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Объективизация выбора лечебной тактики при декубитальных язвах у пациентов, находящихся в хроническом критическом состоянии в связи с поражением головного мозгастатья
- Авторы: ЯКОВЛЕВ А.А., ШУЛУТКО А.М., ОСМАНОВ Э.Г., ЯКОВЛЕВА А.В., НАТРОШВИЛИ А.Г., НАСИРОВ Ф.Н., ПАТАЛОВА А.Р.
- Журнал: Московский хирургический журнал
- Номер: 2
- Год издания: 2020
- Первая страница: 90
- Последняя страница: 97
- Аннотация: Abstract:Aim: to evaluate the effectiveness of the modernized Bates-Jensen` scale as a method of objectify the choice of treatment for bedsores in patients with braindamage who are in a chronic critical condition.Methods: a survey of patients with severe brain damage and grade III DL who underwent reconstructive surgery – autodermoplasty (ADP) for the period2017-2019 was conducted. A total of 30 people: 23 (76.7%) of them men and 7 (23.3%) women aged 27 to 63 years. Depending on the outcome of theoperation 2 groups were formed: 17 patients with a positive outcome of the intervention and 13 patients with a negative outcome of ADP (rejection of theflap, further progression bedsore). For a quantitative assessment of the healing dynamics we used the Bates-Jensen` scale and its modernized analoguesupplemented by 3 new criteria. Scoring and statistical analysis of the results showed that a total score of ≥50 according to the adapted Bates-Jensen` scale atthe time of hospitalization should be considered an absolute contraindication for ADP. A predictor of a positive outcome for ADP is ≤40 points by adaptedBates-Jensen` scale after two weeks of conservative therapy (p<0,05).Conclusion: The modified Bates-Jensen` scale allows for a comprehensive assessment of pressure sores, monitoring of the wound hilling process andobjectifying cure tactics.
- Добавил в систему: Яковлев Алексей Александрович