THE RESULTS OF THE COMBINED USE OF OZONE THERAPY AND VACUM THERAPY IN THE TREATMENT OF PURULENT WOUNDS OF THE STERNUM AFTER MEDIAN STERNOTOMY IN THE PATIENTS WITH TYPE 2 DIABETES

The article presents a four-year clinical observation of 89 patients with the clinical picture of sternomediastinitis after median sternotomy. All patients were diagnosed with type 2 diabetes. Patients were divided into 4 groups. It was concluded that the use of a medical complex, which includes vacuum treatment in combination with ozone therapy, allows to speed up the rehabilitation and wound healing in patients with type 2 diabetes.The aim of the research: To improve the effectiveness of treatment of purulent wounds of the sternum after sternotomy through the integrated use of ozone therapy and vacuum therapy in patients with diabetes mellitus.Material and methods: For the period from 2015 to 2019, 1,578 patients with various cardiovascular pathologies were operated on through the sternotomic access in the cardiac surgery department of the Federal Center for Cardio-Sacedial Surgery of Krasnoyarsk. A total of 89 cardiac surgical patients with a clinical picture of sternomediastinitis after median sternotomy were under our observation. All diagnosed with type 2 diabetes. 60% were women and 40% were men. All patients were divided into 4 groups comparable in age, sex and severity of the disease. The results of the study: Analysis of histological and morphometric parameters shows that the rate of change in the cellular composition of the dermis, the degree of development of the vascular bed and granulation tissue, the severity of epithelialization suggests that the most effective is the integrated use of ozone therapy with vacuum therapy in the treatment of purulent steroediastinitis. Conclusion: The use of a medical complex, including ozone therapy and vacuum treatment, allows to speed up the rehabilitation and wound healing in patients with type 2 diabetes. The impact on the wound of vacuum therapy with aspiration of the wound discharge using ozonized distilled water as a therapeutic solution significantly activates the regenerative processes in the wound in patients with type 2 diabetes.

sternomediastinitis, instability of the sternum, ozone therapy, soft tissue diastasis, vacuum treatment