DOI: 10.25881/20728255_2021_16_2_61

Authors

Borodina M.A.1,2, Nasser N.R.1,2, Batyrshin I.M.1, Sklizkov D.S.1, Ryazanova E.P.1,2, Kozhevnikov V.B.2,3

1 Research Institute Of Emergency Medecine named after I.I. Djanelidzе, St. Petersburg

2 NWSMU named after I. I. Mechnikov, St. Petersburg

3 City Hospital № 14, St. Petersburg

Abstract

Currently, the issues of choosing the tactics of wound management and methods of objective assessment of the dynamics of the wound process remain relevant. The results of our study showed a reduction in the treatment time of patients with bedsores when using vacuum therapy and revealed the most effective methods for evaluating the dynamics of the wound process. Thus, the assessment of General clinical indicators was significantly insignificant due to the patient's comorbidity, while the use of modern objective methods for assessing the dynamics of the wound process allows timely correction of treatment.

Keywords: vacuum therapy, pressure sores, criteria for evaluating the effectiveness of treatment, pH meter, bacterioscopy, native smear fingerprint, the area of the wound surface, sowing wound discharge.

References

1. Shlyapnikov SA. Khirurgicheskiye infektsii myagkikh tkaney — staraya problema v novom svete. Infektsii v khirurgii. 2003; 1(1): 14-21. (In Russ).

2. Ivanusa SYa, Risman BV, Ivanov GG. Sovremennyye predstavleniya o metodikakh otsenki techeniya ranevogo protsessa ubolnykh s gnoyno-nekroticheskimi oslozhneniyami sindroma diabeticheskoy stopy. Vestnik rossiyskoy voyenno-meditsinskoy akademii. 2016; 2(54): 190-194. (In Russ).

3. Prikaz MZ RF №123 ot 17.04.2002g. «Ob utverzhdenii otraslevogo standarta «Protokol vedeniya bolnykh. Prolezhni». (In Russ).

4. Fattakhov VL, Vinnik YuS, Teplyakova OV, Bleskina AV. Vliyaniye kislotno-osnovnogo sostoyaniya sredy na techeniye ranevogo protsessa pri sakharnom diabete. Sibirskoye meditsinskoye obozreniye. 2009; 6: 35-38. (In Russ).

5. Pokrovskaya MP, Makarov MS. Tsitologiya ranevogo ekssudata kak pokazatel protsessa zazhivleniya ran. M. Medgiz. 1942. 37 р. (In Russ).

6. Danilov R.K. Ranevoy protsess: gistogeneticheskiye osnovy. SPb. VMA; 2008. 308 р. (In Russ).

7. Erokhin I. A. Khirurgicheskiye infektsii: rukovodstvo. Erokhin I A, Gelfand BR, Shlyapnikov SA, editors. SPb.Piter. 2003. 864 р. (In Russ).

8. Shlyapnikov SA, Naser NR. Khirurgicheskiye infektsii myagkikh tkaney. Podkhody k diagnostike i printsipy terapii. RMZh. 2006; 28: 2009. (In Russ).

9. Lipatov KV, Komarova EA, Guryanov RA. Streptococcal necrotizing soft tissue infection: diagnosis and surgical treatment. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2015; 2(1): 6-12. (In Russ). doi:10.17650/2408-9613-2015-2-1-6-12.

10. Singaevskij AB, Zemlyanoj VP, Kozhevnikov VB. Vozdejstvie vakuum-terapii na dinamiku ranevogo processa pri hirurgicheskih infekciyah. Infekcii v hirurgii. 2016; 14(1): 39-43. (In Russ).

11. Singaevskij AB, Kozhevnikov VB. Klinicheskaya ocenka effektivnosti metoda lokal'nogo otricatel'nogo davleniya v lechenii hirurgicheskih infekcij myagkih tkanej. Vestnik Severo-Zapadnogo gosudarstvennogo medicinskogo universiteta im.I.I.Mechnikova. 2016; 8(1):103-107. (In Russ).

12. Vergun AR, Krasnyj MR, Chulovskij YAB, Vergun OM, et al. Prolezhni myagkih tkanej u bol'nyh saharnym diabetom 2-go tipa: klinicheskie strategii, pokazateli insulinorezistentnosti i aspekty kompleksnogo lecheniya. Mezhdunarodnyj endokrinologicheskij zhurnal. 2016; 5(77): 72-77. (In Russ).

13. Savchenko YuP, Fedosov SR. Metody оpredeleniya razmerov ranevoy poverkhnosti. Vestnikkhirurgii. 2007; 166 (1):102-105. (In Russ).

For citation

Borodina M.A., Nasser N.R., Batyrshin I.M., Sklizkov D.S., Ryazanova E.P., Kozhevnikov V.B. Objective methods for assessing the dynamics of the wound process. Bulletin of Pirogov National Medical & Surgical Center. 2021;16(2):61-65. (In Russ.) https://doi.org/10.25881/20728255_2021_16_2_61