RESUMO
The authors have investigated the state of lipid peroxidation in 118 patients having purulent wounds of soft tissues against the background of diabetes mellitus. It was shown that the parenteral administration of vitamin E and the intracorporeal UVI of blood accelerated the process of stabilization of the parameters of lipid peroxidation and shortened the time of treatment. A combination of these two medical factors included in the complex of curative measures proved to be most effective.
Assuntos
Diabetes Mellitus/sangue , Peroxidação de Lipídeos , Infecção dos Ferimentos/sangue , Adulto , Idoso , Idoso de 80 Anos ou mais , Sangue/efeitos da radiação , Terapia Combinada , Complicações do Diabetes , Diabetes Mellitus/terapia , Feminino , Humanos , Peroxidação de Lipídeos/efeitos dos fármacos , Peroxidação de Lipídeos/efeitos da radiação , Peróxidos Lipídicos/sangue , Masculino , Pessoa de Meia-Idade , Terapia Ultravioleta , Vitamina E/administração & dosagem , Infecção dos Ferimentos/etiologia , Infecção dos Ferimentos/terapiaRESUMO
The efficacy of including a magnetic field, low-intensity laser beam, and their combination in the complex of therapeutic measures was studied in 119 patients with suppurative wounds and diabetes mellitus. With the use of magnetic field or laser beam intoxication diminished, the organism's immunological status was stabilized within a shorter time, the wound process followed a quicker course, and treatment took less time. The magnetic-laser effect has advantages over separate use of these factors.
Assuntos
Complicações do Diabetes , Campos Eletromagnéticos , Úlcera do Pé/radioterapia , Terapia a Laser , Dermatopatias Infecciosas/radioterapia , Infecção dos Ferimentos/radioterapia , Adulto , Idoso , Terapia Combinada , Feminino , Úlcera do Pé/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Dosagem Radioterapêutica , Dermatopatias Infecciosas/etiologia , Cicatrização/efeitos da radiação , Infecção dos Ferimentos/etiologiaRESUMO
A result of treatment of 112 patients with diabetes mellitus and purulent surgical diseases has been analysed. In the complex of treatment, a low-frequency ultrasound and laser radiation were employed. An advantage of the use of ultrasound at the first, and laser--at the second phase of a wound process was noted. Phasic use of ultrasound and laser accelerates the course of a wound process, contributes to shortening the duration of treatment.
Assuntos
Infecções Bacterianas/terapia , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Terapia a Laser , Terapia por Ultrassom , Infecção dos Ferimentos/terapia , Adolescente , Adulto , Idoso , Infecções Bacterianas/radioterapia , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dosagem Radioterapêutica , Cicatrização/efeitos da radiação , Infecção dos Ferimentos/radioterapiaRESUMO
Treatment of purulent wounds was carried out in 72 patients against the background of diabetes mellitus. In 42 of them the complex treatment included using magnetic fields. The application of magnetic fields promoted earlier and more pronounced reduction of the intoxication level, stabilization of the antioxidant system of organism and parameters of immune reactivity. The magnetic fields included in the treatment resulted in accelerated necrolysis, appearance of granulations and epithelialization. The duration of treatment became 6.2 days shorter.
Assuntos
Diabetes Mellitus/terapia , Magnetismo/uso terapêutico , Infecção dos Ferimentos/terapia , Adulto , Idoso , Terapia Combinada , Complicações do Diabetes , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , CicatrizaçãoRESUMO
A study was made of the immune status and results of therapy of 152 diabetic patients with purulent injuries of soft tissues. Low-intensity laser irradiation of wounds and adjuvant active and passive immune therapy were shown to result in rapid stabilization of the immune status, reducing the duration of treatment.
Assuntos
Adjuvantes Imunológicos/uso terapêutico , Tecido Conjuntivo/lesões , Complicações do Diabetes , Terapia a Laser , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Diabetes Mellitus/imunologia , Feminino , Humanos , Masculino , Supuração/terapia , Ferimentos e Lesões/terapiaRESUMO
Various physical therapeutic methods were used in 256 patients with purulent wounds against a background of diabetes mellitus. Comparative evaluation of various therapeutic methods has shown that the use of physical factors lowers intoxication, stabilizes the blood level of glucose, improves indices of immunological reactivity, promotes a more dynamic course of a wound process, and reduces the time of treatment. Ultrasound cavitation and application of adsorbents to wounds proved to be the most effective physical methods for therapy of purulent wounds in patients with diabetes mellitus.
Assuntos
Complicações do Diabetes , Infecção dos Ferimentos/terapia , Adolescente , Adulto , Idoso , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infecção dos Ferimentos/complicaçõesRESUMO
Treatment of 168 patients with purulent wounds was performed against the background of diabetes mellitus with registration of the parameters of intoxication, antioxidant and immune system of the organism. Shorter time of treatment and stabilization of laboratory indices were noted when the complex treatment included the ultrasonic cavitation, antioxidant drugs and immunotherapy.
Assuntos
Diabetes Mellitus/terapia , Terapia por Ultrassom/métodos , Infecção dos Ferimentos/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Antioxidantes/uso terapêutico , Doença Crônica , Terapia Combinada , Complicações do Diabetes , Feminino , Humanos , Imunoterapia , Masculino , Pessoa de Meia-Idade , Terapia por Ultrassom/instrumentação , Infecção dos Ferimentos/etiologiaRESUMO
Lipid peroxidation was studied in 179 patients with purulent surgical diseases and diabetes mellitus. Magnetotherapy, laser radiation, low-frequency ultrasound, ultraviolet irradiation of blood, and sorbent application were used as therapeutic factors. It was found that laser and ultraviolet irradiation of blood, and application of sorbents to the purulent wounds promoted stabilization of lipid peroxidation, had a more marked effect on the course of the wound process, and reduced the term of treatment.