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Сахарный диабет

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Адгезивный капсулит плечевого сустава (замороженное плечо?) у пациентов с сахарным диабетом

Аннотация

Распространенность адгезивного капсулита (АК) плечевого сустава среди пациентов с сахарным диабетом (СД) достигает 20%. За счет сокращения (замораживания?) капсулы плечевого сустава происходит постепенное ограничение активных и пассивных движений верхней конечности, что приводит к сокращению объема физической активности, снижению трудоспособности, ухудшению качества жизни и инвалидизации больных. Принято считать, что у большинства пациентов АК имеет характер саморазрешающегося процесса в течение 1,5?2,5 лет, однако в последнее время появились клинические данные о сохранении болей и остаточной потере в объеме движений плечевого сустава в отдаленном периоде у лиц без СД в 10% случаев, а у пациентов с СД ? до 85%. В представленном обзоре литературы отражены результаты работ, целью которых явилось исследование факторов риска возникновения и механизмов развития АК у пациентов с СД, а также освещены принципы диагностики и эффективность различных методов лечения этого заболевания.

Об авторах

Надежда Викторовна Максимова
ГБОУ ВПО "Первый МГМУ имени И.М. Сеченова", Москва
Россия
кандидат медицинских наук, ассистент кафедры эндокринологии лечебного факультета ГБОУ ВПО Первый МГМУ им. И.М.Сеченова
Конфликт интересов: Авторы заявляют об отсутствии конфликта интересов при подготовке данной публикации.


Мария Вадимовна Амосова
ГБОУ ВПО "Первый МГМУ имени И.М. Сеченова", Москва
Россия
клинический ординатор кафедры эндокринологии лечебного факультета ГБОУ ВПО Первый МГМУ им. И.М.Сеченова


Евдокия Сергеевна Цветкова
ГБОУ ВПО "Первый МГМУ имени И.М. Сеченова", Москва
Россия
студентка 6 курса лечебного факультета ГБОУ ВПО Первый МГМУ им. И.М.Сеченова


Наталья Александровна Чуброва
ГБОУ ВПО "Первый МГМУ имени И.М. Сеченова", Москва
Россия
врач-эндокринолог, кафедры эндокринологии лечебного факультета ГБОУ ВПО Первый МГМУ им. И.М.Сеченова


Галина Афанасьева Мельниченко
ГБОУ ВПО "Первый МГМУ имени И.М. Сеченова", Москва; ФГБУ "Эндокринологический научный центр" Минздрава России, Москва
Россия
доктор медицинских наук, академик РАН, профессор кафедры эндокринологии лечебного факультета ГБОУ ВПО Первый МГМУ им. И.М.Сеченова, директор Института клинической эндокринологии ФГБУ ЭНЦ


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Для цитирования:


Максимова Н.В., Амосова М.В., Цветкова Е.С., Чуброва Н.А., Мельниченко Г.А. Адгезивный капсулит плечевого сустава (замороженное плечо?) у пациентов с сахарным диабетом. Сахарный диабет. 2014;17(4):16-24.

For citation:


Maximova N.V., Amosova M.V., Tsvetkova E.S., Chubrova N.A., Mel’nichenko G.A. Adhesive capsulitis of the shoulder joint (?frozen shoulder?) in patients with diabetes mellitus. Diabetes mellitus. 2014;17(4):16-24. (In Russ.)

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