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the characteristic of accompanying diseases and a complex estimation of health of the surveyed contingent of patients

At carrying out of our research of patients with development of dontogenous pyoinflammatory process within one kletchatochnogo spaces it is taped, that in Moscow at 47 % of patients various accompanying diseases have been diagnosed.

The most appreciable place (38 %) in structure of an accompanying pathology belongs to illnesses of system of a circulation. Diseases with a chronic current of pathological process (an arterial hypertensia, ischemic heart disease, the got heart diseases) prevail. At 18 % of patients illnesses of endocrine system among which the diabetes 2 types became perceptible in 10%сучаев are taped. Practically at contingent m, 18 % of patients suffered infectious to diseases, the basic place among which occupies a virus hepatitis With.

Illnesses of a connecting tissue and locomotorium were taped at 9 % of investigated persons. Further on the decreasing illnesses of organs of breath (5 % of patients), digestion (4 % of patients) follow and
Mental diseases (2 % of patients). On a share of other diseases it was necessary 6 % of patients (2 % of a contingent-it pregnant women from 4 till 36 weeks).

Fig. 20. Frequency of occurrence of accompanying diseases at sick of Moscow with phlegmons of one kletchatochnogo spaces

(Data are received in the co-authorship from Helminskoj N.M., Poluninoj V.V.)

The greatest number of patients with accompanying diseases was

It is noticed among aged people from 18 till 30 years that corresponds to that the maximum quantity of patients with abscesses and phlegmons is necessary on the same age interval.

At them infectious diseases, illnesses of organs of breath, a connecting tissue and a locomotorium prevailed. Further on age groups the percent of patients an accompanying pathology fluctuated not considerably within 8 - 11 %, being a little enlarged at patients is more senior 70 years to 18 % of a contingent. In this case illnesses of system of a circulation were priority.

Tab. 19 dynamics of level of accompanying diseases at patients with dontogenous phlegmons of one kletchatochnogo spaces on age groups.

Indicators Age groups (in years)
Is more younger 18

Years

From 18 till 30 years From 31 till 40 years From 41 till 50 years от51 Till 60 years From 61 till 70 years Is more senior 70

Years

Quantity of patients having I accompany shchie disease (%) 4 36 8 10 13 11 18
Presentation indicator in % 100,0 132 104 106 109 107 114
Growth factor in % - 132 104 106 109 107 114
Gain factor in % - 32 4 6 9 7 14

Tab.

20 distribution of nosologies of accompanying diseases at patients with dontogenous phlegmons of one kletchatochnogo spaces on age groups.
Indicators IN Age groups (in years)
Is more younger 18

Years

From 18 до30

Years

From 31 till 40 years From 41 till 50 years от51 Till 60 years From 61 till 70 years Is more senior 70

Years

Classes of illnesses
Illnesses of system

Circulations

++ +++
Illnesses of organs of breath ++ + + +
Illnesses connecting

Tissues, a locomotorium

+ ++ + ++
Infectious diseases + +++ +++ +
Illnesses endocrine

Systems

+ + + + +
Mental diseases + + + +
Illnesses of organs

Digestion

+ + ++ ++ +
The other + ++ + + + +

We tap a combination of several accompanying diseases at 16 % of patients. The analysis of data has shown, that sochetannost is not characteristic for people of young age: 18 years this indicator aged is more younger met at 0,8 % of a contingent, increasing to 40 years to 6 %. After 40 years sharp growth of a combination of several accompanying diseases has been noted: to 25 % at the age from 41 till 50 years. Further the tendency to augmentation of number of patients with several accompanying diseases has remained (32 % at the age from 51 till 60 years, 46 % at the age from 61 till 70 years) and has reached 76 % of a contingent is more senior 70 years.

Fig. 21 Quantity of patients with dontogenous phlegmons of one kletchatochnogo spaces with a combination of several accompanying diseases disease depending on age (data are received in the co-authorship from Helminskoj N.M., Poluninoj V.V.)

At research of patients of the basic group with abscesses and phlegmons of several kletchatochnyh spaces of 68 % of a contingent had accompanying diseases, that on 21 % more than at patients with an inflammation in the field of one kletchatochnogo spaces.

The structure of accompanying diseases as a whole repeated data of the first group. Attracted attention hardly smaller percent -
Patients with diseases of system of a circulation. Level of infectious diseases has increased from 18 % in group with abscesses and phlegmons of one kletchatochnogo spaces to 26 % in group with a lesion of several kletchatochnyh spaces cheljustno - facial area. In overwhelming majority of cases in this group virus hepatitises, are diagnosed by virus Herpes, at 0,6 % of a contingent presence of a HIV of an infection is fixed. Endocrine diseases are diagnosed for 12 % of patients, illness of organs of breath at 9 %. Level of alienations we will make with the first group and has made 2,5 %. At these patients which majority is on a compulsory treatment in insane hospitals or living in psycho-neurologic boarding schools under the constant control of the medical personnel dontogenous inflammatory processes are diagnosed and stopped at early stages of development before formation of diffuse forms.

Distribution of patients with accompanying diseases on age in the given group was more uniform. At people till 18 years accompanying diseases are noted in 16 % of cases. At the age from 18 till 30 years it was necessary - 28 %, further frequency of an accompanying pathology decreased до14 % at the age from 31 till 40 years and fluctuated from 9 to 12 % of a contingent. The peak of accompanying diseases at people with poured purulent - inflammatory processes of the person and a neck, as well as in group with local dontogenous processes fell to young age where the big role in structure of nosologies was played by infectious diseases.

Fig. 22 Frequency of occurrence of accompanying diseases at sick

Moscow with diffuse phlegmons of maxillofacial area (data are received in the co-authorship from Helminskoj N.M., Poluninoj V.V.)

Tab. 20 dynamics of level of accompanying diseases at patients with dontogenous phlegmons of several kletchatochnyh spaces on age groups

Indicators Age groups (in years)
Is more younger 18

Years

From 18 till 30 years From 31 till 40 years From 41 till 50 years от51 Till 60 years From 61 till 70 years Is more senior 70

Years

Quantity of patients having I accompany shchie disease (%) 16 28 14 10 9 12 11
Presentation indicator in % 107 118 105 101 100,0 103 102
Growth factor in % 107 118 105 101 - 103 102
Gain factor in % 7 18 5 1 - 3 2

The combination of several accompanying diseases is noticed at 25 % of patients with abscesses and phlegmons of several kletchatochnyh spaces, that on 9 % there is more than indicator with group with the limited inflammatory processes. Value of the schedule of presence of several accompanying diseases depending on age at people with diffuse dontogenous inflammations considerably differed from that in group with abscesses and phlegmons of one kletchatochnogo spaces. 18 years this indicator in the second group aged is more younger met at 9 % of patients, that on 8,2 % it is more than in the first.

At patients from 18 to 30 and from 31 till 40 years sochetannoj accompanying pathology it was observed at 18 and 16 % accordingly. Then sharply increased to 38 % in the following age category and did not decrease further below 62 %, reaching at patients is more senior 70 years to 88 %.

Fig. 23 Quantity of patients with dontogenous phlegmons of one kletchatochnogo spaces with a combination of several accompanying diseases depending on age (data are received in the co-authorship from Helminskoj N.M., Poluninoj V.V.)


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Scientific source GONCHAROVA ALEXANDRA VLADIMIROVNA. AFTERTREATMENT of PATIENTS With PYOINFLAMMATORY DISEASES of MAXILLOFACIAL AREA In the conditions of the MEGACITY. The dissertation on competition of a scientific degree of the candidate of medical sciences. Moscow - 2014. 2014

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