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Denas application in complex therapy of burns

 

FAYAZOV A.D., RUZIMURODOV D.A.,

Republic Scientific Center of Emergency Medical Aid

Tashkent, Uzbekistan

 

In spite of certain success achieved during the past decades in burns medicine, the problem of pain relief under thermal injuries is not resolved completely. Introduction of modern high-efficient preparations for general anaesthesia of the burnt is under development now. However, side effects of the majority of these medicines set severe restrictions to their practical use. In this connection, a new trend in the clinical burns medicine is being developed with application of non-drug methods of pain relief in patients with thermal injuries.

Application of the method of dynamic electro stimulation (DENAS) in local therapy of burns is one of the prospective trends for resolving this problem.

The purpose of the present work was to assess DENAS influence on intensity of the pain syndrome and terms of burning wound healing.

55 burnt with the burn area from 5 to 30 % of the skin surface were included into the research, average age was 34.6±l.6 years. The patients were divided into two groups: the main (25 people) and the control (30 people). The main group had DENAS from Denas-PCM-6 device in addition to drug therapy. The procedures were carried out once a day. An individual recipe of therapy was selected according to the recommended methods. Patients of the control group had only standard conservative therapy. To make the results more objective, patients of the main and control group were asked to assess intensity of the pain syndrome daily, the course of the wound process was examined at the same time.

All 25 patients who had complex therapy with DENAS application, all had a positive therapeutic effect in the form of pain relief, increase of active motions and improvement of the general state of health. Analgesic effect of the DENAS electro stimulation was registered after 1-2 procedures. Reduction of the pain syndrome was registered by the 5th-6th procedure. As regards the wound process, reduction of inflammatory effects, terms of acceleration of wound cleansing and epithelization were registered. In the control group, the pain syndrome lasted out during much longer periods (up to 2-3 weeks), terms of cleansing and healing of the burning wound were also longer.

Thus, inclusion of DENAS electro stimulation into complex therapy of the burns promotes reduction of the pain syndrome and acceleration of epithelization of the burning wound.

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