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High-frequency electrical stimulation of pressure ulcers in patients in chronic critical condition due to severe brain damage

https://doi.org/10.17238/2072-3180-2023-2-74-82

Abstract

   Introduction. Optimizing the treatment of pressure ulcers in patients in chronic critical condition due to cerebral catastrophe.

   Material and methods. The study included 48 patients of the above category treated with the use of high-frequency electrical stimulation (HPS) technology aged 28 to 74 years and the depth of damage of the II-III degree according to the classification Agency For Health Care Policy and Research (1992). For objective evaluation, the results were compared with those of 46 patients in the control group (conventional therapy), comparable in demographic and clinical criteria. Objective controls included bacteriological, cytological and morphological studies, as well as the Bates-Jensen scale.

   Results. High-frequency electrical stimulation contributed to a qualitative acceleration of reparative processes in pressure ulcers, a reduction in the total duration of treatment and rehabilitation. A comprehensive instrumental study confirmed a more pronounced positive dynamics of the complicated wound process against the background of periodic high-frequency electrical stimulation.

   Conclusion. The obtained results allow us to conclude that an integrated approach is promising in the treatment of decubital ulcer in patients in chronic critical condition due to severe brain damage. Stimulation of pressure sores by high-frequency electrical stimulation induces acceleration of regenerative processes in the pressure ulcer wound, reducing the period of inpatient treatment and the time for the start of further rehabilitation measures in persons of this clinical category.

About the Authors

A. M. Shulutko
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Alexander Mikhailovich Shulutko, Doctor of Medical Sciences, Professor

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


E. G. Osmanov
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Elkhan Hajikhan Osmanov oglu, Doctor of Medical Sciences, Professor

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


E. L. Altukhov
Research Institute of Rehabilitation Federal Research Center for Resuscitation and Rehabilitation
Russian Federation

Evgeny Leonidovich Altukhov, surgeon

Research Institute of Rehabilitation

141534

Moscow Region

Lytkino

777


A. A. Jakovlev
Research Institute of Rehabilitation Federal Research Center for Resuscitation and Rehabilitation
Russian Federation

Alexander Alekseevich Yakovlev, MD, Director

Research Institute of Rehabilitation

141534

Moscow Region

Lytkino

777


A. V. Jakovleva
Research Institute of Rehabilitation Federal Research Center for Resuscitation and Rehabilitation
Russian Federation

Alexandra Vitalievna Yakovleva, Researcher

Research Institute of Rehabilitation

laboratory of innovative and rehabilitation technologies

141534

Moscow Region

Lytkino

777


S. V. Belov
FSBUN Federal Research Center "Institute of General Physics named after A. M. Prokhorov of the Russian Academy of Sciences"
Russian Federation

Sergey Vladimirovich Belov, Professor, Head of the Department, Doctor of Technical Sciences

Department of Nanotechnology

119991

38, Vavilova street

Moscow 


Yu. K. Danilejko
FSBUN Federal Research Center "Institute of General Physics named after A. M. Prokhorov of the Russian Academy of Sciences"
Russian Federation

Yuri Konstantinovich Danileiko, Head of the laboratory, Doctor of Physical and Mathematical Sciences

119991

38, Vavilova street

Moscow


Yu. A. Boblak
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Yulia Alexandrovna Boblak, assistant

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


V. I. Semikov
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Vasily Ivanovich Semikov, Doctor of Medical Sciences, Professor

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


A. R. Patalova
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Alla Rubenovna Patalova, Candidate of Medical Sciences, Docent

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


S. E. Khmyrova
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Svetlana Evgenievna Khmyrova, Candidate of Medical Sciences, Docent

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


N. V. Zharkov
Institute of Clinical Morphology and Digital Pathology, FSAEI HE Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)
Russian Federation

Nikolay Vladimirovich Zharkov, Candidate of Biological Sciences, biologist, research associate

119991

8–2, Trubetskaya street

Moscow


T. R. Gogohija
FSAEI HE First Moscow State Medical University named after I. M. Sechenov Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Tristan Razhdenovich Gogokhia, Candidate of Medical Sciences, assistant

Department of Faculty Surgery № 2 named after I. G. Lukomsky IKM

119991

8–2, Trubetskaya street

Moscow


D. I. Khar'kov
Institute of Clinical Medicine named after N.V. Sklifosovsky, FSAEI HE Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenovskiy University)
Russian Federation

Daniil Igorevich Khar'kov, student

119991

8–2, Trubetskaya street

Moscow


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Review

For citations:

Shulutko A.M., Osmanov E.G., Altukhov E.L., Jakovlev A.A., Jakovleva A.V., Belov S.V., Danilejko Yu.K., Boblak Yu.A., Semikov V.I., Patalova A.R., Khmyrova S.E., Zharkov N.V., Gogohija T.R., Khar'kov D.I. High-frequency electrical stimulation of pressure ulcers in patients in chronic critical condition due to severe brain damage. Moscow Surgical Journal. 2023;(2):74-82. (In Russ.) https://doi.org/10.17238/2072-3180-2023-2-74-82

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ISSN 2072-3180 (Print)
123007, Russian Federation, Moscow, Khoroshevskoe shosse, d. 78. Processing of personal data
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