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Неврология, нейропсихиатрия, психосоматика

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Восстановление двигательных функций у пациентов, перенесших ишемический инсульт

https://doi.org/10.14412/2074-2711-2019-3S-89-94

Аннотация

Ведущее значение в ведении пациента, перенесшего ишемический инсульт, имеет вторичная профилактика повторного инсульта и других сердечно-сосудистых заболеваний. Рекомендован прием лекарственных препаратов (антигипертензивных, антитромбоцитарных средств или антикоагулянтов, статинов) и, небольшой части пациентов, – хирургическое лечение (каротидная эндартерэктомия), большое значение имеют нелекарственные методы (отказ от курения, злоупотребления алкоголем, приверженность средиземноморской диете, увеличение физической активности). Двигательные нарушения наблюдаются у 80% пациентов после инсульта и являются ведущей причиной инвалидизации. При постинсультных двигательных расстройствах большое значение имеет лечебная гимнастика, направленная на тренировку движений в паретичных конечностях и предотвращение развития контрактур. Обсуждается использование цитиколина с целью улучшения восстановления двигательных функций.

Об авторе

Ю. А. Старчина
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава России
Россия

кафедра нервных болезней и нейрохирургии лечебного факультета,

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



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Рецензия

Для цитирования:


Старчина ЮА. Восстановление двигательных функций у пациентов, перенесших ишемический инсульт. Неврология, нейропсихиатрия, психосоматика. 2019;11(3S):89-94. https://doi.org/10.14412/2074-2711-2019-3S-89-94

For citation:


Starchina YA. Motor function recovery in patients after ischemic stroke. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2019;11(3S):89-94. (In Russ.) https://doi.org/10.14412/2074-2711-2019-3S-89-94

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)