High-frequency electrical stimulation of pressure ulcers in patients in chronic critical condition due to severe brain damage

Introduction. Optimizing the treatment of pressure ulcers in patients in chronic critical condition due to cerebral catastrophe. Material and methods. The study included 48 patients of the above category treated with the use of high-frequency electrical stimulation (HPS) technology aged 28 to 74 years and the depth of damage of the II-III degree according to the classification Agency For Health Care Policy and Research (1992). For objective evaluation, the results were compared with those of 46 patients in the control group (conventional therapy), comparable in demographic and clinical criteria. Objective controls included bacteriological, cytological and morphological studies, as well as the Bates-Jensen scale. Results. High-frequency electrical stimulation contributed to a qualitative acceleration of reparative processes in pressure ulcers, a reduction in the total duration of treatment and rehabilitation. A comprehensive instrumental study confirmed a more pronounced positive dynamics of the complicated wound process against the background of periodic high-frequency electrical stimulation. Conclusion. The obtained results allow us to conclude that an integrated approach is promising in the treatment of decubital ulcer in patients in chronic critical condition due to severe brain damage. Stimulation of pressure sores by high-frequency electrical stimulation induces acceleration of regenerative processes in the pressure ulcer wound, reducing the period of inpatient treatment and the time for the start of further rehabilitation measures in persons of this clinical category.