Clinical application of ozone therapy, ultrasound and cryotherapy in the treatment of infected and purulent wounds on the background of chronic venous insufficiency

Abstract

Research objective: To think up and estimate efficiency of the combined ozonoterapiya at treatment it is long not healing and purulent wounds which have developed against the background of chronic venous insufficiency. Materials and methods: Clinical trial has included 134 patients with chronic venous insufficiency with are long not healing purulent wounds. In a zavisismost from the chosen treatment method patients are divided into three groups. Groups were comparable on a sex, age and weight of defeat of soft fabrics. Assessment of efficiency of treatment was carried out by results of planimetry of wounds, an acid-base condition of a wound and speed of a blood-groove on border of healthy fabric and a wound. Results: On the basis of the conducted researches have proved efficiency of the combined treatment with use of a system and local ozonoterapiya, cryogenic stimulation and ultrasound. The developed algorithm of maintaining patients with chronic venous insufficiency with it is long nekhazhivayushchy wounds, reduces a painful interval to (3,1 0,6) days, accelerates filling of wounds with granulations and emergence of a regional epitalization which appeared to (6,2 1,1) days. The developed technique of a complex ozonoterapiya normalizes blood-groove speed on border of healthy fabric and a wound and restores acid-base balance. Use of a new medical complex reduces stay of patients in a hospital by 17,4 % and reduces disability terms by 12,8 %. Conclusion: At patients with the chronic venous insufficiency complicated it is long not healing infected wounds, use of the new technologies including a local and system ozonoterapiya, cryotherapy and ultrasound is expedient.