APPLICATION OF PHARMACOPUNCTURE IN COMPREHENSIVE REHABILITATION OF PATIENTS IN THE EARLY RECOVERY PERIOD OF CEREBRAL STROKE
Keywords:
Ischemic stroke, pharmacopuncture, cephalgia, memory, attention, circulation, brain, rehabilitation.Abstract
The aim of the work is to study the severity and speed of relief of cephalgia, cerebral hemodynamic parameters and cognitive indicators in patients in the early recovery period of cerebral stroke in a placebo-controlled study. 96 patients (57 women and 39 men), whose average age was 62.4±2.9 years, were treated with complaints of headaches, impaired concentration, attention and memory, emotional exhaustion. The study participants were divided into 4 groups: the 1st ( n = 25) received a basic treatment complex supplemented with pharmacopuncture Cerebrum compositum ; 2nd ( n = 24) - basic complex and pharmacopuncture Placenta compositum ; 3rd ( n = 24) - the basic complex in combination with pharmacopuncture of physiological solution (placebo); in the 4th ( n = 23) only the basic treatment complex was used. The examination included an assessment of cognitive functions on the Mini - Mental scale State Examination (1975), pain syndrome on a visual analogue scale (1986), ultrasound duplex scanning of extracranial sections of the main arteries of the head (device Logic -400, USA). In the dynamics of therapy, patients in groups 1 and 2 showed a more rapid (after the 7th procedure) and pronounced (by 4.5 and 3.8 times by the 15th day of observation, respectively) decrease in the intensity of cephalgic syndrome than in groups 3 and 4. The best results were found in patients in group 1, where the treatment complex was supplemented with pharmacopuncture Cerebrum compositum . In patients of groups 1 and 2, an increase in the volumetric blood flow rate by 1.3 times was detected, the parameters of the resistance index decreased by 1.2 and 1.3 times, respectively, the pulsatory index - by 1.3 times, which significantly differed from similar values in groups 3 and 4. The best results in the parameters of cerebral hemocirculation were achieved using pharmacopuncture of the Placenta preparation compositum , while positive changes in cognitive indicators - Cerebrum composite .
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