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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Актуальные проблемы медицины</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2021-44-4-460-470</article-id><article-id pub-id-type="publisher-id">100</article-id><article-categories><subj-group subj-group-type="heading"><subject>ХИРУРГИЯ</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Механизм воздействия молекулярного водорода в комплексном лечении ран мягких тканей и общей хирургической инфекции&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Mechanism of exposure to molecular hydrogen in complex treatment of soft tissue wounds and general surgical infection&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Андреев</surname><given-names>Александр Алексеевич</given-names></name><name xml:lang="en"><surname>Andreev</surname><given-names>Alexander A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Лаптиёва</surname><given-names>Анастасия Юрьевна</given-names></name><name xml:lang="en"><surname>Laptiyova</surname><given-names>Anastasiya Yu.</given-names></name></name-alternatives><email>laptievaa@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Глухов</surname><given-names>Александр Анатольевич</given-names></name><name xml:lang="en"><surname>Glukhov</surname><given-names>Alexander A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Коняшин</surname><given-names>Даниил Александрович</given-names></name><name xml:lang="en"><surname>Konyashin</surname><given-names>Daniil A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Коновалов</surname><given-names>Павел Андреевич</given-names></name><name xml:lang="en"><surname>Konovalov</surname><given-names>Pavel A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Золотухин</surname><given-names>Владимир Олегович</given-names></name><name xml:lang="en"><surname>Zolotukhin</surname><given-names>Vladimir O.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2021</year></pub-date><volume>44</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2021/4/460-470.pdf" /><abstract xml:lang="ru"><p>Молекулярный водород (МВ) достаточно давно известен как инертный газ, однако о его полезных свойствах стало известно только в 2007 году, когда были получены сведения о его антиоксидантных возможностях. Эффекты Н2 позволяют использовать его при комплексном лечении ран мягких тканей. В этом обзоре обсуждаются основные биологические действия, а также механизмы действия МВ при нарушениях целостности тканевых структур и септических повреждений органов со стороны основных способностей водорода: противоапоптических, противовоспалительных, антиоксидантных и аутофагических. Подробно описываются способы транспортировки, дозировки Н2, а также их достоинства и недостатки в практической медицине. Рассмотрены перспективы развития его внедрения в самые различные области лечения и основные проблемы, на которые до сих пор нет ответа.</p></abstract><trans-abstract xml:lang="en"><p>Molecular hydrogen (MH) has been known for a long time as an inert gas, but its beneficial properties became known only in 2007, when information about its antioxidant capabilities was obtained. The effects of MH make it possible to use it in the complex treatment of soft tissue wounds. This review discusses the main biological actions, as well as the mechanisms of action of MH in violation of the integrity of tissue structures and septic damage to organs from the main abilities of hydrogen: anti-apoptotic, anti-inflammatory, antioxidant, and autophagic. The methods of transportation, dosage of H2, as well as their advantages and disadvantages in practical medicine are described in detail. The prospects for the development of its implementation in the most diverse areas of treatment and the main problems, which still have no answer, are considered.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>молекулярный водород</kwd><kwd>окислительный стресс</kwd><kwd>раны мягких тканей</kwd><kwd>молекулярные механизмы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>molecular hydrogen</kwd><kwd>oxidative stress</kwd><kwd>soft tissue wounds</kwd><kwd>molecular mechanisms</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Carnio E.C., Stabile A.M., Batalh&amp;atilde;o M.E., Silva J.S., Antunes-Rodrigue J., Branco L.G., Magder S. 2019. Vasopressin release during endotoxaemic shock in mice lacking inducible nitric oxide synthase. 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