medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-9-88-97medsovet-2481Research ArticleПрактикаPracticeМедикаментозная поддержка в комплексе реабилитационных мероприятий у пациентов с постинсультными двигательными нарушениями: роль нейроцитопротекторовDrug support in a complex of rehabilitation measures for patients with post-motor impairment: the role of neurocytoprotectorsКостенкоЕ. В.KostenkoE. V.

Москва

Moscow

ПетроваЛ. В.PetrovaL. V.ГБОУ ВПО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияPirogov Russian National Research Medical UniversityRussian FederationГАУЗ Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения г. МосквыРоссияMoscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare DepartmentRussian Federation201830052018098897Copyright © Костенко Е.В., Петрова Л.В., 20182018Костенко Е.В., Петрова Л.В.Kostenko E.V., Petrova L.V.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/2481

Статья посвящена медикаментозной поддержке реабилитационных мероприятий при постинсультных двигательных расстройствах. Рассмотрен подход к выбору нейроцитопротекторов с позиций концепции нейропластичности и мультимодального действия. Представлены результаты собственного наблюдения применения цитиколина (Цераксон®) в комплексной программе медицинской реабилитации пациентов после ишемического инсульта (ИИ). Показана высокая эффективность применения цитиколина в комплексной реабилитации пациентов в раннем восстановительном периоде ИИ, что выражалось в улучшении функции ходьбы, повышении функциональной независимости, повседневной активности и качества жизни.

Выводы. Применение современных нейроцитопротекторов в комплексе реабилитационных программ является важным условием достижения максимально возможных результатов реабилитации, направленной на улучшение функционирования и повышение качества жизни пациентов.

The article is devoted to medical support of rehabilitation measures for post-stroke motor disorders. The approach to the selection of neurocytoprotectors from the positions of the concept of neuroplasticity and multimodal action is considered. The results of our own observation of the use of citicoline (Ceraxon ®) in the complex program of medical rehabilitation of patients after ischemic stroke are presented. The high efficiency of citicoline application in complex rehabilitation of patients in the early recovery period of ischemic stroke is shown in the form of improving walking function, increasing functional independence, daily activity and quality of life.

Conclusions. The use of modern neurocytoprotectors in a complex of rehabilitation programs is an important and indispensable component for achieving the maximum possible results of rehabilitation aimed at improving the functioning and quality of life of patients.

медицинская реабилитациянейроцитопротекторыинсультпостинсультные двигательные нарушенияцитиколинmedical rehabilitationneurocytoprotectorsstrokepost-stroke motor disordersciticoline.ReferencesBo Norrvin, Brett Kissela. The global burden of stroke and need for a continuum of care. Neurology, 2013: 5-10.Bo Norrvin, Brett Kissela. The global burden of stroke and need for a continuum of care. Neurology, 2013: 5-10.Brainin М. Poststroke spasticity. Treating to the disability. Neurology, 2013: 1-4.Brainin М. Poststroke spasticity. Treating to the disability. Neurology, 2013: 1-4.Дамулин И.В., Кононенко Е.В. Двигательные нарушения после инсульта: патогенетические и терапевтические аспекты. Consilium medicum, 2007, 2: 86–91.Damulin IV, Kononenko EV. Motor impairment after stroke: pathogenetic and therapeutic aspects. Consilium medicum, 2007, 2: 86-91.Халиуллина Н.Р., Речкалов А.В. Восстановление локомоторной функции у пациентов, перенесших ишемический инсульт. 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The authors declare that there are no conflicts of interest present.