The ankle-brachial index value in patients with purulent-necrotic complications of diabetic foot syndrome

Diabetes and predetermined him heavypurulent-necrotic complications is actual problemmedicine today’s. It is proved that patients withdiabetes have big risk to development of heart-vesseldisease due to the development of atherosclerosis.Standard of diagnosis peripheral arterial diseaseof lower limb is finding ankle-brachia index(ABI). This method is good at definition of degreeof arterial occlusion.Purpose of the study. Purpose of the work: toanalyse the diagnostic capability of ABI in patientswho have purulent-necrotic complications ofdiabetic foot.Material and methods. The prospective studiescovered 218 patients. The average patients age54,2 ± 10,3years, 45,5% of them – men. The mild formof disease was in 33,2%, moderate severity – in 45,2%,severe – in 21,6%. The duration of purulent-necroticcomplications was 11,5 ± 1,2 days.Results. We have seen that 128 patientshave different degrees of macroangiopathy. inpatients who performed amputation at the levelof the thigh of ABI was 0,41 ± 0,13; at the level ofthe leg – 0,59 ± 0,12.Conclusion. 1. Timely diagnosis is the basisof effective treatment of purulent necroticcomplications of diabetic foot. 2. In treatment, itis necessary to take into account the indicators ofABI as the main diagnostic marker of peripheralartery disease of lower limb. 3. Definition of ABI isan objective and valuable predictive marker.Keywords: diabetic food, purulent-necroticcomplications, diabetes, ankle-brachia index.