“生物等离子咽喉喷雾剂”治疗腭扁桃体慢性炎症性疾病的临床及微生物学疗效观察

Serhii B. Bezshapochny, V. P. Polianskaya, S. Zachepylo
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摘要

主题:扁桃体慢性炎症性疾病在耳鼻喉科病理结构中占有重要地位。炎症向慢性形式的转变与该生物群落的定植抗性因子的抑制,病原菌如St. 生长原体和金黄色葡萄球菌的出现有关。Аgainst在发展生态失调和免疫失衡的背景下,一些器官和系统的并发症可能会发展。因此,寻找有效的局部致病因治疗慢性扁桃体炎的方法,同时,对本地微生物群温和,是相关的。材料与方法:本研究纳入52例慢性扁桃体炎患者。所有患者分为两组,每组26例。第一组局部治疗采用细菌成分“Bioplasmix咽喉喷雾剂”,第二组采用传统治疗方法:使用浓度为0.2 mg/ml的杀菌剂十甲氧辛冲洗扁桃体腔。结果与讨论:研究表明“Bioplasmix咽喉喷雾剂”具有选择性抗菌活性。因此,对于主要病原菌,“Bioplasmix咽喉喷雾剂”显示出明显的抗菌效果,同时有助于使本地微生物群落的种群水平正常化,这表明生物群落的定植抗性恢复。患者的主要主诉和咽喉镜体征的积极动态证明了“生物等离子咽喉喷雾剂”的临床疗效。第二组患者临床指标分析显示,在十甲氧辛治疗期间,患者主诉严重程度和客观疾病体征均有所下降。反复进行的微生物学研究结果表明,与“生物等离子体咽喉喷雾剂”不同,十甲氧辛的广谱抗菌作用并不有助于恢复和维持腭扁桃体的高水平本地微生物群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and microbiological efficacy of "Bioplasmiх throat spray" in the treatment of chronic inflammatory diseases of the palatine tonsils
Topicality: Chronic inflammatory diseases of the tonsils occupy a significant place in the structure of otorhinolaryngological pathology. The transition of inflammation to a chronic form is associated with the suppression of factors of colonization resistance of this biotope, the emergence of pathogenic microorganisms such as St. рyogenes and S. aureus. Аgainst the background of developing dysbiosis and immune imbalance, a number of complications from organs and systems may develop. Therefore, the search for means for effective topical etiotropic treatment of chronic tonsillitis and, at the same time, gentle on the indigenous microflora, is relevant. Materials and methods: The study involved 52 patients with chronic tonsillitis. All patients were divided into 2 groups of 26 each. Subjects of the 1st group in local therapy used the bacterial component "Bioplasmix throat spray", and patients in the 2nd group – used the traditional course of treatment: washing the lacunae of the tonsils with antiseptic agent – decamethoxine at a concentration of 0.2 mg/ml. Results and discussion: Studies have shown the selective antimicrobial activity of "Bioplasmix Throat Spray". Thus, in relation to the main pathogens "Bioplasmix Throat Spray" showed a pronounced antibacterial effect and, at the same time, helped to normalize the population level of indigenous microflora, which indicates the restoration of colonization resistance of the biotope. The positive dynamics of the main complaints of patients and pharyngoscopic signs testified to the clinical effectiveness of "Bioplasmiх Throat Spray". The analysis of clinical indicators in patients of the 2nd group showed a decrease in the severity of patient complaints and objective signs of the disease during treatment with decamethoxine. The results of repeated microbiological studies showed that, unlike "Bioplasmiх Throat Spray", the broad spectrum of antimicrobial action of decamethoxine does not contribute to the restoration and maintenance of high population levels of indigenous microflora of thepalatine tonsils.
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