RESULTS OF COMPLEX TREATMENT IN PATIENTS WITH DIABETIC FOOT SYNDROME

Aim. To improve the results of treatment in patients with diabetic foot syndrome by means of differentiated application of conservative measures using advanced infusion system associated with local treatment by combination of adhesive bandages; to estimate the quality of life in patients with diabetic foot syndrome. Materials and methods. The results of treatment of 60 patients with diabetic foot syndrome are presented in the paper. All patients with diabetic foot syndrome were divided into two groups: the main group and the comparison group - 30 persons each. Complex treatment of patients of the main group was added by intravenous introduction of thioctic acid preparations using advanced infusion system. Local treatment was carried out with additional use of adhesive bandages Permafoam comfort and Atrauman Ag. Patients’ quality of life was estimated by means of the developed questionnaire. Results. Among the patients of the main group, improvement was observed by the day 5,0 ± 0,2. In the comparison group, the patients who underwent infusion in the ordinary way, without isolation of infusion system, therapeutic effect was noted by the day 9,0 ± 0,8. Trophic ulcer healing in the main group occurred by the day 21,0 ± 3,6, in the comparison group - by the day 32,0 ± 4,8. In 30 % of the main group patients, psychological status changed after treatment from “satisfactory” to “good”; in the comparison group - the changes were not significant, within the numerical intervals of the first day of treatment. Conclusions. The offered algorithm of conservative treatment of diabetic foot syndrome associated with combination of adhesive bandages Permafoam comfort and Atrauman Ag in complex management of trophic ulcers has a good therapeutic effect, reduces the terms of treatment, significantly improves patients’ quality of life.

Diabetic foot syndrome, adhesive bandages