METHOD FOR TREATMENT OF LOWER LIMBS CHRONIC ARTERIAL INSUFFICIENCY OF I-IIA DEGREE

摘要

FIELD: medicine.;SUBSTANCE: for treatment of lower limbs chronic ischemia, lumbar chemical sympathectomy is carried out by introducing an ethanol solution. The basal level of the transcutaneous oxygen tension and the ankle-brachial index (ABI) are determined. With basal ABI less than 0.90, the need for limb revascularization is determined. With basal ABI of 0.90 or more, a stress test is performed, with a decrease in the load ABI of less than 0.90, or 15% or more compared to basal, sympathectomy is performed. The volume of ethyl alcohol 70% for sympathectomy is determined by the height and body mass index of the patient. After 1 day, the transcutaneous oxygen tension is determined, with an increase of 15% or more from the basal level, therapy including calf muscles electrostimulation within 60 minutes by pulses of less than 0.05 W, stimulation rate of 60-75 muscle contractions per minute is recommended. If no increase by 15% or more from the basal level in the transcutaneous oxygen tension is observed after chemical sympathectomy, indications for revascularization are determined, the transcutaneous oxygen tension is examined monthly.;EFFECT: method allows to increase the treatment effectiveness for patients with lower limbs chronic ischemia, due to the timely detection of patients with clinically not-manifested lower limbs chronic ischemia.;1 dwg, 1 ex