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Hydrogalvanic bath in treatment of patients with diabetic angiopathy of lower extremities.

Keywords: Hydrogalvanic Bath, Diabetic Angiopathy, Microcirculation, Lipid Metabolism

Introduction and Objectives

Problem of diabetis millitius is of high medical and social importance primarily because of its vascular complications that often cause early invalidisation and mortality. It's very important to search new possibilities of prevention of such complication.

Combination of hydrotherapy together with different mode of current may be very promising by enchancement of therapeutic effect. There is lack of information about use of this method.

The aim of our study was evaluation of efficiency of hydrogalvanic bath in treatment of patients with diabetic angiopathy of low extremities. Materials and Methods

32 patients (23 women and 9 men), mean age 56[+ or -]2,14 years, with diabetes millitus with angiopathy of lower extremities were included in the study. Duration of diabetes was 13[+ or -]3,22 years.

Patients were divided into two groups: First group received drug therapy and a course of galvanic baths (n=20) and Control group received drug therapy and tap water bath where galvanic component was switched off (n=12). Hydrogalvanic bath was done according to following methodology: galvanic current were applied from tree pairs of electrodes (positive at hip area, negative at the tibia and foot level) in tub filled with tap water of 36-370 C temperature for 10-12 min daily with 8-10 procedures for a course

Students t-test for continuous variables was performed. The difference with p< 0,05 was considered to be statistically significant.

Results

After 2-weeks of treatment clinical symptoms of diabetic angiopathy significantly improved in First group. A reduction in pain score assessed by visual analog scale (VAS) was observed in 90% of patients (from 4,63[+ or -]0,21 to 2,13[+ or -] 0,16; p<0,05), decrease of frequency of seizures were found in 75% patients, in 46,7% more them two times. Coefficient of atherogenicity decreased non significantly (p<0,07) from 3,86[+ or -]0,14 to 3,04[+ or -]0,16. Index of efficiency of microcirculation as well as indices of myogenic and neurogenic vascular tone increased non significantly in 55% of patients of First group. Conclusions

After 2-weeks of treatment clinical symptoms of diabetic angiopathy significantly improved in First group. A reduction in pain score assessed by visual analog scale (VAS) was observed in 90% of patients (from 4,63[+ or -]0,21 to 2,13[+ or -] 0,16; p<0,05), decrease of frequency of seizures were found in 75% patients, in 46,7% more then two times. Coefficient of atherogenicity decreased non significantly (p<0,07) from 3,86[+ or -]0,14 to 3,04[+ or -]0,16. Index of efficiency of microcirculation as well as indices of myogenic and neurogenic vascular tone increased non significantly in 55% of patients of First group.

Badalov NG(1), Muhina AA(1), Lvova NV(1), Articulanova IN(2), Efendieva MT(1), Truhanov AI(3), Luferova NB(1), Uyanaeva A(1), Tupitsyna Y(1), Krikorova S(1), Makismova G(4)

(1)Department of Resort Medicine. Center for Medical Rehabilitation and Balneology. Moscow. Russia

(2)Department of Endocrinology.Center for Medical Rehabilitation and Balneology. Moscow. Russia

(3)Association Rehabilitation Medicine. Moscow. Russia

(4) Weather bureau of Moscow and Moscow Region. Russia bng57@yandex.ru
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Title Annotation:Scientific Sessions: New Trends 2--Session 06; texto en ingles
Author:Badalov, N.G.; Muhina, A.A.; Lvova, N.V.; Articulanova, I.N.; Efendieva, M.T.; Truhanov, A.I.; Lufer
Publication:Anales de Hidrologia Medica
Date:Dec 1, 2012
Words:536
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