Abstract
We studied clinical and laboratory efficacy of using comprehensive anti-inflammatory and antithrombotic agents for the treatment of 100 patients with acute salpingoophoritis.The criteria for attracting patients to the study were: age 18 to 45 years and diagnosis "acute salpingoophoritis" (pain radiating to the lower extremities and groin, at least in the lower back and rectum, symptoms of intoxication (fever, tachycardia), increased secretory function). The nearest and remote results of treatment (in 14 days and after 6–9 months after initiation of therapy) pointed to the high efficiency of the proposed complex anti-inflammatory therapy involving complex antibacterial drug (antibacterial and antiprotozoal orientation) in combination with a local anti-inflammatory, anti-thrombotic, proteolytic (rectal suppositories with streptokinase and streptodornase) therapy of acute salpingoophoritis. Taking the used effectiveness criteria (data of pain, data of general and gynecological examination, hemogram data, smear microscopy of the cervix and vagina, pelvic ultrasound, complications, duration of treatment, side effects of therapy) treatment efficiency of patients was 96 %.High efficiency of treatment is not accompanied by side effects and is well tolerated by patients.
Highlights
As a result of study of 255 surgeons and physicians, it was revealed that somatic-vegetative imbalance (76.2 %), sleep disorders (78.9 %) and emotional disorders (91.6 %) are essential signs of professional disadaptation in doctors of these social-occupational groups
We studied clinical and laboratory efficacy of using comprehensive anti-inflammatory and antithrombotic agents for the treatment of 100 patients with acute salpingoophoritis.The criteria for attracting patients to the study were: age 18 to 45 years and diagnosis “acute salpingoophoritis” (pain radiating to the lower extremities and groin, at least in the lower back and rectum, symptoms of intoxication (fever, tachycardia), increased secretory function)
Summary
Состояния профессиональной дезадаптации у врачей хирургического и терапевтического профиля (клиническая феноменология, психокоррекция). В результате исследования 255 врачей хирургического и терапевтического профиля установлено, что облигатными проявлениями профессиональной дезадаптации у врачей указанных социально-профессиональных групп являются соматовегетативный дисбаланс (76,2 %), нарушение сна (78,9 %) и эмоциональные расстройства (91,6 %). Взаимовлияние которых формирует клиническую специфику и особенности течения феномена профессиональной дезадаптации у врачей хирургического и терапевтического профиля. На основе полученных данных была научно обоснована, разработана и внедрена система психокоррекции профессиональной дезадаптации врачей хирургического и терапевтического профиля, оценена её эффективность. Ключевые слова: профессиональная дезадаптация; врачи хирургического и терапевтического профиля; психокоррекция. States of professional disadaptation in surgeons and physicians (clinical phenomenology, psychocorrection)
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