Global Journal of Medical Research, F: Diseases, Volume 22 Issue 1

Table 3: Distribution of patients according to the location of the purulent wound № Body area Control group Main group I Main group II Total (abc and %) 1. Body 34 28 36 98(27,3%) 2. Lower limbs 21 33 19 73(20,3%) 3. Neck 20 15 23 58(16,1%) Stomach 16 19 21 56(15,5%) 4. Buttocks 14 15 16 45(12,5%) 5. Upper limbs 13 10 7 30(8,3%) Total 118 120 122 360(100%) The time from the onset of the disease to treatment and hospitalization in the hospital averaged 7.2 ± 3.5 days. Table 4: Distribution of patients in the main and control groups depending on the nature of concomitant diseases No. Concomitant diseases Control group (abc and %) Main group I (abc and %) Main group II (abc and %) Total (abc and %) 1. Hypertensive disease 26(22,0%) 29(24,1%) 22(18,0%) 77(21,4%) 2. Coronary disease 18(15,2%) 14(11,7%) 19(15,5%) 51(14,2%) 3. Diabetes mellitus 12(10,4%) 15(12,5%) 20(16,4%) 47(13,0%) 4. Varicose of the lower extremities and CVI 13(11,0%) 19(16,0%) 11(9,0%) 43(12,0%) 5. Respiratory diseases 11(9,3%) 7(5,8%) 8 (6,6%) 26(7,2%) 6. Postinfarction cardiosclerosis 5(4,2%) 7(5,8%) 11 (9,0%) 23(6,4%) 7. Diseases of the genitourinary system 5(4,2%) 7(5,8%) 9(7,4%) 21(5,8%) 8. Arthropathy 9(7,6%) 7(5,8%) 5(4,1%) 21(5,8%) 9. There was no concomitant pathology 19(16,1%) 15(12,5%) 17(14,0%) 51(14,2%) 118 120 122 360(100%) The analysis of concomitant diseases in the comparative groups shows that in the control group in 83.9%, in the main group I in 87.5%, and in the main group II in 86.0% of patients, one or more concomitant diseases were revealed. At the same time, arterial hypertension (21.4%), ischemic heart disease (14.2%), diabetes mellitus (13.0%) and varicose veins of the lower extremities with signs of varying severity of CVI (12.0%) prevailed. Device characteristics For photodynamic therapy, an ALT-Vostok model 03 light emitter was used, corresponding to the technical specifications TSh 64-15302652-002: 2010, Manufacturer LLC “NAF”, Uzbekistan. With the following main technical characteristics: 1) Radiation range 660-670nm with a power density of 200 mW / cm²; 2) Exit area of the emitting terminal 4 cm 2 . The distance from the end of the radiator to the wound surface was 2-5 cm in the absence of thermal discomfort in the patient. The total irradiation time depended on the area of the wound surface and ranged from 15 to 30 minutes. For the session of the CO2 laser, the apparatus "JZ-3A" was used. Laser wavelength: 10.6. Output Power: 1 ~ 15w. Exit mode: Focus, defocus. In all studied groups, after the start of treatment, we studied general clinical parameters, morphology, microbiology and planimetry of purulent wounds in dynamics. After opening the abscess, all patients had bandaging on the next day after the operation, where the condition of the wound was assessed - resolution of hyperemia, swelling, pain and infiltration of the walls, the nature and amount of discharge from a purulent wound, the presence of non-viable, necrotic tissues and detritus was determined, as well as the timing of the appearance granulation and the beginning of epithelialization. The prints were taken from the walls of wounds for 3,7,10 days for cytological studies, as well as for dynamic control of changes in the microbial flora and its sensitivity to antibiotics. After the surgical treatment of purulent foci, the dynamics of the course of the wound process in patients of the control and main groups were different, depending on the treatment. In patients of the control group who received traditional treatment, temperature normalized on day 4.0 ± 0.5, heart rate normalized on day 4.5 ± 0.5, and a 3 Year 2022 Global Journal of Medical Research Volume XXII Issue I Version I ( D ) F © 2022 Global Journals Optimization of Treatment Methods for Purulent-Destructive Soft Tissue Diseases through the use of Laser Treatment Methods