O. Kravtsov, O. V. Shapoval, Yu. I. Isaev, A. A. Tsohoev, T. Kurbanov
{"title":"应用亲脂软膏“文达尔”治疗浅表烧伤的经验","authors":"O. Kravtsov, O. V. Shapoval, Yu. I. Isaev, A. A. Tsohoev, T. Kurbanov","doi":"10.37436/2308-5274-2020-2-10","DOIUrl":null,"url":null,"abstract":"For the local treatment of burns, numerous drugs have been proposed with a tendency to expand the range of drugs. In order to establish the effectiveness of Wundehil ointment in the treatment of superficial burns and to determine the optimal methods of its application, the results obtained in the patients with second−grade burns were analyzed. Clinical evaluation of treatment was performed on the basis of visual control of the wound process, determination of the amount and nature of exudate, the timing of epithelialization of superficial burns. The dynamics of the wound process was observed by cytological examination. In the preparations, which were examined by immersion microscopy, the cell composition was studied to determine the type of cytogram according to the generally accepted classification. The type of cytogram in the patients was characterized as inflammatory. Among the cell elements in the smear, segmental neutrophilic granulocytes, monocytes in small numbers, and single lymphocytes predominated. Signs of phagocytic activity were recorded, and neutrophilic granulocytes with intracellular arrangement of microorganisms were detected. On the 7th day after the injury, the inflammatory type of cytogram was recorded in smears−imprints in 3 patients, inflammatory−regenerative were found in 6, regenerative ones were revealed in 14. On the 10th day only 2 patients had an inflammatory−regenerative type of cytogram. The obtained data indicate that the \"Wundehyl\" drug on a lipophilic basis with the content of components of natural origin meets the requirements for a local treatment of burns. 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EXPERIENCE OF APPLYING LIPOPHILIC OINTMENT "WUNDAHYL" WHEN TREATING SUPERFICIAL BURNS
For the local treatment of burns, numerous drugs have been proposed with a tendency to expand the range of drugs. In order to establish the effectiveness of Wundehil ointment in the treatment of superficial burns and to determine the optimal methods of its application, the results obtained in the patients with second−grade burns were analyzed. Clinical evaluation of treatment was performed on the basis of visual control of the wound process, determination of the amount and nature of exudate, the timing of epithelialization of superficial burns. The dynamics of the wound process was observed by cytological examination. In the preparations, which were examined by immersion microscopy, the cell composition was studied to determine the type of cytogram according to the generally accepted classification. The type of cytogram in the patients was characterized as inflammatory. Among the cell elements in the smear, segmental neutrophilic granulocytes, monocytes in small numbers, and single lymphocytes predominated. Signs of phagocytic activity were recorded, and neutrophilic granulocytes with intracellular arrangement of microorganisms were detected. On the 7th day after the injury, the inflammatory type of cytogram was recorded in smears−imprints in 3 patients, inflammatory−regenerative were found in 6, regenerative ones were revealed in 14. On the 10th day only 2 patients had an inflammatory−regenerative type of cytogram. The obtained data indicate that the "Wundehyl" drug on a lipophilic basis with the content of components of natural origin meets the requirements for a local treatment of burns. The use of this ointment in patients with second−degree burns reduces the severity of the inflammatory reaction, has a stimulating effect on reparative processes in the burn wound, prevents mechanical damage during dressings and reduces the duration of epithelialization in second−grade burns.
Key words: burns, local treatment, cytological examinations, "Wundahyl" ointment.
期刊介绍:
The International Medical Journal is intended to provide a multidisciplinary forum for the exchange of ideas and information among professionals concerned with medicine and related disciplines in the world. It is recognized that many other disciplines have an important contribution to make in furthering knowledge of the physical life and mental life and the Editors welcome relevant contributions from them.
The Editors and Publishers wish to encourage a dialogue among the experts from different countries whose diverse cultures afford interesting and challenging alternatives to existing theories and practices. Priority will therefore be given to articles which are oriented to an international perspective. The journal will publish reviews of high quality on contemporary issues, significant clinical studies, and conceptual contributions, as well as serve in the rapid dissemination of important and relevant research findings.
The International Medical Journal (IMJ) was first established in 1994.