Long-term results of non-drug treatment of patients with scarring of the skin on the background of metabolic syndrome

Abstract

BACKGROUND: The effectiveness of physiotherapy treatment of scarring of the skin is reduced in patients with impaired carbohydrate and lipid metabolism and the use of drinking mineral water is proposed for their correction of metabolic reactions, but the long-term results of using this technology have not been studied. AIMS: To study the long-term results of treatment of patients with scarring of the skin after the use of photothermolysis, fermencol ultraphonophoresis and internal intake of mineral water, taking into account the presence or absence of metabolic syndrome. MATERIALS AND METHODS: We observed 120 patients with scarring of the skin, 60 of them with metabolic syndrome. The patients were randomly selected into 2 groups: with and without metabolic syndrome, each of which was further subdivided into 2 subgroups according to the treatment method: the first was standard therapy, fractional photothermolysis, fermencol ultraphonophoresis, the second was a similar complex supplemented with internal intake of Essentuki No. 17 mineral water. Glucose, insulin, body mass index, malondialdehyde were determined in the blood of all patients RESULTS: It was found that in patients with metabolic syndrome, the duration of maintaining the achieved therapeutic effects decreases after 6 months of observation, whereas against the background of taking mineral water, this period is extended by 34 months. An additional course of mineral water to physiotherapy treatment effectively corrects metabolic reactions and helps to reduce insulin resistance. CONCLUSION: The use of drinking mineral waters, which have a pronounced activating effect on the insulin regulation of metabolic reactions by reducing resistance to this hormone, allows you to maintain favorable changes in metabolism and energy for at least six months, which contributes to the consolidation of the therapeutic effects of complex physiotherapy and to a certain extent has a preventive potential.