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

decrease in leucocyte index of intoxication - on day 8.5 ± 0.5 after treatment. A decrease in perifocal edema in the area of purulent wounds was observed in patients for 4.5 ± 0.5 days. Hyperemia of the skin around the purulent wounds persisted for 5.0 ± 0.3 days, and infiltration of the edges and walls of the wounds - 8.5 ± 0.5 days. Table 7. In the main group I, temperature normalized on the 3.0 ± 0.8th days, the heart rate decreased to normal values by 3.5 ± 0.7 days, a decrease in leucocyte index of intoxication to the normal level was observed on the 8.0 ± 0.5th days after carrying out medical measures. Analysis of the dynamics of clinical manifestations showed that the treatment of purulent wounds using photodynamic therapy with a photosensitizer blizzard blue leads to a rapid decrease in perifocal inflammatory manifestations. Hyperemia of the skin around purulent wounds and a decrease in perifocal inflammation persisted for 4.0 ± 0.5 days, and infiltration of the edges and walls of wounds — 6.5 ± 0.5 days. Table 7. In the main group II, temperature normalized on the 3.0 ± 0.5th days, the heart rate decreased to normal values by 3.0 ± 0.5 days, and a decrease in leucocyte index of intoxication to the normal level was observed on days 7.0 ± 0.5 after therapeutic measures. Analysis of the dynamics of clinical manifestations showed that the treatment of purulent wounds using photodynamic therapy with a photosensitizer blizzard blue leads to a rapid decrease in perifocal inflammatory manifestations. Hyperemia of the skin around purulent wounds and a decrease in perifocal inflammation persisted for 3.5 ± 0.5 days, and infiltration of the edges and walls of wounds — 5.5 ± 0.5 days. Table 8. Table 8: Comparative characteristics of the main clinical indicators of the studied groups in dynamics Groups I ndicators Decrease in perfocal inflammation (days) Reduction of infiltration of the edges and walls of wounds (day) Control group 4,0±0,5 4,5±0,5 8,5±0,5 4,5±0,5 8,5±0,5 Main group I 3,0±0,8 3,5±0,7 8,0±0,5 4,0±0,5 6,5±0,5 Main group II 3,0±0,5 3,0±0,5 7,0±0,5 3,5±0,5 5,5±0,5 4 Year 2022 Global Journal of Medical Research Volume XXII Issue I Version I ( DD ) F © 2022 Global Journals Optimization of Treatment Methods for Purulent-Destructive Soft Tissue Diseases through the use of Laser Treatment Methods Temperature normalization (days) Heart rate normalization (days) Normalization of leucocyte index of intoxication (days) Пример : Больной С . С . 1954 г . р . ИБ № 1650. Поступил с диагнозом : Карбункул шеи . Жалобы на боли , отечность , покраснение в области задней поверхности шеи , повышение температуры тела , а также слабость . Со слов болеет в течение 10 дней . Занимался самолечением - без эффекта . Анализах крови : Hb-132 г / л , WBC-16x109/ л , Ht–42,5%, СОЭ -10 мм / ч , АСТ – 0,38 мкмоль , АЛТ – 0,29 мкмол . Локальном осмотре по задней поверхности шеи имеется участок покраснение размером : 10,0 х 10,0 см при пальпации резко болезненно . 29.01.2016 г произведено операция “ выскритые гнойника , некроэктомия ”. После операции пациенту проведено 3 сеанса ФДТ ( ФС 0,05% раствор метиленовый синий ) с помощью фотодинамической устройства АЛТ Восток и С O 2 - лазера (2 сеанса ). Послеоперационный период прошел хорошо . Операционная рана очистилась от гнойного налета на 3 сутки лечение , появление грануляции через 4-5 дней и эпителизации через 5-6 дней по краям раны . Пациент выписан из стационара в удовлетворительном состоянии на 5- е сутки после операции .