ОСОБЕННОСТИ ДИНАМИКИ НАРУШЕНИЙ ВИБРАЦИОННОЙ ЧУВСТВИТЕЛЬНОСТИ И БОЛЕВЫХ ПРОЯВЛЕНИЙ ПРИ ДИСТАЛЬНОЙ СИММЕТРИЧНОЙ СЕНСОРНО-МОТОРНОЙ ПОЛИНЕВРОПАТИИ У БОЛЬНЫХ С САХАРНЫМ ДИАБЕТОМ I И II ИНСУЛИНОПОТРЕБНОГО ТИПОВ ПРИ ИСПОЛЬЗОВАНИИ НИЗКОЧАСТОТНОГО ПЕРЕМЕННОГО МАГНИТНОГО ПОЛЯ

Abstract

Introduction. Damage to peripheral nerve fibers in diabetes mellitus is considered the most severe complication that worsens the prognosis of the disease. Diabetic distal symmetrical polyneuropathy is detected in the vast majority of patients. A positive therapeutic response in patients with diabetic polyneuropathy can be obtained using low-frequency magnetic therapy. Aim. The aim was to determine the effectiveness of low-frequency magnetic therapy in the treatment of vibration sensitivity and pain manifestations in diabetic distal symmetric sensory-motor polyneuropathy in patients on insulin therapy. Material and methods. The study included patients with manifestations of diabetic distal symmetric sensory-motor polyneuropathy, who are on isulin therapy. All patients were observed before the start of therapy and after completion of the course of treatment. There were 20 patients in the control group, 19 patients in the main group. In the main group, low-frequency magnetotherapy was prescribed for 10 days. Patients with contraindications to physiotherapy treatment were included in the control group. Results and discussion. The absence of regression of moderate and severe disorders of vibration sensitivity in the control group was observed significantly with a higher frequency. The torpid course of mild disorders of vibration sensitivity was noted only in the control group. In patients experiencing deep pain in the lower extremities, complete regression of mild, moderate and severe pain was observed only in the main group. Only in the control group, a torpid course of moderate deep pain manifestations was observed. Moderate acute shooting pain in the lower extremities regressed completely in the main group with a significantly higher frequency compared to the control group. Only in the control group, there was a lack of dynamics of moderate acute pain, a feeling of moderate burning in the legs. In the main group, a complete regression of moderate discomfort in the legs in the form of a burning sensation was noted with greater frequency. Conclusion. In the treatment of disorders of vibration sensitivity and pain manifestations in distal symmetrical sensory-motor polyneuropathy in patients with diabetes mellitus of the I and II insulin-consuming types, it is advisable to use low-frequency magnetotherapy.