medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2015-10-22-27medsovet-266Research ArticleКОГНИТИВНЫЕ НАРУШЕНИЯ И ДЕМЕНЦИЯCOGNITIVE IMPAIRMENT AND DEMENTIAКогнитивные и эмоциональные нарушения в среднем возрасте: вопросы диагностики и леченияCognitive and emotional disorders in middle age: diagnosis and treatmentАнтоненкоЛ. М.AntonenkoL. M.noemail@neicon.ruПарфеновВ. А.ParfyonovV. A.noemail@neicon.ruПервый Московский государственный медицинский университет им. И.М. СеченоваРоссияFirst Moscow State Medical University named after I.M. SechenovRussian Federation2015301220150102227Copyright © Антоненко Л.М., Парфенов В.А., 20152015Антоненко Л.М., Парфенов В.А.Antonenko L.M., Parfyonov V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/266

Жалобы на снижение памяти и другие когнитивные расстройства часто предъявляют люди среднего возраста. Только у небольшой части из них эти жалобы связаны с дегенеративным и/или сосудистым поражением головного мозга. В средней возрастной группе превалируют когнитивные расстройства, связанные с нарушениями эмоциональной сферы: патологическими изменениями настроения и тревожным расстройством. Диагностика этих расстройств требует оценки как когнитивных функций, так и эмоционального состояния. Лечение основывается на терапии эмоционального расстройства (депрессии, тревожные расстройства), включает психотерапию и психотропные средства (антидепрессанты и транквилизаторы) при выраженных расстройствах. При легкой степени расстройств, которая преобладает в клинической практике, отмечена эффективность EGb 761 (Танакан), способного улучшить не только когнитивные функции, но и эмоциональное состояние пациентов. Собственный опыт показывает эффективность Танакана у пациентов с головокружением, сочетающимся с легкими когнитивными и эмоциональными расстройствами.

Memory loss and other cognitive disorders are frequent complaints from middle-aged people. Only a small proportion of these complaints are associated with a degenerative and/or vascular brain damage. The middle age group is prevailed by cognitive impairment associated with emotional disorders: pathological mood changes and anxiety disorders. Diagnosis of these disorders requires evaluation of both cognitive and emotional states. Therapy is targeted at managing emotional disorders (depression, anxiety), including psychotherapy and psychotropic drugs (antidepressants and tranquilizers) for more severe disorders. For mild disorders which prevail in clinical practice, EGb 761 (Tanakan) demonstrated efficacy by improving not only the cognitive function but also the emotional state of patients. Own experience showed Tanakan efficacy in patients with vertigo combined with mild cognitive or emotional disorders.

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