Abstract
Background. Early pulmonary complications after cardiosurgery worsen general state of the patients, require additional therapeutic and diagnostic measures, increase the pharmacological load, extend the length of stay in the hospital and in some cases leads to the lethal outcome. Objective. The purpose of this study was to evaluate the effectiveness of the infrared radiation with terahertz modulation in the early-onset hospital-acquired pneumonia and ventilator-associated pneumonia in patients after cardiosurgery. Design and methods. This is an observational retrospective open comparative study with pseudo-control (“case-control study”). We included patients with pulmonary complications (infi ltrative and focal changes in the lungs diagnosed as nosocomial pneumonia and ventilator-associated pneumonia) in the early post-cardiosurgery period (after coronary bypass surgery and / or prosthetic heart valves). They were divided into 2 groups: we applied infrared Terahertz radiation at the acupuncture point Da-bao (RР 21) (“IK-Dipole”, Russia) in addition to the standard therapy in the 1st group. The patients of the 2nd group received only standard therapy. Results. Early (the fi rst day) application of infrared radiation with terahertz modulation allowed to reduce terms of stay of the patient in the intensive care unit (by 4-8 days); to reduce radiological and pharmacological stress; to reduce the intubation and ventilation time (by 4-8 days); to improve prognosis; to start earlier (by 4-8 days) the rehabilitation activities. Conclusion. Therefore, the infrared radiation with terahertz modulation helps to improve the quality and effectiveness of treatment in patients with pulmonary complications after cardiosurgery.
Highlights
Pulmonary complications after cardiosurgery worsen general state of the patients, require additional therapeutic and diagnostic measures, increase the pharmacological load, extend the length of stay in the hospital and in some cases leads to the lethal outcome
Пациенты (*Женщины) Показатели, значения, основные заболевания Возраст пациент, лет Основное заболевание Начало возникновения пневмонии от момента операции (в сутках) Количество дней в реанимации после начала пневмонии Нормализация рентгенологических признаков Нормализация СОЭ и лейкоцитов Нормализация С-реактивного белка Нормализация to от исходно повышенной Длительность искусственной вентиляции легких от начала лечения пневмонии Длительность пребывания в стационаре от момента установления диагноза пневмонии
И лейкоцитоз Нормализация С-реактивного белка Нормализация to от исходно повышенной Длительность искусственной вентиляции легких от начала лечения пневмонии Длительность пребывания в стационаре от момента установления диагноза пневмонии том 4 No 6 / 2017
Summary
Pulmonary complications after cardiosurgery worsen general state of the patients, require additional therapeutic and diagnostic measures, increase the pharmacological load, extend the length of stay in the hospital and in some cases leads to the lethal outcome. В качестве контроля (2-я группа пациентов) нами была подобрана выборка, состоящая также из 10 больных (4 женщин и 6 мужчин), сопоставимых с пациентами 1-й группы по полу, возрасту, основному диагнозу, виду оперативного лечения, основному сопутствующему заболеванию и развившемуся осложнению (наличие НП и ВАП в послеоперационном периоде), которые прошли лечение в данном реанимационном отделении несколько раньше.
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