Application of "Simbirzite track" in complex therapy of patients with diabetes mellitus at the sanatorium stage of rehabilitation.
Khaertdinov I.F., Charikova E.I., Alekseeva O.N. OJSC "Sanatorium" ITIL, "Ulyanovsk.
The aim of the study was to improve the rehabilitation program for patients with diabetes mellitus (DM) using the simbircite track in the sanatorium-resort treatment complex. In the last decade, significant progress has been made in the treatment of patients with lower extremity lesions in diabetes mellitus (DM). This led to a significant reorientation towards conservative treatments for patients with neuropathy and foot angiopathy, which allowed for a continuous, active observation of the condition of patients with a high risk of amputation of the limb.
Simbirzit is a unique crafts stone found on the territory of the Ulyanovsk region. This rock is a type of calcite, the basis of which is marble onyxes. Simbirzite is a warm stone, has healing properties. Locals have long made shores, amulets from this stone. The name "Simbirzit" was given in honor of the old name of the city of Ulyanovsk - Simbirsk. We used the healing properties of this stone to prevent diabetic neuropathy and angiopathy in DM patients. The structure of the stone makes it possible to treat simbirzite without forming sharp chips, due to which there is no damage to the skin of the feet, which is very important for patients suffering from this pathology.
The bottom of the pool with low sides is lined with treated simbircite tiles. In the pool, a contrasting water temperature is created from 5-6 ° C at the beginning and to the 10-12ºS by the end of the treatment course. The number of procedures per course is 18-20.
Materials and methods. Examined 82 patients with DM (average age 51.11 ± 66.6 years); women - 58, men - 24. The main group of 52 patients, in addition to the standard of care, received an additional 20 procedures on the simbircite track. The Monitoring Group (30 SD patients) was provided with only standard medical and spa care. Both groups are comparable by sex and age. Before prescribing the procedures, the feet were inspected to eliminate abrasions, wounds and ulcerative defects. A standard survey, physical examination, anthropometric examination involving measurement of height (m), body weight (kg), waist circumference (OT, cm) was conducted for all the subjects examined. Body mass index (BMI) was calculated as the ratio of body mass (kg) to height square (m ²). All patients were determined for glycated hemoboglobin (HbA1c), and mandatory control of glycemia was carried out both fasting and 2 hours after meals. In addition, a quality of life assessment was conducted from the WHO questionnaire before and after treatment. The course of treatment was 24 days. Hypoglycemic and hypocaloric diet, mineral waters, mud treatment, LFC, climatotherapy, physiotherapy and aqua treatment were used. Drug therapy included sugar-lowering drugs (Glucophage 1000-2000 mg per day), insulin, antiplatelet agents, selective beta-blockers, ACE inhibitors, statins.Results. The BMI before and after treatment was 32.9 ± 6.2 and 28.6 ± 4.6 kg/m ² (growth), respectively, (p & lt; 0.05), the waist circumference was 102.1 ± 8.2 and 96.7 ± 9, 4 cm, respectively (p & lt; 0.05). The level of glycated hemoglobin was 7.9 ± 2.1%. After 24 days treatment, there was a decrease in OX (from 6.89 ± 1.4 mmol/l to 5.17 ± 1.1 mmol/l, p & lt; 0.01), LDL (from 4.76 ±, 1.1mol/l to 2.86 ± 0.9mol/l, p & lt; 0.001), triglycerides (from 3.76 ± 2.1mol/l to 1.1mol In the group of receiving procedures on the "simbircite track," patients noted the restoration of foot sensitivity, the disappearance of pain syndrome, which led to an increase in motor activity. In the control group, numbness and cooling of the toes and foot as a whole were preserved, and pain syndrome was partially preserved. The quality of life after treatment in the main group was significantly higher compared to the control group.
Conclusions. Application of "simbircite track" in complex rehabilitation treatment of patients with DM increases sensory and thermal sensitivity of feet, increases motor activity of patients and their quality of life.