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Chukhlovina M.L.

Sankt-Peterburgskaia gosudarstvennaia pediatricheskaia meditsinskaia akademiia

Chukhlovin A.A.

Prof. A. Polenov Research Institute of Neurosurgery, affiliation of V. Almazov North-Western Medical Research Center, St. Petersburg, Russia

Specifics of diagnosis and treatment of diabetic polyneuropathy in elderly patients

Authors:

Chukhlovina M.L., Chukhlovin A.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(6): 42‑46

DOI: 10.17116/jnevro201911906142

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Table of contents

SPECIFICS OF DIAGNOSIS AND TREATMENT OF DIABETIC POLYNEUROPATHY IN ELDERLY PATIENTS
SPECIFICS OF DIAGNOSIS AND TREATMENT OF DIABETIC POLYNEUROPATHY IN ELDERLY PATIENTS

To cite this article:

Chukhlovina ML, Chukhlovin AA. Specifics of diagnosis and treatment of diabetic polyneuropathy in elderly patients. S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(6):42‑46. (In Russ.)
https://doi.org/10.17116/jnevro201911906142

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
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Abstract:

Abatract Objective. To study the specifics of diagnosis and treatment of diabetic polyneuropathy in elderly patients. Material and methods. Forty-two patients (22 men and 20 women, aged from 65 to 75 years) with diabetes mellitus type 2 and diabetic polyneuropathy were studied using the following psychometric scales: the Michigan Neuropathy Screening Instrument (MNSI), Neurological symptoms scale (NSS), Neuropathy Disability Score (NDS), the Numerical Rating Scale (NRS), Kaplan–Feinstein index (KFI), the Covi Anxiety Scale (COVI), the Recovery Locus of Control Scale (RLOC). Patients were divided into group 1 (n=24) treated with neuromultivit injections, along with standard treatment, and group 2 (n=18), which received standard treatment only. Patients were examined at baseline and one month after treatment. Results. In elderly patients, diabetic distal symmetric sensorimotor polyneuropathy of moderate severity was comorbid mostly with cardio-vascular disease. Pain syndrome was associated with anxiety and significant direct correlation between anxiety and pain intensity was found. The level of motivation towards recovery was significantly lower and correlated with COVI scores. Conclusion. Injections of neuromultivit decrease the intensity of pain, improve the emotional state and increase the level of motivation towards recovery.

Keywords:

diabetes mellitus type 2
diabetic polyneuropathy
elderly
neuromultivit

Authors:

Chukhlovina M.L.

Sankt-Peterburgskaia gosudarstvennaia pediatricheskaia meditsinskaia akademiia

Chukhlovin A.A.

Prof. A. Polenov Research Institute of Neurosurgery, affiliation of V. Almazov North-Western Medical Research Center, St. Petersburg, Russia

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References:

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