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1.
Khirurgiia (Mosk) ; (10): 69-72, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30531740

RESUMO

The aim of this study was to evaluate the effect of cytoflavin inclusion in therapy regimens of patients with diabetic foot syndrome and medicalcinosis on the microcirculation of the lower limb blood vessels. For this purpose, 64 patients with type II diabetes mellitus (subcompensated form), diabetic foot syndrome and signs of medicalcinosis foot blood vessels of various severity were examined. All patients were divided into 2 groups depending on the therapy scheme: patients of group I (33 people) received insulin, antibiotics, disaggregants, statins, anti-inflammatory drugs, painkillers, detoxification therapy. Patients of group II (31 patients) in addition to the main therapy received cytoflavin according to the scheme: 10 ml per 0.9 ml NaCl 200 ml intravenously, drip at a rate of 60 cap/min, 10 days course, then 2 tablets 2 times a day for 1 month. The severity of the microangiopathy of the lower extremities was assessed considering transcutaneous oximetry data in dynamics (before treatment, on the 10th and 40th day of therapy) gained using TCM-2 device (RADIOMETER, Denmark) with has heating oxygen electrode type Clarc. Before the treatment subcompensated level of metabolic disorders corresponding to the II degree of microcirculatory disorders was registered in all patients. Against the backdrop of cytoflavin inclusion in the complex therapy, there was an improvement in the metabolic rate (up to compensated) with a decrease in the degree of microcirculation disorders up to I degree. Positive dynamics of metabolic disorders significantly reduced frequency and extent of surgical interventions. The results obtained suggest that cytoflavin should be included in the treatment regimens of patients with this pathology.


Assuntos
Diabetes Mellitus Tipo 2 , Pé Diabético , Humanos , Extremidade Inferior , Microcirculação
2.
Khirurgiia (Mosk) ; (8): 75-78, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28805783

RESUMO

The aim of the study was to evaluate the effectiveness of cytoflavin in the complex treatment of patients with diabetic foot syndrome. MATERIAL AND METHODS: The research is based on the results of a comprehensive survey of 140 people with diabetic foot syndrome. Depending on the treatment, all patients were divided into 2 groups. The first group (n=35) received basic therapy. The second group (n=35) in addition to basic therapy received cytoflavin 10 ml (+200 ml 0.9% NaCl) for 10 days, followed by switching to the tablet form of the drug 2 tablets twice a day for 1 month. RESULTS: Analyzing the severity of polyneuropathy after treatment, we noted a more positive dynamic in patients who in addition to standard therapy received cytoflavin.


Assuntos
Pé Diabético , Mononucleotídeo de Flavina , Inosina Difosfato , Niacinamida , Polineuropatias , Succinatos , Calcificação Vascular , Idoso , Artérias/diagnóstico por imagem , Artérias/patologia , Pé Diabético/complicações , Pé Diabético/diagnóstico , Pé Diabético/terapia , Combinação de Medicamentos , Feminino , Mononucleotídeo de Flavina/administração & dosagem , Mononucleotídeo de Flavina/efeitos adversos , Humanos , Inosina Difosfato/administração & dosagem , Inosina Difosfato/efeitos adversos , Masculino , Pessoa de Meia-Idade , Fármacos Neuroprotetores/administração & dosagem , Fármacos Neuroprotetores/efeitos adversos , Niacinamida/administração & dosagem , Niacinamida/efeitos adversos , Polineuropatias/complicações , Polineuropatias/diagnóstico , Índice de Gravidade de Doença , Succinatos/administração & dosagem , Succinatos/efeitos adversos , Resultado do Tratamento , Ucrânia , Calcificação Vascular/complicações , Calcificação Vascular/diagnóstico
3.
Adv Gerontol ; 29(5): 816-821, 2016.
Artigo em Russo | MEDLINE | ID: mdl-28556655

RESUMO

The authors studied the efficiency of the expansion of the standard course of conservative therapy of deforming coxarthrosis by appointment Cytoflavin and behavioral therapy. The study was performed on 104 elderly patients. It was found that the addition of the existing scheme increases the effectiveness of therapeutic interventions, which manifests itself as the improvement of the mental and physical components of quality of life by reducing pain and increasing the functionality of some of the affected hip. At the heart of positive clinical effect is a decrease in processes of inflammation and reduction of tension of regulatory processes in the organism. Positive quality extra medical appointments was the absence of significant side effects when taken orally Cytoflavin requiring discontinuation of the drug, as well as the absence of failure patients from further sessions of behavioral therapy.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Mononucleotídeo de Flavina/administração & dosagem , Inosina Difosfato/administração & dosagem , Niacinamida/administração & dosagem , Osteoartrite do Quadril , Dor , Qualidade de Vida , Succinatos/administração & dosagem , Idoso , Terapia Combinada/métodos , Combinação de Medicamentos , Feminino , Humanos , Masculino , Fármacos Neuroprotetores/administração & dosagem , Osteoartrite do Quadril/complicações , Osteoartrite do Quadril/diagnóstico , Osteoartrite do Quadril/psicologia , Osteoartrite do Quadril/terapia , Dor/diagnóstico , Dor/etiologia , Dor/psicologia , Manejo da Dor/métodos , Resultado do Tratamento
4.
Arkh Patol ; 76(5): 61-7, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25543410

RESUMO

OBJECTIVE: To study the results of liver morphological studies in 40 Vietnamese pot belly pigs with simulated small bowel obstruction. MATERIALS AND METHODS: Liver morphofunctional changes in acute strangulation ileus were investigated in an experiment on 40 Vietnamese pot belly pigs weighing 15-20 kg. Five animals were used as a control. RESULTS: In simulated acute ileus, the found morphofunctional changes in hepatocytes were characterized by toxic dystrophy of the organ with the signs of secondary hepatitis. CONCLUSION: During the experiment, the course of the disease and surgical restoration of small bowel patency have been found to be accompanied by significant histological and ultrafine structural disorders of the liver, which is a rationale for intensive antihypoxant, antioxidant, and hepatoprotective therapy in the pre- and postoperative periods.


Assuntos
Obstrução Intestinal/tratamento farmacológico , Obstrução Intestinal/patologia , Intestino Delgado/patologia , Fígado/patologia , Animais , Antioxidantes/metabolismo , Hepatócitos/efeitos dos fármacos , Hepatócitos/patologia , Humanos , Obstrução Intestinal/metabolismo , Fígado/efeitos dos fármacos , Meglumina/administração & dosagem , Meglumina/análogos & derivados , Succinatos/administração & dosagem , Suínos , Tomografia Computadorizada por Raios X
5.
Khirurgiia (Mosk) ; (12): 36-40, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25589316

RESUMO

The study involved 60 patients with diabetic foot syndrome (DFS) with severe subcompensated diabetes type II. All patients were available mediacalcification foot and lower leg arteries of different severity. Depending on the treatment, all patients were divided into 2 groups by stratified randomization. The first group received basic therapy that is indicated for DFS which included antibiotics, vessels extending drugs neuroprotective and detoxification facilities. The second group of patients in addition to basic therapy received the drug cytoflavin 10 ml 0.9% NaCl 200 ml for 10 days, followed by transfer to the tablet form cytoflavin 2 tablets 2 times a day orally for 1 month. We noted a positive trend treat patients in addition to standard therapy received the drug cytoflavin, resulting in a marked neuroprotective, antihypoxant and antioxidant effects of the drug. Thus, the use of complex surgical treatment of patients with mixed form DFS cytoflavin reduces the severity of distal polyneuropathy, improves tissue oxygenation and restores the activity of antioxidant enzymes system, manifested a marked neuroprotective, anti-hypoxic and antioxidant effects of drugs and indications to justify its use in this condition.


Assuntos
Desbridamento/métodos , Diabetes Mellitus Tipo 2 , Pé Diabético , Mononucleotídeo de Flavina/administração & dosagem , Inosina Difosfato/administração & dosagem , Niacinamida/administração & dosagem , Doença Arterial Periférica , Succinatos/administração & dosagem , Idoso , Antibacterianos/uso terapêutico , Antioxidantes/administração & dosagem , Artérias/patologia , Terapia Combinada , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/metabolismo , Pé Diabético/etiologia , Pé Diabético/metabolismo , Pé Diabético/terapia , Combinação de Medicamentos , Monitoramento de Medicamentos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fármacos Neuroprotetores/administração & dosagem , Doença Arterial Periférica/complicações , Doença Arterial Periférica/diagnóstico , Doença Arterial Periférica/metabolismo , Doença Arterial Periférica/fisiopatologia , Índice de Gravidade de Doença , Resultado do Tratamento , Calcificação Vascular/metabolismo , Calcificação Vascular/fisiopatologia , Vasodilatadores/uso terapêutico
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