<?xml version='1.0' encoding='utf-8'?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.18413/2687-0940-2020-43-2-313-321</article-id><article-id pub-id-type="publisher-id">32</article-id><article-categories><subj-group subj-group-type="heading"><subject>SURGERY</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;OPTIMIZATION OF SURGICAL TACTICS IN DIABETIC FOOT SYNDROME&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;OPTIMIZATION OF SURGICAL TACTICS IN DIABETIC FOOT SYNDROME&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Troitskaya</surname><given-names>N. I.</given-names></name><name xml:lang="en"><surname>Troitskaya</surname><given-names>N. I.</given-names></name></name-alternatives><email>troicachita@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Shapovalov</surname><given-names>K. G.</given-names></name><name xml:lang="en"><surname>Shapovalov</surname><given-names>K. G.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Mudrov</surname><given-names>V. A.</given-names></name><name xml:lang="en"><surname>Mudrov</surname><given-names>V. A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Golyatin</surname><given-names>Yu. A.</given-names></name><name xml:lang="en"><surname>Golyatin</surname><given-names>Yu. A.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2020</year></pub-date><volume>43</volume><issue>2</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2020/2/313-321.pdf" /><abstract xml:lang="ru"><p>The problem is considered based on changes in microcirculation indicators to identify criteria for predicting the development of diabetic foot syndrome in patients with type 2 diabetes. A study of the microcirculatory bed in 30 patients with uncomplicated diabetes mellitus and 30 patients with the development of diabetic foot was conducted. Using Spearman&amp;#39;s rank correlation, the relationship between the values of microcirculation indicators was evaluated. Based on the linear regression equation, a predictive model with a sensitivity of 60 % and a specificity of 79 % has been developed.</p></abstract><trans-abstract xml:lang="en"><p>The problem is considered based on changes in microcirculation indicators to identify criteria for predicting the development of diabetic foot syndrome in patients with type 2 diabetes. A study of the microcirculatory bed in 30 patients with uncomplicated diabetes mellitus and 30 patients with the development of diabetic foot was conducted. Using Spearman&amp;#39;s rank correlation, the relationship between the values of microcirculation indicators was evaluated. Based on the linear regression equation, a predictive model with a sensitivity of 60 % and a specificity of 79 % has been developed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>diabetes mellitus</kwd><kwd>diabetic foot syndrome</kwd><kwd>microcirculatory bed</kwd><kwd>laser Doppler flowmetry</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>diabetic foot syndrome</kwd><kwd>microcirculatory bed</kwd><kwd>laser Doppler flowmetry</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Artykova D.M., Shagazatova B.Kh., Urunbaeva D.A., Ishankulova N.F. 2015. Sindrom diabeticheskoy stopy [Diabetic foot syndrome]. Vestnik Soveta molodykh uchenykh i spetsialistov Chelyabinskoy oblasti, 2 (9): 70&amp;ndash;76.</mixed-citation></ref><ref id="B2"><mixed-citation>Belozertseva Yu.P., Kurlaev P.P., Gritsenko V.A. 2016. Sindrom diabeticheskoy stopy: eti-ologiya, patogenez, klassifikatsii i lechenie [Diabetic foot syndrome: etiology, pathogenesis, classification and treatment]. Kurskiy nauchno-prakticheskiy vestnik &amp;laquo;Cheloveki ego zdorov&amp;#39;e&amp;raquo;, 1: 69&amp;ndash;78.</mixed-citation></ref><ref id="B3"><mixed-citation>Dubrovshchik O.I., Garelik P.V., Dovnar I.S., Rakovich D.Yu., Sytyy A.A. 2015. Real&amp;#39;ne vozmozhnosti snizheniya chastity amputatsi y nizhnikh konechnostey u patsientov s gnoyno-nekroticheskimi oslozhneniyami sindroma diabeticheskoy stopy [The real possibility of reducing the frequency of amputations of the lower extremities in patients with purulent-necrotic complications of diabetic foot syndrome]. Zhurnal Grodnenskogo gosudarstvennogo meditsinskogo universiteta, 4 (52): 26&amp;ndash;28.</mixed-citation></ref><ref id="B4"><mixed-citation>Erdesova K.E., Nuralin R.Sh., Kalieva A.M., Zurbaeva A.B., Akbasheva N.Zh. 2015. Prob-lemy ranney diagnostiki u patsientov s neyroishemicheskoy formoy sindroma diabeticheskoy stopy [Problems of early diagnosis in patients with a neuroischemic form of diabetic foot syndrome]. Vestnik Kazakhskogo natsional&amp;#39;nogo meditsinskogo universiteta, 1: 104&amp;ndash;108.</mixed-citation></ref><ref id="B5"><mixed-citation>Kozlov V.I. 2015. Kapillyaroskopiya v klinicheskoy praktike [Clinical capillaroscopy]. M., Prakticheskaya meditsina, 232.</mixed-citation></ref><ref id="B6"><mixed-citation>Komelyagina E.Yu., Kogan E.A., Antsiferov M.B. 2015. Kliniko-morfologicheskie para-metry i marker reparatsii neyropaticheskikh yazvennykh defektov pri syndrome diabeticheskoy stopy [Clinical and morphological parameters and markers of the repair of neuropathic ulcerative defects in di-abetic foot syndrome]. Sakharnyy diabet, 18 (3): 70&amp;ndash;76.</mixed-citation></ref><ref id="B7"><mixed-citation>Koreyba K.A. 2016. Khirurgicheskoe lechenie gnoyno-nekroticheskikh oslozhneniy ney-ropaticheskoy formy sindroma diabeticheskoy stopy [Surgical treatment of purulent-necrotic complications of the neuropathic form of diabetic foot syndrome]. Prakticheskaya meditsina, 5 (97): 34&amp;ndash;38.</mixed-citation></ref><ref id="B8"><mixed-citation>Krupatkin A.I., Sidorov V.V. 2014. Funktsional&amp;#39;naya diagnostika sostoyaniya mikrotsirkul-yatorno-tkanevykh sistem: kolebaniya, informatsiya, nelineynost&amp;#39; [Functional diagnostics of the state of microcirculatory-tissue systems: oscillations, information, nonlinearity]. Rukovodstvo dlya vrachey. M., LIBROKOM, 498.</mixed-citation></ref><ref id="B9"><mixed-citation>Krupatkin A.I., Sidorov V.V. 2005. Lazernaya doplerovskaya floumetriya mikrotsirkulyatsii krovi: rukovodstvo dlya vrachey [Laser Doppler blood flow micrometry: a guide for doctors]. M., Med-itsina, 256.</mixed-citation></ref><ref id="B10"><mixed-citation>Kurlaev P.P., Gritsenko V.A., Belozertseva Yu.P. 2016. Sovremennye podkhody k antibak-terial&amp;#39;noy terapii gnoyno-nekroticheskikh oslozhneniy sindroma diabeticheskoy stopy [Modern approach-es to antibiotic therapy of purulent-necrotic complications of diabetic foot syndrome]. Byulleten&amp;#39; Oren-burgskogo nauchnogo tsentra UrO RAN, 2: 1&amp;ndash;11.</mixed-citation></ref><ref id="B11"><mixed-citation>Obolenskiy V.N., Semenova T.V., Leval&amp;#39; P.Sh., Plotnikov A.A. 2010. Sindrom diabetich-eskoy stopy v klinicheskoy praktike [Diabetic foot syndrome in clinical practice]. Rossiyskiy med-itsinskiy zhurnal, 2 (18): 45&amp;ndash;50.</mixed-citation></ref><ref id="B12"><mixed-citation>Rundo A.I. 2015. Sovremennye aspekty etiologii i patogeneza sindroma diabeticheskoy stopy [Modern aspects of the etiology and pathogenesis of diabetic foot syndrome]. Novosti khirurgii, 1: 97&amp;ndash;104.</mixed-citation></ref><ref id="B13"><mixed-citation>Troitskaya N.I., Shapovalov K.G., Mudrov V.A., Golyatin Yu.A. 2019. Sposob prognoziro-vaniya razvitiya diabeticheskoy stopy [A method for predicting the development of diabetic foot]. Patent RF № 2686951.</mixed-citation></ref><ref id="B14"><mixed-citation>Chuyan E.N., Tribrat N.S., Ravaeva M.Yu., Ananchenko M.N. 2017. Tkanevaya mikroge-modinamika: vliyanie nizkointensivnogo elektromagnitnogo izlucheniya millimetrovogo diapazona [Tis-sue microhemodynamics: the effect of low-intensity millimeter-wave electromagnetic radiation] : mono-grafiya. Simferopol&amp;#39;, ARIAL, 422.</mixed-citation></ref><ref id="B15"><mixed-citation>Ang G.Y., Yap C.W., Saxena N. 2017. Effectiveness of Diabetes Foot Screening in Primary Care in Preventing Lower Extremity Amputations. Acad. Med. Singapore, 46 (11): 417&amp;ndash;423.</mixed-citation></ref><ref id="B16"><mixed-citation>Chao C.Y., Cheing G.L. 2009. Microvascular dysfunction in diabetic foot disease and ul-ceration. Diabetes. Metab. Res. Rev., 25 (7): 604&amp;ndash;614.</mixed-citation></ref><ref id="B17"><mixed-citation>Kouadio A.A., Jordana F., Koffi N.J., Le Bars P., Soueidan A. 2018. The use of laser Doppler flowmetry to evaluate oral soft tissue blood flow in humans: а review. Arch. Oral. Biol., 86: 58&amp;ndash;71.</mixed-citation></ref><ref id="B18"><mixed-citation>Lavery L.A., Oz O.K., Bhavan K., Wukich D.K. 2019. Diabetic Foot Syndrome in the Twen-ty-First Century. Clin. Podiatr. Med. Surg., 36 (3): 355&amp;ndash;359.</mixed-citation></ref><ref id="B19"><mixed-citation>Sinwar P.D. 2015. The diabetic foot management &amp;ndash; recent advance. Int. J. Surg., 15: 27&amp;ndash;30.</mixed-citation></ref><ref id="B20"><mixed-citation>Veves A., Giurini J.M., Guzman R.J. 2018. The Diabetic Foot. Medical and Surgical Man-agement Fourth Edition. Humana Press, 514.</mixed-citation></ref></ref-list></back></article>