AORTOKORONAR SHUNTLASH OPERATSIYASIDAN KEYINGI ASORATLARNI PROFILAKTIKASIDA KOMPLEKS DAVOLASH TARKIBIDA ULINASTATINNING O'RNI
##article.subject##:
aortokoronar shuntlash, ulinitatin, operatsiyadan keyingi asoratlar, prognozlash shkalasi##article.abstract##
Hozirgi kunda aortokoronar shuntlash yurak ishemik kasalligi bilan bog‘liq bo‘lgan ko‘p tomirli koronar arteriyalar zararlanishida davolashning asosiy usuli bo‘lib qolmoqda. Operatsiyadan keyingi asoratlar bemorlarning reanimatsiya va intensiv terapiya bo‘limlarida qolish muddatini sezilarli darajada uzaytiradi. Tadqiqotga aortokoronar shuntlash o‘tkazilgan 160 bemor kiritilgan va ular 2 guruhga bo‘lingan. Asosiy guruhda n=80 bemorga erta asoratlar xavfini ko‘p omilli shkalaga asoslangan holda prognozlash va yallig‘lanishga qarshi terapiya sifatida ulinastatin dori vositasi kompleks terapiya ichiga kiritildi. Nazorat guruhida n=80 bemor esa operatsiyadan keyin standart davolash taktikasi qo‘llanildi. Asosiy guruhdagi bemorlar prognozlash shkalasi bo‘yicha quyidagi kichik guruhlarga bo‘lindi: past, o‘rta, yuqori va juda yuqori operatsiyadan keyingi asoratlar xavfiga ega bemorlar. Operatsiyadan 72 soat o‘tgach, juda yuqori xavfli bemorlarda 10–12% hollarda gipertermiya va zotiljam; 1–4% hollarda o‘tkir respirator distress sindromi va poliorgan yetishmovchilik sindromi kuzatilib, nazorat guruhidagi bemorlarning 2,5%ida o‘lim holati yakunlandi. Yiringli jarohat asoratlari va mediastenit asosiy guruhda nazorat guruhiga nisbatan kamroq uchradi. Olingan natijalar ko‘p omilli prognozlash shkalsini va ulinastatin qo‘llashning aortokoronar shuntlashdan keyingi erta asoratlar sonini kamaytirishdagi samaradorligini tasdiqlaydi.
Библиографические ссылки
Abdurakhmanov, A.A. Coronary artery bypass surgery: the current state of the problem / A. A. Abdurakhmanov // Bulletin of Emergency Medicine. – 2019. Vol. 12, No. 4. – pp. 85-90. (in Russ)
Abramovich, S.G. Monitoring the effectiveness of therapeutic physical factors: diagnostic technologies. Part II: studies. manual / S.G. Abramovich – Irkutsk: RIO IGMAPO, 2019. – 56c. (in Russ)
Akchurin, R.S. Modern trends in coronary surgery, R.S. Akchurin, A.A. Shiryaev, V.P. Vasiliev and others // Pathology of blood circulation and cardiac surgery. – 2017. – Vol.21, No. 3S. – pp.34-44.(in Russ)
Mallaev, C., Matlubov, M., & Yusupov, J. (2020). Nutritional support for patients with covid-19 in the intensive care unit. Journal of Cardiorespiratory Research, 1(SI-1), 63-64 (in Russ).
Matlubov, M. M., Yusupov, J. T., & Mukhamedieva, N. U. (2020). Preoperative Preparation Of Elderly Patients With Concomitant Hypertension In The Practice Of Ophthalmic Surgery. The American Journal of Medical Sciences and Pharmaceutical Research, 2(11), 8-15.
Matlubov, M. M., Yusupov, J. T., & Sharipov, I. L. (2022). Improving the methods of anesthetic treatment in women with concomitant cardiovascular pathology during uterine removal operations. Journal of Integrated Education and Research, 1(5), 41-48. (in Russ)
Matlubov, M. M., Yusupov, J. T., Mallayev, S. S., & Khamrayev, K. H. (2020). Optimization of anesthesiological assistance in women with arterial hypertension in hysterectomy. Достижения науки и образования, (5), 82-86.
Matlubov, M. M., Yusupov, J. T., Saidov, M. A., Zhoniev, S. S., & Mаllaev, I. U. (2022). The role of artificial blood circulation in the development of postoperative cognitive dysfunction. Journal of Cardiorespiratory Research, 1(4), 15-20. (in Russ).
Matlubov, M., Khamdamova, E., & Yusupov, J. (2020). Tactics of intensive therapy and anesthesia in pregnant women and women in labor infected and sick with covid-19. Journal of Cardiorespiratory Research, 1(SI-1), 66-67. (in Russ).
Muratovich, M. M., Abduvakilovich, M. A., & Tolibovich, Y. J. (2021). Assessment of the degree of preservation of coronary reserves in pregnant women with mitral stenosis. Central Asian Journal of Medical and Natural Science, 2(1), 20-23.
Rizaev, J. A., Saidov, M. A., & Khasanjanova, F. O. (2023). Modern trends in the prevalence and outcomes of cardiovascular diseases among the population of the Republic of Uzbekistan. Journal of Cardiorespiratory Research, 1(1), 18–23. (in Russ).
Rizaev, J. A., Saidov, M. A., & Khasanjanova, F. O. (2023). Statistical analysis of awareness of cardiology and cardiac surgery patients about high-tech medical care in Samarkand region. Vestnik Nauki, 1(11), 992–1006. (in Russ).
