Clinical efficiency of the combined application of physiotherapeutic technologies and drinking mineral waters in patients with curral skin changes under conditions of insulin resistance

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Abstract

BACKGROUND: One of the effective and pathogenetically substantiated methods of therapeutic action on cicatricial changes in the skin are laser technologies in combination with collagenases. However, as previous studies have shown, the presence of metabolic syndrome in patients significantly reduces the clinical efficacy of the combined use of laser therapy and phonophoresis of Fermencol. The most reasonable solution in this situation can be scientific research and experience in the practical use of drinking mineral waters, which have a high corrective efficiency in relation to metabolic processes, the course of which is significantly impaired in type II diabetes mellitus and metabolic syndrome.

AIMS: Assessment of clinical indicators of cicatricial changes in the skin of patients with metabolic syndrome in the combined application of the method of phonophoresis Fermenkol, fractional photothermolysis and drinking mineral waters.

MATERIAL AND METHODS: The study included 60 patients (49 men and 11 women) with cicatricial changes in the skin aged 19 to 50 years, with a confirmed diagnosis of metabolic syndrome. All patients by the method of simple fixed randomization were divided into two groups: the control group (30 people) and the main group (30 people). Both groups received treatment, which included a course of phonophoresis of 0.01% Fermencol gel in combination with the technique of fractional laser therapy. Patients of the main group, in contrast to the control group, in addition to the specified physiotherapeutic treatment received bottled sodium bicarbonate-chloride water “Essentuki No. 17” (mineralization 11.8 g/l) at room temperature, 200–250 ml three times a day for 15–20 minutes before meals for 3 weeks.

RESULTS: The addition of physiotherapeutic combined anti-scar therapy with a course of drinking mineral water “Essentuki No. 17” in patients with cicatricial changes in the skin in combination with metabolic syndrome was accompanied by a significantly more pronounced clinical effect, assessed by the Vancouver scale and the Dermatological Index of Quality of Life.

CONCLUSION: Additional course use of drinking mineral water “Essentuki No. 17” is accompanied by a more pronounced dynamics of clinical manifestations of cicatricial deformities of the skin and an indicator of the quality of life of patients, due to the sanogenetic mechanisms of the drinking balneofactor.

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About the authors

Christina V. Kazantseva

Clinic of Aesthetic Medicine “Skin Art”

Email: drnag@mail.ru
ORCID iD: 0000-0002-2473-3204
SPIN-code: 3088-6715
Russian Federation, Moscow

Sergey N. Nagornev

Centre for Strategic Planning and Management of Biomedical Health Risks

Author for correspondence.
Email: drnag@mail.ru
ORCID iD: 0000-0002-1190-1440
SPIN-code: 2099-3854

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Valery K. Frolkov

Centre for Strategic Planning and Management of Biomedical Health Risks

Email: drnag@mail.ru
ORCID iD: 0000-0002-1277-5183
SPIN-code: 3183-0883

Dr. Sci. (Biol.), Professor

Russian Federation, Moscow

Elena V. Gusakova

Central State Medical Academy of Department of Presidential Affairs

Email: drnag@mail.ru
ORCID iD: 0000-0003-3254-0354
SPIN-code: 5913-9674

MD, Dr. Sci. (Med.)

Russian Federation, Moscow

Maria S. Nagorneva

The First Sechenov Moscow State Medical University (Sechenov University)

Email: drnag@mail.ru
ORCID iD: 0000-0002-0940-7179
Russian Federation, Moscow

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