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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">asurgery</journal-id><journal-title-group><journal-title xml:lang="ru">Амбулаторная хирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Ambulatornaya khirurgiya = Ambulatory Surgery (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2712-8741</issn><issn pub-type="epub">2782-2591</issn><publisher><publisher-name>ООО «ГРУППА РЕМЕДИУМ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/akh2025-045</article-id><article-id custom-type="elpub" pub-id-type="custom">asurgery-593</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXCHANGE OF EXPERIENCE | PRACTICE</subject></subj-group></article-categories><title-group><article-title>О возможности использования новой биологической активной добавки в лечении хронических заболеваний вен</article-title><trans-title-group xml:lang="en"><trans-title>About the possibility of using a new biologically active supplement in the treatment of chronic venous diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1792-2434</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Санников</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Sannikov</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санников Александр Борисович, к.м.н., доцент кафедры хирургических болезней с курсом акушерства и гинекологии, 600000, Владимир, Октябрьский проспект, д. 1;</p><p>сосудистый хирург, 600015, Владимир, ул. Разина, д. 51</p></bio><bio xml:lang="en"><p>Alexander B. Sannikov, Cand. Sci. (Med.), Associate Professor of the Department of Surgical Diseases with a course in Obstetrics and Gynecology, 1, Oktyabrskiy Ave., Vladimir, 600000;</p><p>Vascular Surgeon, 51, Razin St., Vladimir, 600015</p></bio><email xlink:type="simple">aliplast@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7260-4968</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шайдаков</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shaydakov</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шайдаков Евгений Владимирович, д.м.н., профессор, президент Санкт-Петербургской ассоциации флебологов, ведущий научный сотрудник, 197758, Санкт-Петербург, пос. Песочный, ул. Ленинградская, д. 68;</p><p>профессор кафедры госпитальной хирургии, 185910, Петрозаводск, проспект Ленина, д. 33</p></bio><bio xml:lang="en"><p>Evgeniу V. Shaydakov, Dr. Sci. (Med.), Professor, President of the Saint Petersburg Association of Phlebologists, 68, Leningradskaya St., Pesochnyy Settlement, St Petersburg, 197758;</p><p>Professor of the Department of Hospital Surgery, 33, Lenin Ave., Petrozavodsk, 185910</p></bio><email xlink:type="simple">evgenyshaydakov@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0746-7290</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щеглов</surname><given-names>Э. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcheglov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Щеглов Эрнест Анатольевич, д.м.н., доцент, профессор кафедры общей и факультетской хирургии, сердечно-сосудистый хирург,</p><p>185035, Петрозаводск, проспект Ленина, д. 33</p></bio><bio xml:lang="en"><p>Ernest A. Shcheglov, Dr. Sci. (Med.), Associate Professor, Professor of the Department of General and Faculty Surgery, Cardiovascular Surgeon,</p><p>33, Lenin Ave., Petrozavodsk, 185910</p></bio><email xlink:type="simple">ernestsheglov@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7541-2558</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шевченко</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevchenko</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шевченко Александр Михайлович, д.фарм.н, доцент, профессор,</p><p>357532, Ставропольский край, Пятигорск, проспект Калинина, д. 11</p></bio><bio xml:lang="en"><p>Alexander M. Shevchenko, Dr. Sci. (Pharm.), Associate Professor, Professor,</p><p>11, Kalinin Аve., Pyatigorsk, Stavropol Territory, 357532</p></bio><email xlink:type="simple">npIfarmak-50@ya.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-0738-7369</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мельцова</surname><given-names>А. Ж.</given-names></name><name name-style="western" xml:lang="en"><surname>Meltsova</surname><given-names>A. Zh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мельцова Анна Жеромовна, к.м.н., врач-хирург, заведующая,</p><p>188651, Ленинградская область, м.р-н Всеволжский, с.п. Юкковское, к. 1</p></bio><bio xml:lang="en"><p>Anna Zh. Meltsova, Cand. Sci. (Med.), Director,</p><p>1, S.P. Yukkovskoe, M. District of North Volga, Leningrad Region, 188651</p></bio><email xlink:type="simple">mmc_vt@groupmmc.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6645-3326</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клубкова</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Klubkova</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Клубкова Инна Александровна, к.м.н., врач-кардиолог,</p><p>197374, Санкт-Петербург, Приморский проспект, д. 137, к. 1</p></bio><bio xml:lang="en"><p>Inna A. Klubkova, Cand. Sci. (Med.), Cardiologist,</p><p>137, Bldg. 1, Primorskiy Ave., St Petersburg, 1197374</p></bio><email xlink:type="simple">reception@amedaclinic.ru</email><xref ref-type="aff" rid="aff-6"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Приволжский исследовательский медицинский университет (Владимирский филиал);&#13;
Клиника «Медси»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Privolzsky Research Medical University (Vladimir Branch);&#13;
Clinic “Medci”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр онкологии имени Н.Н. Петрова;&#13;
Петрозаводский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Petrov National Medical Cancer Research Centre;&#13;
Petrozavodsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Петрозаводский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Petrozavodsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Пятигорский медико-фармацевтический институт</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pyatigorsk Medical and Pharmaceutical Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Многопрофильный медицинский центр «Белоостров»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Multidisciplinary Medical Center “Beloostrov”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Многопрофильная клиника «Амеда Клиник»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Multidisciplinary Clinic “Ameda Klinik”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>25</day><month>11</month><year>2025</year></pub-date><volume>22</volume><issue>2</issue><fpage>196</fpage><lpage>207</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Санников А.Б., Шайдаков Е.В., Щеглов Э.А., Шевченко А.М., Мельцова А.Ж., Клубкова И.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Санников А.Б., Шайдаков Е.В., Щеглов Э.А., Шевченко А.М., Мельцова А.Ж., Клубкова И.А.</copyright-holder><copyright-holder xml:lang="en">Sannikov A.B., Shaydakov E.V., Shcheglov E.A., Shevchenko A.M., Meltsova A.Z., Klubkova I.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.a-surgeon.ru/jour/article/view/593">https://www.a-surgeon.ru/jour/article/view/593</self-uri><abstract><sec><title>Введение</title><p>Введение. Использование различных венотонических препаратов является неотъемлемой частью комплексного лечения пациентов с хроническими заболеваниями вен (ХЗВ).</p></sec><sec><title>Цель</title><p>Цель. Оценить клиническую эффективность новой отечественной биологической активной добавки (БАД), состоящей из флавоноида гесперидин метил халькона (HMC), троксерутина (HER) и аскорбиновой кислоты (VitC), в комплексном лечении пациентов с ХЗВ С1–С3 клинических классов (по СЕАР).</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В открытое сравнительное многоцентровое проспективное исследование вошел 281 пациент с ХЗВ (варикозной болезнью) С1–С3 клинических классов (по СЕАР). В первую (исследуемую) группу пациентов вошли 158 человек, получавших БАД (HMC + HER + VitC) в течение 2 мес. Вторую (контрольную) группу составили 123 пациента, не получавшие БАД. С целью изучения эффективности использования БАД последовательно во время 3 визитов пациентов был проведен статистический анализ изменения качества жизни по опроснику CIVIQ-2, интенсивности болевого синдрома с использованием визуальной аналоговой шкалы (VAS) и динамики изменения маллеолярного объема (MV) на исследуемой целевой конечности. Результаты. Результаты проведенных исследований показали, что включение в комплексное лечение пациентов с ХЗВ новой отечественной БАД (HMC + HER + VitC) статистически значимо снижает симптоматику и улучшает качество жизни пациентов. Максимальная эффективность действия БАД (HMC + HER + VitC) проявляется через 2 мес. применения в стандартных дозировках без каких-либо побочных эффектов. Главным преимуществом новой БАД является ее полная растворимость в воде и, как следствие, более высокая биодоступность.</p></sec><sec><title>Выводы</title><p>Выводы. Результаты проведенных исследований показали, что включение в комплексное лечение пациентов с ХЗВ новой отечественной БАД (HMC + HER + VitC) статистически значимо снижает симптоматику и улучшает качество жизни пациентов.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. The use of various venotonic drugs is an integral part of the comprehensive treatment of patients with chronic venous diseases (CVD).</p></sec><sec><title>Aim</title><p>Aim. To evaluate the clinical efficacy of a new domestic biologically active supplement (BAS) consisting of the flavonoid hesperidin methyl chalcone (HMC), troxerutin (HER) and ascorbic acid (VitC) in the complex treatment of patients with CVD of clinical classes C1–C3 (according to CEAP).</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The open, comparative multicenter, prospective study included 281 patients with CVD (varicose veins) of clinical classes C1–C3 (according to CEAR). The first (studied) group of patients included 158 people who received Russian biologically active supplement (HMC + HER + VitC) for two months. The second (control) group consisted of 123 patients who did not receive biologically active supplement. In order to study the effectiveness of BAS sequentially during three patient visits, a statistical analysis of changes in quality of life according to the CIVIQ-2 questionnaire, pain intensity using a visual analog scale (VAS) and the dynamics of changes in malleolar volume (MV) on the target limb under study was performed.</p></sec><sec><title>Results</title><p>Results. The results of the conducted studies have shown that the inclusion of a new Russian biologically active supplement (HMC + HER +VitC) in the complex treatment of patients with CVD significantly reduces symptoms and improves the quality of life of patients. The maximum effectiveness of Russian biologically active supplement (HMC + HER + VitC) is manifested after 2 months of use in standard dosages without any side effects. The main advantage of the new biologically active supplement is its complete solubility in water and, as a result, higher bioavailability.</p></sec><sec><title>Conclusions</title><p>Conclusions. The results of the conducted studies have shown that the inclusion of a new Russian biologically active supplement supplement (HMC + HER + VitC) in the complex treatment of patients with CVD significantly reduces symptoms and improves the quality oflife of patients.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>хронические заболевания вен</kwd><kwd>профилактика</kwd><kwd>комплексное лечение</kwd><kwd>венотоник</kwd><kwd>гесперидин метил халькон</kwd><kwd>троксерутин</kwd><kwd>аскорбиновая кислота</kwd><kwd>БАД портентус-3</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic venous diseases</kwd><kwd>prevention</kwd><kwd>complex treatment</kwd><kwd>venotonics</kwd><kwd>hesperidin methyl chalcon</kwd><kwd>troxerutin</kwd><kwd>ascorbic acid</kwd><kwd>biologically active supplement portentus</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Богачев ВЮ, Родионов СВ, Дженина ОВ. 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