Novosti
Khirurgii

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Year 2016 Vol. 24 No 2

GENERAL & SPECIAL SURGERY

A.I. RUNDO, V.A. KOSINETS

APPLICATION OF THE COMBINED PHOTOTHERAPY IN COMPLEX TREATMENT OF PATIENTS WITH COMPLICATIONS OF DIABETIC FOOT SYNDROME

EE "Vitebsk State Medical University"
The Republic of Belarus

Objectives. To study the effect of a combined phototherapy on wound healing and the blood flow in vessels of the lower limbs at treatment of patients with diabetic foot syndrome.
Methods. The purulent-necrotic lesions of the foot in patients (n=80) with diabetes mellitus was analyzed. The patients were divided into two groups: the control group (n=50), treatment was carried out according to standard protocols, and the main group (n=30) in which patients additionally received phototherapy by blue light irradiation on skin wounds (0,47±0,03 µm – blue region of the spectrum, 2 mW) and red spectra (0,67±0,02 µm, 2 mW – red region of the spectrum), as well as an intravenous blood irradiation therapy in use red light (0,67±0,02 µm, 2 mW – red region of the spectrum).
Evaluation of wound healing process was carried out on the 1st, 3rd-5th, 7th and 14th days. The duration of each wound healing stage and clinical symptoms had been analyzed. Ultrasonography examination assessed the blood flow velocity in the deep femoral artery.
Results. It was established that in the main group the duration of the cleansing phase reduced by 7th days, an earlier appearance of granulation was observed by 3rd days, creating the conditions of accelerated epithelial regeneration, the preparing of the wounds to a plastic closure occurred 1,9 fold faster.
On 3rd-5th days from the onset of treatment a reliable reduction of swelling, hyperemia, amount of exudate in wounds were observed in the main group.
On the 1st and the 14th days in the control group there was no change in systolic blood flow velocity (Vs) – 83,85 cm/s and 83,3 cm/sec, respectively. In the group, subjected to combined phototherapy, the Vs index fell from 76,4 cm/s to 69,4 cm/sec (p<0,0001) in the specified timeframe.
Conclusion. The use of combined methods of phototherapy in complex treatment of diabetic foot syndrome appears to be extremely promising direction, the proposed methods of treatment promotes aid effectiveness to these patients.

Keywords: diabetic foot syndrome, purulent-necrotic process, angiopathy, neuropathy, phototherapy, blue light, red light
p. 131-137 of the original issue
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Address for correspondence:
210023, Republic of Belarus,
Vitebsk, pr. Frunze, d. 27,
UO "Vitebskiy gosudarstvennyiy meditsinskiy universitet",
kafedra operativnoy khirurgii i topograficheskoy anatomii,
tel. office: 375 33 645-12-01,
e-mail: qlex2007@yandex.ru,
Rundo Aleksey Ivanovich
Information about the authors:
Rundo A.I. An assistant of the operative surgery and topographic anatomy chair of EE "Vitebsk State Medical University".
Kosinets V.A. MD, professor of the hospital surgery chair with the courses of urology and pediatric surgery of EE "Vitebsk State Medical University".
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