А. А. Бируля
Учреждение образования «Белорусский государственный медицинский университет», Государственное учреждение «Санаторий «Юность» Управление делами Президента Республики Беларусь
Одним из объектов повышенного интереса научной и практической медицины в XX–XXI веке стало изучение микроциркуляторного русла (МЦР). Оценка анатомо-функционального состояния МЦР для осознания патогенеза различных клинических состояний и подбора оптимальной лечебной тактики широко стала применяться в кардиологии, диабетологии, онкологии, дерматовенерологии, стоматологии, хирургии, нефрологии, урологии, реаниматологии и других направлениях медицины. Отдельно стоит упомянуть возможность изучения и коррекции параметров микроциркуляции при подборе оптимальной лекарственной терапии у пациентов с COVID-19, особенно с тяжелым течением. В статье предоставлено описание микроциркуляторного русла, его структура, функции, механизмы регуляции, причины повреждения, методы диагностики нарушений. Рассмотрены современные инструментальные подходы, влияющие на улучшение показателей МЦР. Из неинвазивных методик, улучшающих показатели микроциркуляторного русла, в Республике Беларусь представлены усиленная наружная контрпульсация и гравитационная терапия.
ключевые слова: микроциркуляция, усиленная наружная контрпульсация, гравитационная терапия

для цитирования: А. А. Бируля, Н. П. Митьковская. Современный взгляд на возможности оценки состояния микроциркуляторного русла и способы коррекции его нарушений. Неотложная кардиология и кардиоваскулярные риски, 2021, Т. 5, № 2, С. 1356–1363

A contemporary outlook on the potentialities of microcirculatory bed evaluation and methods for correcting disorders
A. Birulya
Investigation of the microcirculatory bed (MVB) has induced heightened interest both theoretical and practical in the medical world of the XX–XXI century. Evaluation of the MVB state has been widely used for revealing pathogenesis and developing an efficient treatment plan in cardiology, diabetology, oncology, dermatovenereology, dentistry, surgery, nephrology, urology, resuscitation and other branches of medicine. It’s worth noticing that evaluation of the microcirculatory parameters should be included into COVID-19 management for optimal medication of the patients especially in severe cases. The ar ticle provides a description of the microcirculator y bed, its structure, functions, mechanisms of regulation, causes of damage, and methods for diagnosing disorders. Proper consideration is given to the current techniques used to improve microcirculatory readings. Non-invasive techniques applied in the Republic of Belarus for improving the microcirculatory readings include the method of enhanced external counterpulsation and gravity therapy.
keywords: microcirculation, enhanced external counterpulsation, gravity therapy

for references: Birulya, N. Mitkovskaya. A contemporary outlook on the potentialities of microcirculatory bed evaluation and methods for correcting disorders. Neotlozhnaya kardiologiya i kardiovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2021, vol. 5, no. 2, pp. 1356–1363

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Поступила 13.05.2021
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