kurskvestЧеловек и его здоровьеHumans and their health1998-57461998-5754Kursk State Medical University10.21626/vestnik/2022-1/05kurskvest-993Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEСовременное представление о способах лечения трофических язв у пациентов с сахарным диабетом (обзор литературы)Current understanding of the treatment of trophic ulcers in patients with diabetes mellitus (literature review)https://orcid.org/0000-0003-2073-7387ТереховАлексей ГеннадьевичTerekhovAlexey G.

ассистент кафедры хирургических болезней № 1, очный аспирант кафедры оперативной хирургии и топографической анатомии им. А.Д. Мясникова, КГМУ, г. Курск

assistant lecturer of the Department of Surgical Diseases No. 1, full-time post-graduate student of the Department of Operational Surgery and Topographic Anatomy named after A.D. Myasnikov, KSMU, Kursk, Russian Federation

alexter4646@yandex.ruhttps://orcid.org/0000-0002-3805-937XКлюеваЕлена ГеннадиевнаKlyuevaElena G.

канд. мед. наук, ассистент кафедры клинической фармакологии, КГМУ, г. Курск.

Cand. Sci. (Med.), assistant lecturer of the Department of Clinical Pharmacology, KSMU, Kursk, Russian Federation

kastamonu46@mail.ruКурский государственный медицинский университет (КГМУ)РоссияKursk State Medical University (KSMU)Russian Federation2022290320222513544Copyright © Терехов А.Г., Клюева Е.Г., 20222022Терехов А.Г., Клюева Е.Г.Terekhov A.G., Klyueva E.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.kursk-vestnik.ru/jour/article/view/993

Язвы диабетической стопы (ЯДС) являются распространенным осложнением сахарного диабета (СД), что является причиной повышения заболеваемости и смертности населения, а также существенного увеличения расходов на здравоохранение. Цель исследования - провести анализ литературы и представить основные и дополнительные способы лечения ЯДС, применяемые на сегодняшний день. Материалы и методы. Был проведен анализ литературы, индексируемой в базах данных Web of Science, Medline, Cinahl, Embase, ScienceDirect, PsycINFO, Web of knowledge, поисковой системе Google Scholar за период с 2018 по 2022 гг. Критерии включения: полнотекстовые публикации, исследования высокого методологического уровня. Критерии исключения: тезисы, авторефераты, диссертации, доклады. Результаты исследования. Были обобщены и представлены в данной работе основные и дополнительные подходы к лечению ЯДС, а также указаны их преимущества и недостатки. Заключение. К основным способам можно отнести первичную обработку раны (дебридмент), разгрузку пораженной зоны, наложение повязки, антибактериальную терапию, контроль и поддержку уровня глюкозы крови, реваскуляризирующие вмешательства. Дополнительно применяют кислородную терапию, факторы роста, терапию отрицательным давлением, физиотерапевтические и другие методы лечения. Учитывая преимущества и недостатки того или иного способа лечения, необходим комплексный и разнонаправленный подход к ведению пациентов с ЯДС.

Diabetic foot ulcers are a common complication of diabetes mellitus (DFU), which causes an increase in morbidity and mortality of the population, as well as a significant increase in health care costs. Objective of the study is to analyze the literature and present the main and additional methods of treating DFU used today. Materials and methods. The literature indexed in Web of Science, Medline, Cinahl, Embase, ScienceDirect, PsycINFO, Web of knowledge, Google Scholar search system for the period from 2018 to 2022 was analyzed. Exclusion criteria: theses, abstracts, dissertations, reports. Results. The main and complementary approaches to the treatment of DFU, as well as their advantages and disadvantages, have been summarized and presented in this paper. Conclusion. Primary wound care (debridement), unloading of the affected area, bandaging, antibiotic therapy, blood glucose control and maintenance, and revascularisation interventions are among the main methods. In addition, oxygen therapy, growth factors, negative pressure therapy, physiotherapy and other treatments are used. Considering the advantages and disadvantages of one treatment or another, an integrated and multidirectional approach to the management of patients with DFU is necessary.

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The authors declare that there are no conflicts of interest present.