- Change in microcirculation levels under the influence of alternating magnetic field in the comprehensive treatment of children with suppurative wounds
Change in microcirculation levels under the influence of alternating magnetic field in the comprehensive treatment of children with suppurative wounds
PAEDIATRIC SURGERY.UKRAINE.2018.3(60):94-99; doi 10.15574/PS.2018.60.94
Spakhi O. V., Pacholchuk A. P.
Zaporizhzhia State Medical University, Ukraine
Objective: to study changes in the levels of microcirculation parameters (MP) in children with suppurative wounds when applying alternating magnetic field.
Materials and methods. In total 197 children with suppurative wounds during the period of 2012-2016 were examined. In the 1st group, the patients were administered the alternating magnetic field as a topical therapy of wound daily. The patients of the 2nd group underwent standard topical treatment for an acute purulent surgical infection. To study the microcirculation levels, the laser Doppler flowmetry (LDF) was used.
Results. According to LDF during the inflammatory stage of the wound process, an increase in the microcirculation index and the oscillating amplitude of microvasculature in the myogenic and neurogenic ranges was revealed. In 83 (81.4%) children, after the application of alternating magnetic field, the decrease in MP and the tone of microvasculature was determined as early as the third day of treatment, and in 73 (76.9%) children of the comparison group – the fifth day (p<0.05). Changes in microcirculation were accompanied by the onset of regenerative wound processes. The beginning of the reparative processes was accompanied by the MP increase, which gradually decreased to the reference area during the third stage, and the oscillating amplitude in the neurogenic and myogenic ranges did not differ significantly from the intact area. These changes caused by alternating magnetic field were determined in 89 (87.3%) cases on the fifth day, and in the comparison group in 73 (76.9%) cases on the seventh day (p<0.05).
Conclusions. Determining the microcirculation parameters of suppurative wounds may be used for the objective assessments of the wound process and treatment efficiency. Laser Doppler flowmetry is a sensitive method of the wound microcirculation examination and enable monitoring the progress of the wound process. Treatment of suppurative wounds by using alternating magnetic field improves microcirculation and creates conditions for the manifestation of a greater efficiency of drugs.
Key words: children, suppurative wounds, magnetic therapy, microcirculation, laser Doppler flowmetry.
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Article received: Mar 19, 2018. Accepted for publication: Sep 13, 2018.