在脑循环障碍患者医疗康复计划中引入信息技术的经验和前景

G. A. Merkulova, E. V. Pegova, E. Y. Rishko, S. P. Kryzhanovsky
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摘要

目的:评估脑血管疾病患者的康复潜力,以便进行前瞻性随访和有效的医疗康复。评估脑血管疾病患者的康复潜力,以便进行前瞻性随访和有效的医疗康复。材料和方法。研究对象包括脑血管疾病患者(20 人)和急性脑血管意外患者(22 人)。使用 "内脏病变局部诊断计算机皮肤图仪"(DgKTD-01)诊断仪对健康状况进行综合评估。研究基线指标后,对研究组和对照组(10 人)进行了对比分析。研究组患者通过电脑矫正器 ANKF-01 矫正健康状况,使用低强度电磁场使中枢和外周神经系统的功能活动正常化。疗程包括每周 10 次治疗,并使用 DgKTD-01 复合物进行初步功能和局部诊断。治疗结果急性脑血管意外患者显示出自律神经调节功能的重组,交感神经环节的激活更为严重,而脑血管疾病患者则显示出副交感神经环节的激活更为严重。脑循环障碍的决定因素在于基本功能 F2 和 F3 的指数。研究确定了预测急性复发性脑循环障碍可能性的模型,以及鉴别诊断的其他诊断标准。皮层-皮层下关系中兴奋(抑制)电位的有目的变化会改变植物平衡,刺激微循环、肌肉张力功能、神经营养调节。这些作用可以稳定和改善患者的病情。使用 ANKF-01 的康复措施对急性脑血管意外患者的疗效更高。结论脑循环障碍患者的机体适应能力具有特殊性。这表明,考虑到疾病特点、个人资源和代偿能力,身体功能状态的形成存在差异。在使用 ANKF-01 的基础上进行康复治疗,可提高旨在预防大脑器质性病变的措施的有效性,并可显著改善预后和降低此类患者的残疾率。
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Experience and prospects of introducing information technologies in the program of medical rehabilitation of patients with cerebral circulation disorders
Objective. To assess the rehabilitation potential of patients with cerebrovascular disorders for prospective follow-up and effective medical rehabilitation. Materials and methods. The study group included patients with cerebrovascular diseases (n=20) and acute cerebrovascular accident (n=22). Integral assessment of the state of health was carried out using diagnostic complex “Computer dermograph for the topical diagnosis of pathology lesions of internal organs” (DgKTD-01). Following studying the baseline indicators, a comparative analysis of the study group and the control group (n=10) was carried out. The patients of the study group had their state of health corrected by means of the Computerized corrector ANKF-01 using low-intensity electromagnetic field for normalization of functional activity of the central and peripheral nervous system. The course consisted of 10 sessions weekly with preliminary functional and topical diagnostics using the DgKTD-01 complex. Results. Patients with acute cerebrovascular accident revealed a functional restructuring of autonomic regulation with a greater severity of activation of the sympathetic link, patients with cerebrovascular diseases – of the parasympathetic one. The determining factor in cerebral circulation disorder consists in the indices of basic functions F2 and F3. The study identified a model for predicting the likelihood of acute recurrent disorders of cerebral circulation, as well as additional diagnostic criteria for differential diagnosis. Purposeful change of excitatory (inhibitory) potentials in cortical-subcortical relations changes vegetative balance, stimulates microcirculation, muscle-tonic function, neurotrophic regulation. These effects stabilize and improve the condition of patients. The effectiveness of rehabilitation measures using ANKF-01 is considered to be higher in patients with acute cerebrovascular accident. Conclusion. Patients with cerebral circulation disorders have specific features of the adaptive capabilities of the body. This indicates the differentiation in the formation of the functional status of the body, taking into account the characteristics of the disease, individual resources and compensatory capabilities. Rehabilitation based on the use of ANKF-01 increases the effectiveness of measures aimed at preventing organic changes in the brain, and can significantly improve the prognosis and reduce the percentage of disability in this category of patients.
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