In accordance to the comparative analysis data, in patients of the main group the wound surface sarea have kept reducing in twice more rapid, than in a comparison group, the wounds healing was achieved in 94% patients, duration of the patients' stationary stay have reduced by (5.2 ± 1.4) days.
Assuntos
Pé Diabético/terapia , Gangrena/terapia , Isquemia/terapia , Necrose/terapia , Tratamento de Ferimentos com Pressão Negativa/métodos , Adulto , Idoso , Terapia Combinada , Pé Diabético/patologia , Pé Diabético/cirurgia , Feminino , Hidratação/métodos , Gangrena/patologia , Gangrena/cirurgia , Humanos , Insulina/uso terapêutico , Isquemia/patologia , Isquemia/cirurgia , Masculino , Pessoa de Meia-Idade , Nadroparina/uso terapêutico , Necrose/patologia , Necrose/cirurgia , Papaverina/análogos & derivados , Papaverina/uso terapêutico , Pentoxifilina/uso terapêutico , Ácido Tióctico/uso terapêutico , Resultado do TratamentoRESUMO
Acute purulent affection of soft tissues is revealing in 8.8-14% patients in the general surgery hospitals. Hospital strains of microbes of an acute surgical infection are highly sensitive toward preparations of surface--active substances, of which antiseptics on the decametoxine background have the highest antimicrobic activity. In 934 patients after surgical treatment of purulent wound the application of decametoxine and preparations on its background had promoted the treatment duration considerable decrease comparing the effect of the other antiseptics.
