The Diabetic Foot Syndrome

Abstract


Diabetes mellitus (diabetes) - takes the third place in the structure of causes of death, affects 4-5% of the world's population, and the costs of its treatment reach 30% of the country's budget for health, of which more than 90% are wastes of treatment of complications SD. Syndrome of diabetic foot (SDS) is formed in 20-50% of patients and in 30% of cases leads to infectious-necrotic complications. When diagnosing SDS pay attention to the condition of the skin and fingers of the feet, blood flow, the presence of pain, to study sensitivity, to conduct capillaroscopy, polarography, ultrasonic dopplerography; Radiography of foot bones, densitometry, angiography, etc. Principles of treatment of infectious-necrotic complications; SDS: urgent hospitalization in the profile department (angiological or "diabetic foot"); Insulin, antibiotic, immunotherapy; The introduction of drugs that improve microcirculation (anticoagulants, antiaggregants, antioxidants); Syndromic therapy; Surgical treatment. Prevention of VTS should include: regular examination of the feet; Definition of a risk group; Selection of adequate shoes; Correction of pathological conditions predisposing to the development of VTS; Training of patients and their family members.


Oleg Evgen'evich Minakov

sugery@mail.ru
N.N. Burdenko Voronezh State Medical University
Russian Federation, г. Воронеж, ул. Студенческая, 10

PhD, associate Professor Department of surgery, the first Deputy of the health Department of Voronezh region

Alexandr Alexeevich Andreev

Author for correspondence.
sugery@mail.ru
SPIN-code: 1394-5147
N.N. Burdenko Voronezh State Medical University
Russian Federation, 10 Studencheskaia Str., Voronezh, 394036

PhD, associate Professor Department of surgery IDPO

Anton Petrovich Ostroushko

antonostroushko@yandex.ru
N.N. Burdenko Voronezh State Medical University
Russian Federation, г. Воронеж, ул. Студенческая, 10

PhD, lecturer, Department of General Surgery

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