Novosti
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Year 2012 Vol. 20 No 4
GENERAL AND SPECIAL SURGERY
D.D. SULTANOV 1, A.D. GAIBOV 1, E.L. KALMYKOV 1, S.H. MALLAEV 2
RISK FACTORS OF VARICOSITY DEVELOPMENT IN RURAL RESIDENTS OF THE SOUTHERN REGION OF TAJIKISTAN
The Republican Scientific-Practical Center of the Cardiovascular Surgery 1,
Central Regional Hospital of Jilikul District 2
The Republic of Tajikistan
Objectives. To study the disease incidence of the lower limb veins in the rural residents of the southern region of Tajikistan.
Methods. The examination results of 1438 people of Jilikul district of Khatlon region of Tajikistan were analyzed. The research was conducted in rural health clinics and in the central regional hospital when these patients with various diseases or for prophylactic examinations addressed.
Results. Varicosity was detected in 697 (48,5%) of all 1438 examined subjects. Combination of various risk factors among the subjects with varicosity was the following: one risk factor was detected in 177 (25,4%), two factors – in 143 (20,5%), three factors – in 338 (48,5%) and in 39 (5,6%) patients with varicosity any risk factors were absent. Combinations of two or more factors were observed in 69,1% patients with varicosity, whereas, they were registered among the healthy subjects in 24.7%. The severity of chronic venous insufficiency (CVI) was assessed using the international classification of CEAP, the section “I. Clinical classification”. Thus, class 1 was observed in 332 (47,6%) patients, C2 – in 182 (26,1%), C3 – in 119 (17,1%), C4 – in 46 (6,6%) C5 – 9 patients (1,3%) and C6 –also in 9 patients (1,3%). The heredity factor was revealed in 47,9% patients.
Conclusions. According to the research results different forms of varicosity were detected in 48,5% of rural residents of the working age. Mild forms (telangiectasia and reticular varicosity) made up 46,7%. Risk factors and various variants of their combination in the group of patients with varicosity were twice as often as in healthy subjects. The obtained data testify to the fact of practically absence of serious diagnostic and preventive measures among rural residents.
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734003, Respublika Tadzhikistan, Dushanbe, ul. Sanoi, d. 33,Respublikanskiy nauchnyiy tsentr serdechno-sosudistoy hirurgii, Tadzhikskiy gosudarstvennyiy meditsinskiy universitet, kafedra hirurgicheskih bolezney № 2,
e-mail: sultanov57@mail.ru,
Sultanov Dzhavli Davronovich
Sultanov D.D., Doctor of Medical Sciences, Professor of the Surgical Diseases Chair №1 of Tajik Abu Ali Ibn Sino State Medical University
Gaibov A.D., Doctor of Medical Sciences, Corresponding Member of Academy of Medical Sciences of the Republic of Tajikistan, Professor of the Surgical Diseases Chair №2 of Tajik Abu Ali Ibn Sino State Medical University
Kalmykov E.L. , Candidate of Medical Sciences, Assistant of the Surgical Diseases Chair №2 of Tajik Abu Ali Ibn Sino State Medical University
Mallaev S.H., Chief Physician of the Central Regional Hospital of Jilikul District of Halton Region
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