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 | 9У | 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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