Volkov Daniil Yurievich (PhD,
Federal State Budgetary Institution “Federal Center of Cardio-Vascular Surgery”
Krasnoyrask, Russian Federation
)
Sakovich Valerii Anatolievich (MD, Professor,
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University,
Federal State Budgetary Institution “Federal Center of Cardio-Vascular Surgery”
)
Drobot Dmitri Borisovich (MD, Professor
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University,
Federal State Budgetary Institution “Federal Center of Cardio-Vascular Surgery”
)
Vinnik Yury Semenovich (MD, Professor
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
)
Volkov Yuri Mikhailovich (MD, Professor
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
)
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Purpose of the study: To compare the effectiveness of treatment of patients with deep sternal infection by using the traditional method and local application of ozone. Materials and Methods: Under our supervision for the period from 2015 to 2023, there were 50 cardiac surgical patients with a clinical picture of deep sternal infection after median sternotomy. Most of them - 60% were women and 40% - men. Patients were admitted to hospital in a planned manner. All patients were divided into 2 groups, comparable in age, sex and severity of the disease. In the first group, consisting of 25 patients, traditional treatment was carried out. Third-generation cephalosporins were used for antibiotic therapy according to indications. Local treatment of the wound was carried out with a 0.5% solution of chlorhexidine and levomikol. In the second group, consisting of 25 patients, the wound was treated daily with ozonized saline in combination with vacuum therapy. Results: Evaluation of the health status of patients at discharge showed that recovery was observed in 98% when using the combined method of treating deep sternal infection and in 96.6% of the case when using the traditional method. Since the null hypothesis was not refuted, we can talk about the same level of treatment effectiveness. Because 50 patients with deep sternal infection were treated, the overall benefit was 1.2 QALI or 1.2 years of life saved. Or, in terms of months - 14 saved months of life.
Keywords:Purulent sternomediastinitis, ozone therapy, vacuum therapy, deep sternal infection
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Citation link:
Volkov D. Y., Sakovich V. A., Drobot D. B., Vinnik Y. S., Volkov Y. M. COMPARATIVE EVALUATION OF THE EFFICACY OF THE TREATMENT OF DEEP STERNAL INFECTION BY THE TRADITIONAL METHOD AND THE METHOD OF LOCAL OZONE APPLICATION IN COMBINATION WITH VACUUM THERAPY // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2023. -№10. -С. 147-152 DOI 10.37882/2223-2966.2023.10.05 |
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