EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

APPLICATION BY TRANSCUTANEOUS OXIMETRY FOR DETERMINATION OF LEVEL OF AMPUTATION OF THE CRUS AT CRITICAL ISHEMIYA OF THE LOWER EXTREMITIES AT PATIENTS WITH DIABETES

Valery Afanasyevich Mitish, Bakodir Barnoyevich Safoyev and *Azizzhon Yakhyoevich Rakhimov

ABSTRACT

Background: According to the latest data today diabetes mellitus - one of the most widespread endocrine pathologies in the world. Atherosclerosis of vessels is the reason of an origin of critical ischemia of the lower extremities (CILE) in 80-90% of cases. Patients with DM and CILE represent heavy group of patients with high risk of failures. Frequency of amputations remains high at persons with DM and now. One of the most worthy and methods of a research often now in use of a condition of the microcirculatory course is the transcutaneous oximetry. From the offered methods the transcutaneous oximetry shows to sufficient informational content for determination of optimum level of amputation. Objective: The results of treatment of 41 patients operated apropos by the mixed infected forms of diabetic foot with critical ischemia of the lower extremities are subjected to the analysis. Methods: 19 examined patients amputated at the level of a crus the line of border of amputation determined before operation on indicators the basal level of oxygen not less than 30 mm Hg. Result: Given to a transcutaneous oximetry (tpcO2) at these patients showed that in a zone of the expressed fabric hypoxia the sowing of high level of microflora is noted. Conclusion: The analysis of the received results of our research was shown that at severe forms of critical ischemia of the lower extremity modern method is amputation at the level of a crus by Mitish. The combination of operation of Mitish to application transcutaneous oximetry (tcpO2) before operation promotes will lower postoperative purulent complications of a stump.

Keywords: Diabetes mellitus, critical ischemia of the lower extremities, amputation, transcutaneous oximetry.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )