pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2026_21_2_139pirogovestnik-611Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSСОВРЕМЕННЫЙ ВЗГЛЯД НА ПРОБЛЕМУ ДИАГНОСТИКИ И ЛЕЧЕНИЯ ПАТОЛОГИИ СТОПЫ, ВОЗНИКАЮЩЕЙ В РЕЗУЛЬТАТЕ СОЧЕТАННОГО ВОЗДЕЙСТВИЯ ХОЛОДНЫХ И ВЛАЖНЫХ УСЛОВИЙ ВНЕШНЕЙ СРЕДЫCONTEMPORARY APPROACHES TO THE DIAGNOSIS AND MANAGEMENT OF FOOT DISORDERS CAUSED BY COMBINED COLD AND HUMID ENVIRONMENTAL EXPOSUREСахаровС. П.SakharovS. P.

Тюмень

Tyumen

galen7@yandex.ruБекшоковК. К.BekshokovK. K.

Москва

Moscow

КеримовА. А.KerimovA. A.

Москва

Moscow

МальчевскийВ. А.MalchevskiyV. A.

Тюмень

Tyumen

КарповичН. И.KarpovichN. I.

Москва

Moscow

ФГБОУ ВО «Тюменский Государственный медицинский университет»РоссияTyumen State Medical UniversityRussian FederationФГБУ «ГВКГ им. Н.Н. Бурденко»РоссияBurdenko Main Military Clinical HospitalRussian FederationФГБОУ ВО «Тюменский Государственный медицинский университет»; ФГБУН Федеральный исследовательский центр «Тюменский научный центр» Сибирского отделения Российской академии наукРоссияTyumen State Medical University; Tyumen Scientific Center of the Siberian Branch of the Russian Academy of ScienceRussian FederationФГБОУ ВО «Российский университет дружбы народов им. Патриса Лумумбы»РоссияPeoples’ Friendship University of Russia named after Patrice LumumbaRussian Federation202610062026212139144Copyright © Сахаров С.П., Бекшоков К.К., Керимов А.А., Мальчевский В.А., Карпович Н.И., 20262026Сахаров С.П., Бекшоков К.К., Керимов А.А., Мальчевский В.А., Карпович Н.И.Sakharov S.P., Bekshokov K.K., Kerimov A.A., Malchevskiy V.A., Karpovich N.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/611

Цель исследования – проинформировать широкий круг медицинских специалистов о современных взглядах на диагностику и лечение пациентов с патологией стопы, возникающей в результате сочетанного воздействия холодных и влажных условий внешней среды. Материалы и методы исследования. В обзоре на основе 28 специальных отечественных и зарубежных литературных источников представлен современный взгляд на патогенез, диагностику, лечение и профилактику «Незамерзающей холодовой травмы» (Nonfreezing cold injury, NFCI). Приведены её действующие клинические классификации по степеням тяжести и стадиям течения патологического процесса. Результаты и их обсуждение. Выявлено, что несмотря на общий большой прогресс в медицине в последние десятилетия, существенного улучшения результатов лечения NFCI не достигнуто. Причиной этого является фрагментарная изученность патофизиологических особенностей возникновения и развития данного патологического процесса. Как следствие отсутствие схем эффективного комплексного патогенетически обоснованного лечения и профилактики заболевания. Проблема лечения патологии стопы, возникшей в результате сочетанного воздействия холодных и влажных условий внешней среды до сих пор ждет от специалистов своего решения.

The aim of the work – to inform a wide range of medical specialists about modern views on their diagnosis and treatment of patients with foot pathology resulting from the combined effects of cold and wet environmental conditions. Materials and research methods. In the review on the basis of 28 special domestic and foreign literature sources the modern view on pathogenesis, diagnosis, treatment and prevention of Nonfreezing cold injury (NFCI) is presented. Its current clinical classifications by degrees of severity and stages of the course of the pathological process are given. Conclusion. It is revealed that despite the general great progress in medicine in the last decades, no significant improvement of NFCI treatment results has been achieved. The reason for this is the fragmentary study of pathophysiological features of the occurrence and development of this pathological process. As a consequence, the absence of schemes of effective complex pathogenetically based treatment and prevention of the disease. The problem of treatment of foot pathology resulting from the combined effect of cold and wet environmental conditions is still waiting for specialists to find a solution.

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The authors declare that there are no conflicts of interest present.