Renal hemodynamics in patients with diabetic nephropathy caused by arterial hypertension using magnetic laser therapy
- Authors: Evsina M.G.1, Borzunova Y.М.2, Fedorov A.А.2,3, Kaisinova A.S.4,5, Gulyaev V.Y.2, Gaidamaka I.I.6, Zelensky V.A.6
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Affiliations:
- Aramil City Hospital
- Ural State Medical University
- Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers
- North Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency
- Pyatigorsk Medical and Pharmaceutical Institute ― Volgograd State Medical University
- Stavropol State Medical University
- Issue: Vol 22, No 4 (2023)
- Pages: 273-279
- Section: Original studies
- URL: https://journal-vniispk.ru/1681-3456/article/view/255378
- DOI: https://doi.org/10.17816/rjpbr627489
- ID: 255378
Cite item
Abstract
BACKGROUND: In recent decades, there has been a progressive increase in the number of patients with chronic kidney disease worldwide, which is associated with both an actual increase in the incidence of the disease, associated with cardiovascular pathology and type 2 diabetes mellitus, among other things, and an increase in the life expectancy of patients.
AIM: To assess hemodynamics of renal vessels during a course of magnetic laser therapy with the patients suffering from diabetic nephropathy caused by arterial hypertension against the background of the standard of care for this category of patients.
MATERIALS AND METHODS: There has been carried out a randomized controlled trial on 100 patients with diabetic nephropathy caused by arterial hypertension. Their average age was 61,7 [52,8; 69,7] years old, the duration of arterial hypertension ― 24,1 [14,5; 36,1], type 2 diabetes mellitus ― 16,6 [14,9; 19,1] and diabetic nephropathy ― 6,1 [4,2; 8,9] years. In addition to general clinical studies, the patients in the control group (49 people) before and after prescribing the standard medication, and in the main group (51 people) with additional use of magnetic laser therapy, had their renal blood flow examined by Doppler ultrasound.
RESULTS: The obtained data indicate the positive effect of magnetic laser therapy with the patients suffering from diabetic nephropathy caused by arterial hypertension on the hemodynamics of renal vessels with improved blood flow in arteries of both medium and small caliber, which, in turn, apparently should contribute to the normalization of the function of the capillary system of the renal parenchyma.
CONCLUSION: The results of the given study allow us to recommend the use of magnetic laser therapy in the complex rehabilitation treatment of the patients with diabetic nephropathy caused by arterial hypertension taking into account the criteria for their strict selection.
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##article.viewOnOriginalSite##About the authors
Maria G. Evsina
Aramil City Hospital
Email: evsinam@mail.ru
ORCID iD: 0000-0003-0798-2097
SPIN-code: 4045-9921
Russian Federation, Aramil
Yulia М. Borzunova
Ural State Medical University
Email: jmborzunova@e1.ru
ORCID iD: 0000-0001-8792-8351
MD, Dr. Sci. (Med.), Professor
Russian Federation, YekaterinburgAndrey А. Fedorov
Ural State Medical University; Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers
Email: fedorov@ymrc.ru
ORCID iD: 0000-0002-9695-2959
SPIN-code: 9728-8397
MD, Dr. Sci. (Med.), Professor
Russian Federation, Yekaterinburg; YekaterinburgAgnessa S. Kaisinova
North Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency; Pyatigorsk Medical and Pharmaceutical Institute ― Volgograd State Medical University
Author for correspondence.
Email: zamoms@skfmba.ru
ORCID iD: 0000-0003-1199-3303
SPIN-code: 8041-7520
MD, Dr. Sci. (Med.), Professor
Russian Federation, Yessentuki; PyatigorskViktor Yu. Gulyaev
Ural State Medical University
Email: gulyayeva@e1.ru
ORCID iD: 0000-0003-1567-7113
SPIN-code: 9489-0895
MD, Dr. Sci. (Med.), Professor
Russian Federation, YekaterinburgIvan I. Gaidamaka
Stavropol State Medical University
Email: ivelen-90385@mail.ru
ORCID iD: 0000-0003-1119-7825
SPIN-code: 8263-9569
MD, Dr. Sci. (Med.), Professor
Russian Federation, StavropolVladimir A. Zelensky
Stavropol State Medical University
Email: moon175@yandex.ru
ORCID iD: 0000-0002-6340-9394
SPIN-code: 6574-2934
MD, Dr. Sci. (Med.), Professor
Russian Federation, StavropolReferences
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