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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">medalphabet-881</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Поражение периферической нервной системы при сахарном диабете</article-title><trans-title-group xml:lang="en"><trans-title>Damage to peripheral nervous system in diabetes mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Камчатнов</surname><given-names>П. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Kamchatnov</surname><given-names>P. R.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чугунов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chugunov</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Евзелъман</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Evzelman</surname><given-names>M. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian National Research Medical University n.a. N. I. Pirogov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Орловский государственный университет имени И. С. Тургенева»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Orel State University named after I. S. Turgenev</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>25</day><month>10</month><year>2018</year></pub-date><volume>4</volume><issue>33</issue><issue-title>Неврология и психиатрия</issue-title><fpage>29</fpage><lpage>33</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Камчатнов П.Р., Чугунов А.В., Евзелъман М.А., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Камчатнов П.Р., Чугунов А.В., Евзелъман М.А.</copyright-holder><copyright-holder xml:lang="en">Kamchatnov P.R., Chugunov A.V., Evzelman M.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/881">https://www.med-alphabet.com/jour/article/view/881</self-uri><abstract><p>Поражение периферической нервной системы - одно из наиболее частых осложнений сахарного диабета. Наиболее тяжелая форма - вегетативная диабетическая полинейропатия (ВДПН), ассоциированная с риском стойкой инвалидизации и наступления летального исхода, значительным снижением качества жизни пациентов. Рассматриваются возможности диагностики ВДПН в условиях клинической практики. Анализируются современные подходы к лечению пациентов с ВДПН, включая препараты, нормализующие обмен веществ в нервной ткани, а также устраняющие основные симптомы заболевания.</p></abstract><trans-abstract xml:lang="en"><p>The defeat of the peripheral nervous system is one of the most frequent complications of diabetes. The most severe form is vegetative diabetic polyneuropathy (VDPN), associated with the risk of persistent disability and the onset of death, a significant reduction in the quality of life of patients. The possibilities of diagnosing VDPN in clinical practice are considered. Modern approaches to the treatment of patients with VDPN, including drugs that normalize the metabolism in the nervous tissue, as well as eliminating the main symptoms of the disease are analyzed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>диабетическая полинейропатия</kwd><kwd>вегетативная диабетическая полинейропатия</kwd><kwd>лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>diabetic polyneuropathy</kwd><kwd>autonomic diabetic polyneuropathy</kwd><kwd>treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Гурьева И. В., Левин О. С. Диабетическая полинейропатия // Consilium medicum. 2014. № 4. С. 12-16.</mixed-citation><mixed-citation xml:lang="en">Гурьева И. В., Левин О. С. Диабетическая полинейропатия // Consilium medicum. 2014. № 4. 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