APPLICATION OF PULSE INFRARED LOW-LEVEL LASER RADIATION IN COMPLEX TREATMENT OF PATIENTS WITH POST-STROKE COGNITIVE DISORDERS

Yu.A. Shchekodko, Yu.V. Vizer, V. Drobyshev
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Abstract

The results of treatment of 60 patients with a verified diagnosis of ischemic stroke, acute period, with a motor deficit in the form of hemiparesis, with cognitive impairment, are presented; patients were distributed by random sampling into two groups: group 1 (30 people), the standard treatment was supplemented with a course of laser therapy, group 2 (30 people) received only the standard course of treatment. In patients, the effect of low-intensity laser radiation on the cognitive functions, short-term memory, attention, and mental abilities was studied. Efficiency was assessed using the MMSE scale, the Number Memory, Visual Memory Tests, and the method of finding numbers on Schulte Tables. It was found that the inclusion of low-level infrared laser radiation in a standard medical complex reduces the level of cognitive impairment by 2.3 times, increasing short-term memory by 1.6 times, attention by 2.2 times (p < 0.05). In the comparison group, the dynamics of these indicators is significantly lower. The inclusion of pulsed infrared low level laser therapy (LLLT) in the complex rehabilitation of patients with ACVA is a necessary link in neurorehabilitation measures as a method for compensating the impaired brain functions.
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脉冲红外低能级激光在脑卒中后认知障碍综合治疗中的应用
60例经证实诊断为缺血性中风的患者的治疗结果,急性期,以偏瘫形式出现运动缺陷,伴有认知障碍;随机抽样将患者分为两组:第一组(30人)在标准治疗的基础上辅以一个疗程的激光治疗,第二组(30人)仅接受标准疗程的激光治疗。研究了低强度激光照射对患者认知功能、短期记忆、注意力和心智能力的影响。使用MMSE量表、数字记忆、视觉记忆测试和在舒尔特表上查找数字的方法来评估效率。研究发现,在标准医疗综合体中纳入低水平红外激光辐射可使认知障碍水平降低2.3倍,短期记忆水平提高1.6倍,注意力水平提高2.2倍(p < 0.05)。在对照组中,这些指标的动态明显较低。脉冲红外低水平激光治疗(LLLT)作为一种补偿脑功能受损的方法,纳入ACVA患者的复杂康复治疗是神经康复措施的必要环节。
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