medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2016-11-8-14medsovet-1532Research ArticleЦЕРЕБРОВАСКУЛЯРНЫЕ ЗАБОЛЕВАНИЯCEREBROVASCULAR DISEASESПОСТИНСУЛЬТНЫЕ ДВИГАТЕЛЬНЫЕ НАРУШЕНИЯPOST-STROKE MOTOR DISTURBANCESПАРФЕНОВВ. А.PARFENOVV. A.

д.м.н., профессор

MD, Prof.

Первый Московский государственный медицинский университет им. И.М. СеченоваРоссияSechenov Moscow State Medical UniversityRussian Federation201630122016011814Copyright © ПАРФЕНОВ В.А., 20162016ПАРФЕНОВ В.А.PARFENOV V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1532

Двигательные нарушения в виде центрального гемипареза представляют наиболее частую причину инвалидности пациентов, перенесших инсульт. Активизация пациента составляет основу ведения пациентов с постинсультным гемипарезом, лечебная гимнастика направлена на тренировку движений в паретичных конечностях и предотвращение контрактур. У пациентов, у которых высокий мышечный тонус (спастичность) ухудшает двигательные функции, могут быть эффективны пероральные антиспастические средства и(или) местное ведение препаратов ботулинического токсина. Представлены результаты недавно опубликованного исследования CARS, в котором у 208 пациентов (средний возраст 64 года) изучалась эффективность церебролизина (30 мл внутривенно в течение 21 дня) в сравнении с плацебо; показано достоверное улучшение восстановления функции паретичной руки у пациентов, получавших церебролизин, в сравнении с группой плацебо.Внедрение в клиническую практику современных методов лечения последствий инсульта позволяет улучшить восстановление и качество жизни больных.

Motor disturbances demonstrating themselves as central hemiparesis is the most frequent reason of disability of patients who suffered a stroke. Activation of a patient makes the foundation of management of patients with post-stroke hemiparesis, the remedial gymnastics is aimed at training of movements in paretic extremities and prevention of contractions. In patients in whom high muscular tonus (spasticity) impairs motor functions, peroral anti-spastic drugs and (or) local injection of botulinic toxin can be effective. Results of the recently published study CARS are provided in which effectiveness of cerebrolysin (30 ml of intravenous injections for 21 day) was studied on 208 patients (mean age is 64 years) as compared to placebo; statistically significant improvement of the paretic hand function restoration was shown in patients who received cerebrolysin as compared to the placebo group. Implementation in the clinical practice of modern therapeutic methods of stroke consequences allows improving restoration and quality of life of patients.

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