RESUMEN
NO-therapy was used in 40 patients with purulent wounds of soft tissues. Bacteriological, cytological and morphological examinations demonstrated acceleration of wound process compared with control group (40 patients without NO-therapy). Laser doppler flowmetry demonstrated significant improvement of microcirculation in wound zone during NO-therapy. This method shortens by 3-5 days the time of preparation of wound surface for surgical closure.
Asunto(s)
Óxidos de Nitrógeno/uso terapéutico , Infección de Heridas/terapia , Adolescente , Adulto , Anciano , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento , Infección de Heridas/patología , Infección de Heridas/cirugíaRESUMEN
Based on planimetric, bacteriologic and histologic study high efficiency of local ozonotherapy of wound in combination with low-frequency ultrasound was demonstrated experimentally on rat model of infected purulent skin wound. This method was used in 45 patients with purulent wounds of soft tissues (postoperative, posttraumatic, burn, sore spot) that led to fast cleaning of wound surface, decrease of bacterial contamination and granulations. It permitted to eliminate inflammation and to create optimum conditions for wound closure.
Asunto(s)
Absceso/terapia , Ozono/uso terapéutico , Enfermedades de la Piel/terapia , Terapia por Ultrasonido/métodos , Absceso/tratamiento farmacológico , Absceso/patología , Adolescente , Adulto , Anciano , Animales , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ratas , Enfermedades de la Piel/tratamiento farmacológico , Enfermedades de la Piel/patologíaAsunto(s)
Terapia por Láser , Ozono/uso terapéutico , Fotoquimioterapia , Modalidades de Fisioterapia , Terapia por Ultrasonido , Infección de Heridas/terapia , Animales , Sangre/efectos de la radiación , Humanos , Supuración/terapia , Infección de Heridas/sangre , Infección de Heridas/tratamiento farmacológico , Infección de Heridas/radioterapia , Infección de Heridas/cirugíaAsunto(s)
Infecciones/radioterapia , Terapia por Láser , Sangre/efectos de la radiación , Enfermedad Crónica , Terapia Combinada , Quistes/inmunología , Quistes/radioterapia , Epitelio , Fístula/inmunología , Fístula/radioterapia , Humanos , Inmunidad Celular/efectos de la radiación , Infecciones/inmunología , Osteomielitis/inmunología , Osteomielitis/radioterapia , Cuidados Posoperatorios , Cuidados Preoperatorios , Proctitis/inmunología , Proctitis/radioterapia , Dosificación Radioterapéutica , Región SacrococcígeaAsunto(s)
Sangre/efectos de la radiación , Enfermedades Cardiovasculares/cirugía , Terapia por Láser , Pancreatitis/cirugía , Peritonitis/cirugía , Complicaciones Posoperatorias/prevención & control , Enfermedades Cardiovasculares/fisiopatología , Homeostasis/fisiología , Homeostasis/efectos de la radiación , Humanos , Pancreatitis/fisiopatología , Peritonitis/fisiopatología , Cuidados Posoperatorios , Cuidados PreoperatoriosRESUMEN
Examination of 307 patients with trophic and sluggish wounds showed that the use of a focussed carbohydrate laser beam with an energy density of 800-1000 J/cm2 makes it possible to remove pyonecrotic masses and microbial flora from the wound surface in one-stage, rapidly, without bleeding and without injury to the underlying healthy tissues and, in most cases, to make it sterile. A defocused beam of this laser applied locally with an energy density of radiation ranging from 0.5 to 2.5 J/cm2 produces a marked stimulating effect on processes of reparative regeneration in the irradiated tissues and allows one in this way to reduce the term of wound healing and the term of the patient's hospital stay by 1.4 times.
Asunto(s)
Terapia por Láser/métodos , Apósitos Oclusivos , Cloruro de Sodio/administración & dosificación , Úlcera Varicosa/cirugía , Infección de Heridas/cirugía , Adulto , Anciano , Dióxido de Carbono , Humanos , Persona de Mediana Edad , Cuidados Posoperatorios , Factores de Tiempo , Cicatrización de HeridasRESUMEN
The article presents results of treatment of 372 patients with purulent wounds. In 187 patients a helium-cadmium laser was used (main group); in 185 patients (control group) other methods were used. The comparison of terms of cleansing the wounds from pyo-necrotic masses, appearance of granulations, epithelization++ and terms of wound healing and periods of staying at the hospital has shown high efficiency of the helium-cadmium laser for the treatment of purulent wounds. The average period at the hospital was 13.1 days, 66.8% of the patients were discharged after the complete healing of the wounds.