nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2021-6-35-40nnp-1699Research ArticleORIGINAL INVESTIGATIONSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ И МЕТОДИКИCognitive, emotional and motor disorders and their impact on the postoperative rehabilitation of neurosurgical patientsКогнитивные, эмоциональные и двигательные нарушения и их влияние на послеоперационную реабилитацию нейрохирургических пациентовhttps://orcid.org/0000-0002-9193-1219ФанталисД.FantalisD.

 Россия, 119021, Москва, ул. Россолимо, 11, стр. 1 

 11, Rossolimo St., Build. 1, Moscow 119021, Russia 

https://orcid.org/0000-0002-9097-898XПреображенскаяИ. С.PreobrazhenskayaI. S.

 Россия, 119021, Москва, ул. Россолимо, 11, стр. 1 

 11, Rossolimo St., Build. 1, Moscow 119021, Russia 

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation2021141220211363540Copyright © Fantalis D., Preobrazhenskaya I.S., 20212021Фанталис Д., Преображенская И.С.Fantalis D., Preobrazhenskaya I.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1699

Pathological post-anesthetic changes can be determined by the type and duration of anesthesia, the somatic and neurological status of the patient in the preoperative period, age, etc.Objective: to assess the severity of cognitive (CI), emotional and motor impairments in patients who underwent spinal surgery.Patients and methods. The clinical study included 60 patients aged 30-74 years who underwent spinal surgery under general anesthesia. The neuropsychological, emotional, somatic, and neurological status were assessed at the baseline and one week, 3, and 6 months after the surgery. Thirty patients underwent a course of cognitive training (main group), and 30 patients were included in a comparison group.Results and discussion. In the postoperative period, pain indicators decreased in both groups. There was an improvement in cognitive functions, emotional state, and quality of life (QoL) in the main group 3 and 6 months after surgery. The inclusion of cognitive training in the rehabilitation program for patients undergoing neurosurgical spinal surgery improved cognitive and motor functions and the QoL of patients. Evaluation and treatment of neurosurgical patients are discussed, which are helpful to improve the results of rehabilitation and QoL in the postoperative period.Conclusion. Additional positive impact of cognitive-motor training for pain regression in patients after spinal surgery was observed.

Патологические посленаркозные изменения могут определяться типом анестезии, продолжительностью наркоза, соматическим и неврологическим статусом пациента в предоперационном периоде, его возрастом и др.Цель исследования – оценить выраженность когнитивных (КН), эмоциональных и двигательных нарушений у пациентов, перенесших спинальную операцию.Пациенты и методы. В клиническом исследовании участвовали 60 пациентов в возрасте 30–74 лет, которым была проведена спинальная операция под общим наркозом. До и через 1 нед, 3 и 6 мес после операции проведены нейропсихологическое тестирование, оценка эмоционального, соматического и неврологического статуса. 30 пациентов прошли курс когнитивного тренинга (основная группа) и 30 пациентов составили группу сравнения.Результаты и обсуждение. В послеоперационном периоде в обеих группах снизились показатели боли. В основной группе через 3 и 6 мес после операции отмечено улучшение когнитивных функций, эмоционального состояния и качества жизни (КЖ). Включение когнитивного тренинга в программу реабилитации пациентов, перенесших нейрохирургическую спинальную операцию, улучшало когнитивные и двигательные функции, а также КЖ пациентов.Обсуждаются вопросы диагностики и лечения у нейрохирургических пациентов, позволяющие улучшить результаты реабилитации и КЖ в послеоперационном периоде.Заключение. Отмечено дополнительное положительное влияние когнитивно-моторного тренинга на регресс болевого синдрома у пациентов после спинальной операции.

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The authors declare that there are no conflicts of interest present.