硫化氢浴治疗糖尿病多发神经病变的疗效观察

IF 0.3 Q4 REHABILITATION Acta Balneologica Pub Date : 2022-01-01 DOI:10.36740/abal202201104
T. G. Bakaliuk, N. R. Маkarchuk, H. O. Stelmakh
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引用次数: 0

摘要

目的:评价硫化氢浴对糖尿病多发神经病患者疼痛、触觉、温度和振动敏感性的影响。材料与方法:对125例2型糖尿病合并糖尿病性多发性神经病变患者进行回顾性分析。患者分为两组:第一组61例患者在门诊接受标准治疗,第二组64例患者在标准治疗的基础上在疗养院接受硫化氢浴治疗。灵敏度评估采用音叉、单丝、自动针、Tip-Term圆柱体进行。结果:大多数患者在初次检查后,主要表现为振动和触觉敏感性的明显下降。只有接受标准门诊治疗的患者才真正恢复了疼痛敏感性。治疗的最佳临床效果(所有类型敏感性的可靠恢复)是在疗养院中获得的,除了标准治疗外,还接受了硫化氢浴。结论:在糖尿病多发神经病变的综合治疗中应用硫化氢浴能更有效地恢复糖尿病患者的敏感性障碍
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Efficacy of Application of Hydrogen Sulfide Baths in Patients with Diabetic Polyneyropathy
Aim: Evaluation of the effect of hydrogen sulfide baths on pain, tactile, temperature and vibration sensitivity in patients with diabetic polyneuropathy. Materials and Methods: 125 patients with type 2 diabetes complicated by diabetic polyneuropathy were examined. Patients were divided into 2 groups: the 1st group included 61 patients who received standard treatment in an outpatient setting, 64 patients of the 2nd group in addition to standard treatment received hydrogen sulfide baths in a sanatorium. Sensitivity assessment was performed using a tuning fork, monofilament, atraumatic needle, Tip-Term cylinder. Results: In most patients, after the initial examination, a significant decrease mainly in vibration and tactile sensitivity was observed. Only pain sensitivity was truly restored in patients receiving standard outpatient therapy. The best clinical effect of treatment (reliable recovery of all types of sensitivity) was achieved in patients who were in a sanatorium and in addition to standard therapy received hydrogen sulfide baths. Conclusions: The use of hydrogen sulfide baths in the complex treatment of diabetic polyneuropathy contributes to a more effective restoration of sensitivity disorders in patients with diabetes
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来源期刊
Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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