NEAREST RESULTS OF SHIN BONE FRACTURE TREATMENT IN PATIENTS WITH SUGAR DIABETES
Aim. To improve the treatment results of isolated shin bone fracture in patients with sugar diabetes. Materials and methods. The results of diagnostics and treatment of 114 patients with isolated shin bone fracture against the background of sugar diabetes who were divided into 2 groups were analyzed. In order to determine the efficiency of diagnostics type, prevention of complications and treatment, the randomization of patients and comparison of obtained results of main and control groups with mentioned above damages, were performed. The central and regional hemodynamics condition, level of blood glucose, stage of endogenous intoxication, lipids specter, condition lipid peroxidation and antioxidant protection, stage of fat globulemia, and also some indicators of hemostasis, electrolyte exchange, KOS and subjective patient senses, were studied, and ultrasound of extremity vessels was performed.. Results. Optimization of diagnostics, prevention of complications and treatment of shin bone fractures during sugar diabetes taking into account hemodynamic disorders, disorders of hemostasis system, metabolic functions, lipids specter, peroxidation of lipids, electrolyte exchange, KOS, endogenous intoxication stage and stages of sugar diabetes including 0,06% sodium hypochlorite solution into infusion program, in patients of main group, have led to decrease of complication development: cardiac syndrome to 2,4%, thrombosis of deep shin veins to 4,1%, multi-organ dysfunction to 2,6%, diabetic foot to 2,6%, in comparison to control group. Conclusion. Use of 0,06% sodium hypochlorite solution in the infusion therapy program contributes to prevention and decrease of number and severity of acute complications after trauma.