ЭФФЕКТИВНОСТЬ ПРИМЕНЕНИЯ ПРЕПАРАТА ЭФИРНОГО МАСЛА АНИСА У БОЛЬНЫХ С ФЛЕГМОНАМИ ЧЕЛЮСТНО-ЛИЦЕВОЙ ОБЛАСТИ

Аннотация

Целью настоящей работы является оценка эффективности применения эфирного масла аниса при лечении флегмон челюстно-лицевой области у больных по данным цитологических показателей. К исследованию было привлечено 37 больных в возрасте от 19 до 56 лет с флегмонами челюстно-лицевой области, находившихся на стационарном лечении в отделении челюстно-лицевой хирургии городского медицинского объединения города Самарканда, и 16 здоровых людей аналогичного возраста, на период от 2019 года. Больные разделены на 2 группы: 1 группа включала в себя больных получавших традиционное комплексное лечение. 2 группе больных, помимо традиционного лечения, после операции вскрытия флегмоны челюстно-лицевой области, рану промывали антисептическими растворами и вводили в рану наряду с трубчатыми дренажами, марлевые турунды, пропитанные 1 % раствором эфирного масла Аниса. Доказано, что местное применение эфирного масла аниса для обработки гнойных ран повышает активность фагоцитов и сорбционную способность клеток раневой области, снижает содержание воспалительного клеточного экссудата. Ключевые слова: одонтогенные флегмоны, эфирное масло, цитологическое исследование. Usmon Bobonazarovich Gafforov, Davron Dastamovich Ibragimov, Shukurova Zilola Sattarovna. Samarkand State Medical Institute, Department of Oral and Maxillofacial Surgery, Samarkand, Uzbekistan. 82 |№2 | 2020 EFFECTIVENESS OF ANISE ESSENTIAL OIL PREPARATION IN PATIENTS WITH MAXILLOFACIAL PHLEGMONS ANNOTATION The aim of this work was to evaluate the effectiveness of anise essential oil application in the treatment of phlegmon of the maxillofacial region in patients according to cytological data. The study involved 37 patients aged 19 to 56 years with phlegmons of the maxillofacial region, who were in hospital treatment at the department of maxillofacial surgery of the Samarkand city medical association, and 16 healthy people of the same age for the period from 2019. The patients are divided into two groups: Group 1 included patients who received traditional complex treatment. The 2nd group of patients, in addition to the traditional treatment, after the operation of opening the phlegmon of the maxillofacial area, the wound was washed with antiseptic solutions and injected with tubular drainage and gauze turundas, soaked with 1% solution of Anis essential oil. It is proved that the local use of anise essential oil for the treatment of purulent wounds increases the activity of phagocytes and the sorption capacity of wound cells, reduces the content of inflammatory cellular exudate. Key words: odontogenic phlegmon, essential oil, cytological examination. Introduction. According to statistics, the number of Results: After clinical diagnosis and preoperative patients with severe forms of inflammatory processes of the preparation, opening of the patient's purulent focus was maxillofacial region is increasing significantly and it often leads performed under anesthesia. After incision the phlegmons of to the development of various complications. Nowadays, a clear maxillary cellular spaces, the wound was washed with antiseptic tactic has been developed in the treatment of patients with acute (furacillin, chlorhexidine, hydrogen peroxide) solutions, and purulent and inflammatory diseases of the maxillofacial region, injected with tubular drainage and gauze turundas, soaked with in which the leading role is played by active surgery with 1% solution of Anis essential oil. Dressings were performed subsequent rational complex treatment, aimed at optimizing its according to indications twice per a day. Local treatment of the healing, taking into account the phases of the wound process and purulent wound is carried out before it is cleared of exudate. For rational antibioterial therapy. the cytological examination, scrapings were taken from the The solution of these issues is particularly important in wound on a slide glass on 1, 3, 5 days after the opening of the situations when it concerns patients with deep fibrous spaces in purulent focus. the maxillofacial area. The successful outcome of treatment of Inflammatory changes in the wound decreased after patients with purulent processes largely depends on local local use of anise essential oil, which is evidenced by a treatment. The use of antiseptic agents for the treatment of statistically significant decrease in neutrophil leukocytes on the purulent wounds in patients with deep cellular spaces of the 2nd and 4th days, a decrease in percentage of the phagocytic and maxillofacial region without determining the sensitivity of neutrophil leukocytes on the 5th day from the beginning of pathogens, which takes at least 3 days, is clearly not rational and treatment. may further cause the development of immunodeficiency status This is convenient and hygienic in use, prevents the with all the ensuing adverse consequences. In recent years, for development of side effects, and has a pronounced prolonged the treatment of patients with inflammatory pro