Vol. 2 No. 2 (2016): VESTNIK of KSMA

The analysis of 80 clinical records of adults in different age groups is carried out. The study of clinical manifestations depending on the pathomorfological form of disease and volume of inflammatory process. Level of endogenous intoxication in different clinical forms of erysipelas is determined. The comparative analysis of efficiency of antibacterial therapy depending of different clinical forms .

The article presents the main results of marketing analysis of the antibacterial drugs market in the Kyrgyz Republic and tendencies of its development for 2015-2020 years.

This article reviewed the literature on the problems of social adaptation and rehabilitation of disabled people in today’s society. Have been extensively studied for more than 25 literature published over the past few years, the analysis of which allowed us to collect data on the main areas of comprehensive rehabilitation, socio-psychological characteristics, against a healthy society to the problems of disabled people, their adaptation to the educational, vocational and employment, cultural, legal, social and everyday aspects of contemporary society.
 

Estimation of efficiency of realization of the educational program of “ School of hypertonic “ on adherence to treatment of patients with mild and moderate arterial high blood pressure in the conditions of policlinic. All patients, along with the identification of risk factors, physical examination was performed, blood pressure was measured by an office, with measurements of adherence to treatment of the MoriscGreen, organized educational program “School of hypertonic” in the city polyclinic. Implementation of the system of training of hypertensive patients improves the treatment of hypertension by increasing the number of patients involved in the responsible control of the disease increases the awareness and skills of self-control disease, improve quality of life and complaiance. Analysis of the results of the “School of hypertonic” for hypertensive patients demonstrated its high efficiency in terms of raising the level of knowledge of patients, which was accompanied by an increase in the proportion of patients receiving antihypertensive therapy and regular self- onitoring of blood pressure producing.

It is known, that lymphatic nodes and their lymphatic vessels, are biological filter on the way of flowing lymph. The construction of the capsule of the tracheobronchial lymphatic nodes are explored on the 24 complex of organs in humans of adult age. In different layers of capsule of the lymphatic nodes, is revealed the different ratio of collagen and elastic fibers. Spacial distribution of the muscular and connective fibers in humans of adult age has organospecific character, which is reflected the drain function of lymphatic system.

In the course of the study on autopsy material established that during the period from 1984 to 2008 notes an increase in the share of caseous pneumonia in the structure of mortality from tuberculosis of the lungs; caseous pneumonia is more common among men of working age; characterized by frequent bilateral lung involvement and the involvement of more than one lobe; morphologically predominant exudativenecrotic tissue reaction to the frequent development of productive vasculitis and thrombovascular.
 

The volume of researches joined 78 students of college of 15-16 years trained in humanitarian and technical directions. Vegetative reactance was estimated with the help ortostas by a method cardiointervalography. At research of vegetative reactance it is established that training within a year in college is the big loading on adaptive mechanisms of the students trained on humanitarian specialities.

We analyze the results of surgical treatment of 300 patients with chronic duodenal obstruction. In the control group was 215 and the core 85 patients. In chronic duodenal obstruction in the compensated stage of a dissection conducted Treitz ligament. In chronic duodenal obstruction in sub- and decompensated stage created TADES. To prevent the development of the syndrome of «vicious circle» when applied TADES created a «plug» outlet duodenal loop of strands of the greater omentum on the leg, narrowing the lumen of the colon to complete its closing according to our methodology. Analysis of postoperative complications in patients with chronic duodenal obstruction in the control group, pancreatitis occurred in 11 (5.1%) and in the main group in 2 (2.3%), anastomositis met in 10 (4.7%) in the control group, in the main in 2 (2.3%). Gastrostasis in the control group occurred in 6 (2.8%), the main group in 1 (1.2%) patients. We believe that the reduction of postoperative complications is the result of the operation TADES with plug outlet for our method loop.

Aim: to assess relationship of intima-media thickness (IMT) of carotid arteries with insulin resistance (IR) in group of ethnic Kyrgyzes. Material and methods: we investigated, therefore, the relationship between IMT and IR in 144 ethnic Kyrgyzes (69 males, 75 females) 36- 73 years (average age was 51,03±8,2), which permanently inhabit Kyrgyz Republic. We performed clinical investigation, anthropometrical evaluation (weight, height, waist (WC) and hip circumference (HC)), checked blood pressure and calculated body mass index in all participants.
Laboratory analysis: fasting plasma glucose, lipid spectrum and insulin were determined. IR was confirmed at Homeostasis model assessment
(HOMA) ≥2,77. Carotid IMT was scanned by B-mode ultrasound using a 7.5-MHz transducer (Phillips-SD 800).
Results: HOMA meanings were divided into quartiles: <1,26; 1,26-1,97; 1,98-3,26; ≥3,27. Patients in the highest HOMA quartile were found to have elevated carotid IMT (p<0,05). We also revealed correlation of carotid IMT with fasting glucose, triglycerides, WC, WC/HC and HOMA (p<0,05).
Conclusion: IR was associated with carotid IMT in group of ethnic Kyrgyzes.

The results of the study of etiological structure of acute intestinal infections(AII) in adults based on Republican Clinical Infectious Diseases Hospital. Of the 102 patients, dominated Shigella and Salmonella as the primary etiological causes of diarrhea. Evaluation of the sensitivity of 124 cultures isolated at the AII, to those used in therapeutic practice antibiotics. Installed resistant most pathogens of AII to aminopenicillins, nalidixic acid, chloramphenicol, co-trimoxazole.
 

Resume. The most common cause of bacteremia are coagulase positive Staphylococcus.

The article presents the results of the questioning women with children aged from 6 month to 3 years diagnosed with congenital
malformations, neural tube defects. In the work of the oveseny possible factors of formation of the congenital malformations and the results of
the research project is proposed at the national level, allows you to hold the mass prophylaxis of congenital malformations.

The paper presents a retrospective analysis of 114 case histories of children, aged 2 months to 14 years, admitted to Republican clinical infectious disease hospital in 2015, diagnosed with meningococcal disease, generalized form (meningitis, meningitis + meningococcemia, meningococcemia). All patients underwent a comprehensive examination, applied clinical, bacteriological, radiological methods of research. Identified clinical and epidemiological features of meningococcal infection: an increased incidence among older children, the prevalence of severe forms of the disease with complications.

The analyses of case histories of 33 infants with nosocomial pneumonias, hospitalized in the department of resuscitation and intensive therapy and was on artificial lung ventilation (ALV) and 42 children from the SARS receiving an immunomodulator-amizon for prevention of intrahospital pneumonia. Diagnostic indicators of risk of development of intrahospital pneumonia in children are calculated.

Acute obctructive bronchitis is widespread in young children and has a constant tendency to increase them in the territory of the Kyrgyz Republic. The results of the study of the clinical features of bronchial obstruction in 98 infants.The leading syndromes for carrying out the serological of researches for statement of the diagnosis are defined.

Medicobiological risk factors of realization of neonatal pneumonia had been studied. 151 patients with neonatal pneumonia of newborns were tested. The control group consisted of 65 healthy newborns. The findings showed the presence of the following numerous modfyingrisk factors as extra- and urogenital disease mothers burdened obstetrical history, pathological course of pregnancy and childbirth.

A feature of bronchial obstruction syndrome in children is a high percentage of recurrence, which promotes the development of
asthma and disability in children at a later period. Analysis of the effectiveness of clinical application and Nebutamola Nebuflyuzona as comprehensive inhalation therapy for BOS in children showed a high clinical efficacy, good tolerability and safety. This is confirmed by both clinical data and the results of additional research tools. Inhalation administration of drugs with the help of modern nebulizers to minimize side effects and improve the effectiveness of treatment and rehabilitation of children with respiratory diseases.

Research of 268 3-6-year-old children, inhabitants of Bishkek, full-term, with signs of intrauterine growth retardation (IUGR) at a
birth is carried out – 140 children with hypotrophic variant and 128 children with hypoplastic variant. It is defined, that in investigated groups there is a considerable number of cases of nervous system disorders which reaches at hypotrophic variant from 1,0 up to 27,6 %, II degrees – from 2,9 up to 80,0%, and at hypoplastic variant – from 1,2 to 39,5% and from 2,4 to 88,1% accordingly. It is noticed, that among 3-6- year-old children with signs of IUGR at a birth, irrespective of a clinical variant and severity level, the syndrome of the raised impellent activity and deficiency of attention, speech disorders, autism are most often registered.
psychological development, full-term children, intrauterine growth retardation

In order to present a comprehensive assessment of current pregnancy and delivery in women with cephalosporin-pelvicheskoy
dystocia were examined 140 pregnant women in the city perinatal center. In all observed cases, the question of operative delivery was decided at the end of the first stage of labor. The indication for revision of the conservative plan of management of labor were features such as identification on vaginal examination anomalies of insertion of the fetal head, the definition of a pronounced head configuration, positive symptom Vasto appearance pressing bladder symptoms, the development of secondary weakness of labor, increasing cervical swelling and lack of descent fetal presenting part with adequate uterine contractions. Every tenth of mothers noted the appearance of any attempts at high standing head.
 

When compared moderate and severe forms of pertussis in infants revealed the prevalence of infants with severe forms, living in rural areas and with hypoxic ischemic encephalopathy. Revealed an underestimation of the severity of disease, although treatments, corresponded to a severe form of disease.

Clinical-rentgenological researches of chronic generalized parоdontitis were discussed in the article. At the end of curement full rehabilitationof bone tissue of parоdont in 53,4%, partial occasion in 46,6% of occasion was observed. Thus, in group of traditional curement partial rehabilitation in 15% of occasionwas observed.

Artilce presents results of evaluation of European Indicators specificity and informative level for Estimation of 200 Bishkek (Kyrgyzstan) school-age child. Fraction of healthy 12 and 15 years child were 10% and 3% accordingly. European Indicators can be used for monitoring of Primary Prophylaxis Effectiveness.

The aim of the work was to evaluate the treatment of patients with cholelithiasis different age groups. We used clinical parameters: duration of surgery, the complication rate at the time of and after the operation. The results of laparoscopic cholecystectomy in 322 patients with gallstone disease in different age groups. In young and middle age (115 and 141 people). Complications were isolated (0.9 and 2.1%). In old age, complications occurred in 2 patients (1.4%). With increasing age does not increase the rate of complications.

Resume. Results of surgical treatment of different forms of acute mediastinites are analyzed in this article.Findings about distribution of patients according to ecological sings are given.Localization of inflammatory processes istaken into account. Also tactics of surgical treatment of the patients with different forms of acute mediastinitis is given. Statistic findings of the thoracic, maxillofacial departments, department of otorhinolaryngology of the National Hospital of the KR ministry of Republic Health were used during writing this article.A conclusion, that mortality is high, about 31.5% was made further.

The purpose of the work - analysis of results of surgical treatment of cicatricial strictures of the bile ducts. Based on the analysis of surgical treatment of 23 patients with scar strictures of the bile ducts, it was shown that the main type of surgery is reconstructive surgery Roux. Postoperative complications occurred in 3 (13%) patients. Postoperative lethality accounted 4.3% (1 patient).

The aim of the work - to improve the results of surgical treatment of intraoperative injuries of the bile ducts. Experiences in treatment of 21 patients aged 21 to 81 years are presented. 6 (28.6%) patients injury of bile ducts was detected intraoperatively. Reconstructive surgery was performed one (4.8%) patients. Reconstructive surgery in a volume Roux biliodigestive anastomosis performed 18 (85.7%) patients. Two (9.5%) patients the operation was completed external drainage of the biliary tract. Postoperative complications registered with 2 (9.5%) patients. Lethal outcomes were not.

The purpose of the study give a comparative assessment of the postoperative period in patients with acute cholecystitis in the highlands and lowlands. A total of 62 patients living in vysokogre (Naryn) and 154 patients living in low (Bishkek). In both groups, women predominated in comparison with men and more frequently received patients aged from 40 to 60 years. Of the 62 patients in the high mountains in 16 identified comorbidities (25.8%), while the second group of 154 operated in 72 (46.8%). All patients were operated under endotracheal anesthesia, gallbladder removal performed laparotomy access.
In assessing the postoperative period using clinical criteria (temperature normalization, disappearance of pain syndrome, normalization of white blood cell count, incidence of complications and timing of hospital treatment). The evaluation of the wound healing process used ehomorfometriyu day after the operation, through 3-6sutok.
Analysis of the results showed that the more favorable postoperative period proceeded in people living in conditions of low mountains in comparison to the highlands. The complication rate was respectively 8,4 and 16,1%, for hospital treatment in the first group 10,2 ± 0,23, and the second group of 6,4 ± 0,37 diem.

Nastausheva the purpose of the study is to study characteristics of functional osteosynthesis and comparative analysis of the results of traditional methods of fixation of the clavicle.

We analyze the results of surgical treatment of chronic osteomyelitis in 106 patients with diabetes. Comprehensive treatment of chronic osteomyelitis in patients with diabetes was more effective compared to traditional methods of treatment, which has reduced the average time of relapse and treatment in 2.5 times.

The paper presents clinical characteristics of 47 patients with coral nephrolithiasis. Gives a qualitative and quantitative evaluation of X-ray absorptiometry of the peripheral skeleton (forearm, calcaneus). Also, given the characteristics of held operational treatments for these patients and their results.

There are given the results of surgical treatment of 9 patients aged from 17 to 60 years with a chronic colonic stasis. After inspection, which includes questionnaire of Veksner, the laboratory and tool methods of research, under an endotracheal anesthesia the first stage was formed invaginated ileo-transverzo- anastomosis, the second stage was made mesosigmoplicature up to I. E. Gagen- Torn. There is not observed the development of early postoperative complications and mortality in all 9 (100%) cases. Long- term outcomes were followed up at 5 (55,5%) patients for period of 3 months to 5 years. All patients feel well and they note the absence of dyspeptic disorders, pain and feces 3-4 times a week. The obtained results in clinical supervision, improvement of quality of patients’ life, justifies the method of surgical treatment of chronic colonic stasis chosen by us.

This paper describes a technique developed prostate bed hemostasis and local therapy through vasostomy in 53 patients undergoing surgery prostatectomy for benign prostatic hyperplasia and their clinical and laboratory data prior to surgery. Comparative analysis of the main stages of the disease and the age groups exposed to this disease. We have proposed the following tactics of BPH patients with acute urinary retention: Exclude transurethral manipulation and lacunar cystogram. Apply suprapubic bladder puncture.

The article presents clinical and laboratory evaluation of sexual function in 79 patents with benign prostatic hyperplasia in the early stages of clinical manifestations at complicated erectile dysfunction and a number at indicators the study, were compared with the results obtained in 30 patents benign prostatic hyperplasia without background pathology.