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2.1. The General characteristic surveyed and the research organisation.

For realisation of the purposes and problems of the present research on the basis of clinic of nervous illnesses of Vo¾nno-medical academy 125 patients, with acute disturbance of a cerebral circulation on ischemic type polusharnoj localisations have been selected.

Criteria of an exception of patients from research were; presence of an ischemic stroke in vertebralno-bazilljarnom pool, repeated character of an ischemic stroke in carotid pool, presence of diseases of peripheric nervous system, another accompanying neurologic LITOLOGII in a decompensation stage.

At entering to a hospital all patient it was spent the basic treatment referred Pa maintenance of vital functions, correction of hemodynamic and rheologic disorders. The differentiated therapy included appointment of anticoagulants, antiagre gantov, vasoactive preparations, preparations neuromediator and nejroprotekgivnogo, nejrotroficheskogo actions. Correction accompanying somatichekoj pathologies (an arterial hypertensia, disturbances of a rhythm, metabolic disorders) was besides, spent.

All patients passed the complex inspection including a number of laboratory researches: 1) the clinical analysis of blood with definition of number of thrombocytes: 2) the blood analysis on a HIV; 4) the blood analysis on a HBs-antigene; 5) a Wassermann reaction; 6) the biochemical analysis of blood with definition of Saccharum, urea, a creatinine, bilirubin, Expert AT also Is scarlet AT, cholesterol, triglycerides, lipoproteins of high and low density; 7) electrolytes (a potassium, sodium, calcium); R) a coagulogram with definition of a fibrinogen, a prothrombin, a hematocrit, time of coagulability of blood, calculation MNO; 10) the urine analysis; 11) thorax roentgenography on purpose

Diagnostics of diseases of lungs and an estimation of the sizes of heart and an aorta; 12) consultation of the therapist; 13) consultation of the ophthalmologist.

Tool inspection included measurement of arterial pressure, zlekgrokardio і’рафию ^ roentgenography of organs of a thorax, stimuljatsionnuju elektronejromiografiju, magnitno - resonant go a x-ray computer tomography of a brain, ultrasonic dopplerografiju head and neck vessels, duplex scanning brahiotsefalnyh arteries.

Its clinical tool inspection was spent shout entering and in dynamics:

1 I a point - at entering the patient in a hospital;

2 I a point - in 2 months from the beginning to be ill (early in sstae juvi і e l n yj per an iodine);

3 I a point - in 6 months (end of the early regenerative period);

4 I a point - in 12 months (.period formations of consequences).

All patients received medical gymnastics under the traditional program,

In six cases the lethal outcome caused by a syndrome poliorgennoj of insufficiency was observed.

Distribution of patients on a floor is presented and tab. 1.

Table 1

Distribution of patients gju to a floor

1 lout Kol fairly sick 11
Abs. %
Men 79,2
Women 26 20,1
In total 125 100

Prevalence in research of male patients (79,2 %) has been caused by feature of a contingent arriving on hospitalisation p Vo¾nno-medical academy of patients - operating military men and pensioners MO the Russian Federation.

Distribution of patients on age groups is presented in табл* 2, Table 2

Distribution of patients on age

Age (years) Quantity of the ball
Forehead. %
More youngly 55 50 40
56-70 49 39,2
Is more senior 70 26 20,8
In total 125 100

The age of patients varied from 39 till 85 years, Middle age

Has made 59,2+11,08 years. A pain..... e able-bodied age (in the age

To group till 55 years) have made 40 % that confirms the tendency to case rate "rejuvenation" инсультом*

Character and volume of spent clinico-tool researches is presented to tab. 3.

Table 3

Character to volume of inspection of patients

Methods

Inspections

Patients

Quantity of the executed inspections
Point

1

Point

2

Point

3

Point

4

Estimation

Neurologists cheskogo dsf l a board

+ + + 4
Estimation dve§gatelnogo deficiency

With ispolzovannem the objective

+ + +

42

Eye E [channe tab. 3

Methods

Inspections

Patients

Quantity executed inspection
Point

1

' [' a point

2

Point

3

Point

4

Scales of an estimation of an animal force,

Muscle tone, volume

Active movement in joints

KOI І Є CH]] aristas, СТС11 ЄІ [And

Two і a t cj і n 1.1 h n aru пісний.

Estimation of independence of the patient

In іюкеедценной activity

(ADL (Katz Ford A.V.,

Moskovilz R.W., 1963-1965),

Scale of levels of aftertreatment

(O.A.Valunov, Etc. Demidenko,

1987),

+ + -+- +
Total estimation of results

Treatments [with scales J. Rankin,

D, W. Barthel.

T
Magnitno-resonant

(Computer)

Tomography

' —
At l trazvu hammered d op p lerografija + +
St and muljatsi it of share ENMG + + 1

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A source: Provotorov Valery Aleksandrovich. VARIANTS And DYNAMICS of is muscular-TONIC DISTURBANCES AT polusharnom the ISCHEMIC STROKE. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. St.-Petersburg. 2008

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