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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">grekov</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник хирургии имени И.И. Грекова</journal-title><trans-title-group xml:lang="en"><trans-title>Grekov's Bulletin of Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0042-4625</issn><issn pub-type="epub">2686-7370</issn><publisher><publisher-name>Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/0042-4625-2014-173-3-28-32</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-526</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PROBLEMS OF GENERAL AND SPECIAL SURGERY</subject></subj-group></article-categories><title-group><article-title>ОПТИМИЗАЦИЯ ЛЕЧЕНИЯ ГНОЙНЫХ РАН У БОЛЬНЫХ С СИНДРОМОМ ДИАБЕТИЧЕСКОЙ СТОПЫ</article-title><trans-title-group xml:lang="en"><trans-title>OPTIMIZATION OF TREATMENT OF SEPTIC WOUNDS IN PATIENTS WITH DIABETIC FOOT ULCERS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Суковатых</surname><given-names>Борис Семенович</given-names></name><name name-style="western" xml:lang="en"><surname>Sukovatykh</surname><given-names>B. S.</given-names></name></name-alternatives><email xlink:type="simple">SukovatykhBS@kursksmu.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панкрушева</surname><given-names>Татьяна Александровна</given-names></name><name name-style="western" xml:lang="en"><surname>Pankrusheva</surname><given-names>T. A.</given-names></name></name-alternatives><email xlink:type="simple">PankrushevaTA@kursksmu.net</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абрамова</surname><given-names>Светлана Альбертовна</given-names></name><name name-style="western" xml:lang="en"><surname>Abramova</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">abramov.alexey046@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Курский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kursk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>15</day><month>01</month><year>2018</year></pub-date><volume>173</volume><issue>3</issue><fpage>28</fpage><lpage>32</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Суковатых Б.С., Панкрушева Т.А., Абрамова С.А., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Суковатых Б.С., Панкрушева Т.А., Абрамова С.А.</copyright-holder><copyright-holder xml:lang="en">Sukovatykh B.S., Pankrusheva T.A., Abramova S.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vestnik-grekova.ru/jour/article/view/526">https://www.vestnik-grekova.ru/jour/article/view/526</self-uri><trans-abstract xml:lang="en"><p>An analysis of complex examination and treatment was made in 116 patients with necrotic suppurative complications. Patients were divided into two statistically homogeneous groups. An ointment «Levomekol» was used in control group and immobilized forms of chlorhexidine bigluconate was applied in the main group. The dynamics of traumatic process course was learned by planimetric, bacteriological and cytological methods. The percentage of area reduction of wounds in the main group was higher, than in control group: on the third day - on 1,59%, on the fifth day - on 3,16%, on the seventh day - on 5,86%, on the tenth day - on 6,83%, on the fourteenth day - on 7,80%, on the twenty-first day - on 7,62%. A microbial contamination of wounds (generated colony units in 1 g of tissue) was less, than in control group on the third day of treatment - on 1,6×106, on the fifth day - on 26,2×105, on the seventh day - on 77,8×10, on the tenth day - on 2,2×104 and on the fifteenth day - on 0,3×10³ (p&lt;0,05). The number of granulocytes was less in main group: on the third day - on 11,8%, on the fifth day - on 14,2%, on the seventh day - on 8,8%, on the tenth day - on 5,2%. The quantity of fibroblasts (a number of reparative cells) was more in wounds of the main group in the same terms: 2,9%, 5,8%, 3,6%, 4,4%, respectively. Thus, the treatment of suppurative wounds by the immobilized form of chlorhexidine bigluconate was proved pathogenetically reasonable and effective.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>синдром диабетической стопы</kwd><kwd>гнойная рана</kwd><kwd>diabetic foot ulcers</kwd><kwd>suppurative wounds</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Войнов А. В., Бедров А. Я., Воинов В. А. Синдром «диабетической стопы» // Вестн. хир. 2012. № 3. С. 106-109.</mixed-citation><mixed-citation xml:lang="en">Войнов А. В., Бедров А. Я., Воинов В. А. 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