[Plasmosorption in the combined treatment of patients with phlegmons of the maxillofacial area in diabetes mellitus].
Diabetes mellitus and surgical infection coursing intermittently aggravate each other, and therefore search for methods of treatment permitting a simultaneous impact on the pyoinflammatory process and on diabetes mellitus is a priority. Plasmasorption method used at present at Chair for maxillofacial surgery and dentistry of the Russian State Medical University meets these requirements to a great measure. Clinical and laboratory studies showed that plasmasorption used in multiple-modality treatment helps effectively control a purulent process, reduces intoxication of the body, corrects the development of insulin resistance in patients with maxillofacial phlegmons coursing in the presence of diabetes mellitus. In patients with grave and medium-severe diabetes the same insulin doses injected after plasmasorption reduce blood sugar levels by 1.5-1.7 times on an average, and in slight forms of the condition even normalize them. Secondary healing of postoperative wounds is accelerated in diabetics with maxillofacial phlegmons, and hospital stay of such patients is reduced by 9.5-10 days, on an average.
Zuev
V P
VP
Pchelin
V G
VG
D000328:Adult; D000368:Aged; D002481:Cellulitis / Q000378:metabolism / Q000628:therapy*; D003131:Combined Modality Therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000378:metabolism; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000378:metabolism; D005069:Evaluation Studies as Topic; D005145:Face; D005260:Female; D006801:Humans; D007571:Jaw Diseases / Q000378:metabolism / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010949:Plasma; D016060:Sorption Detoxification / Q000295:instrumentation / Q000379:methods
Plazmosorbtsiia v kompleksnom lechenii bol'nykh s flegmonami cheliustno-litsevoĭ oblasti na fone sakharnogo diabeta.