Profilaktika I Khirurgicheskoe Lechenie Sindroma Diabeticheskoy Stopy

Na osnove kompleksnogo mediko-sotsial'nogo issledovaniya razrabotany novye organizatsionnye modeli profilaktiki i khirurgicheskogo lecheniya gnoyno-nekroticheskikh oslozhneniy pri razlichnykh formakh sindroma diabeticheskoy stopy (SDS). Dan sistemnyy analiz vliyaniya prioritetnykh mediko-sotsial'nykh i klinicheskikh faktorov na vozniknovenie i techenie gnoyno-nekroticheskikh oslozhneniy SDS. Vyyavleny osnovnye prichiny neeffektivnosti khirurgicheskogo lecheniya, povlekshie vysokuyu amputatsiyu ili gibel' bol'nykh. Obosnovana effektivnost' i dokazany preimushchestva differentsirovannogo khirurgicheskogo podkhoda v zavisimosti ot patogeneticheskoy formy SDS. Dokazany preimushchestva spetsializirovannoy khirurgicheskoy pomoshchi bol'nym s SDS na baze Diabetologicheskikh tsentrov.Razrabotan i vnedren novyy sposob khirurgicheskogo lecheniya ishemii nizhnikh konechnostey pri SDS.Sozdana i aprobirovana organizatsionnaya model' medsestrinskoy brigady, obespechivayushchey povyshenie effektivnosti dispansernogo nablyudeniya, profilaktiki i ambulatornogo lecheniya u bol'nykh SDS, dana otsenka nuzhdaemosti v sestrinskom patronazhe na domu. Razrabotan protokol vedeniya bol'nykh, obespechivayushchiy uporyadochivanie okazaniya meditsinskoy pomoshchi pri SDS na vsekh etapakh lecheniya.