Протокольные и адъювантные возможности комплексной реабилитации больных хроническим панкреатитом с сопутствующим сахарным диабетом

The objective : to study the efficacy of rehabilitation with the use of the preparation of  α -lipoic acid (ALA) and surface multi needle mul time tal application (SMMA) in patients with chronic pancreatitis (ChP) with concomitant diabetes mellitus (DM). Materials and methods . 77 patients with HP with concomitant diabetes were examined. The age of the patients ranged from 25 to 65 years. The mean age of patients with ChP with DM was 52.86±0.83 years. The average duration of the disease in the group of patients with HP with diabetes is 10.96±0.39 years. Depending on the treatment programs, patients were divided into 3 groups. Patients of the 1-st group received protocol treatment (PT), patients of the 2-nd group received preparations ALA in addition to PT, patients of the 3-rd group received complex treatment with the use of PT, ALA and SMMA. Results . As a result of the study, the presence of positive dynamics was found in all the examined groups, however, the degree of its expression was different in these groups. The conclusion . The efficiency of the correction of patients with chronic pancreatitis with concomitant diabetes mellitus of  α -lipoic acid and the course of surface multi needle, multi metal application (Lyapko applicators) in a statistically significant improvement of the estimated parameters of the exocrine and endocrine function of the pancreas (p<0.05) was proved in the complex program of correction.