Authors
Abramyan A.V., Sidorov R.V., Shtilman M.Y., Chumburidze I.P.
The Rostov State Medical University.
Abstract
There are presented the results of a survey of 279 patients with individual risk of vascular arterial pathology in a day hospital, and 42 patients were treated with a "Method of the treatment of chronic arterial insufficiency of the lower extremities of stages I-IIa", with a clinical approbation of the algorithm for the treatment of patients with LLCI I and II stages in a day hospital. Dynamic monitoring of the partial voltage of capillary blood oxygen did not establish a significant effect of complex conservative therapy and EMS on the manifestations of the first stage LLCI, the average value of the partial voltage of capillary blood oxygen was 42.17 ± 2.23 mm Hg. - 44.61 ± 1.72 mm Hg, ABI increase - 0.10 ± 0.03, mainly in patients younger than 50 years. The inclusion of chemical lumbar desympathisation in the complex of therapeutic measures contributed to an increase of the level of partial voltage of capillary blood oxygen in the distal parts of the lower limbs from 40.70 ± 2.56 mm Hg. up to 51.33 ± 2.28 mm Hg, the greatest increase in ABI was found in patients older than 70 years.
Keywords: cardiovascular arterial pathology, chronic ischemia of the lower extremities, chemical lumbar desympathisation, electromyostimulation, distance of painless walking, blood capillary blood tension, ankle-brachial index.
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