References

medsovet

Медицинский Совет

Meditsinskiy sovet = Medical Council

2079-701X2658-5790

REMEDIUM GROUP Ltd.

10.21518/2079-701X-2019-9-22-30

medsovet-3031

Research Article

ЦЕРЕБРОВАСКУЛЯРНЫЕ ЗАБОЛЕВАНИЯ

CEREBROVASCULAR DISEASES

Транзиторные ишемические атаки: их значимость в прогрессировании цереброваскулярных заболеваний и актуальные вопросы медицинской реабилитации

Transient ischemic attacks: their importance in the progression of cerebrovascular diseases and topical issues of medical rehabilitation

Костенко

Е. В.

Kostenko

E. V.

д.м.н., ведущий научный сотрудник Государствен ного автономного учреждения здравоохранения города Москвы «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департа мента здравоохранения города Москвы», профессор кафедры неврологии, нейрохирургии и медицинской генетики Федерального государственного бюджетного образовательного учреждения высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской Федерации.

Dr. of Sci. (Med), Leading Researcher of the State Autonomous Healthcare Institution of Moscow «Moscow Scientific and Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare of Moscow», Professor of the Department of Neurology, Neurosurgery and Medical Genetics of the Federal State Budgetary Educational Institution of Higher Education «N.I. Pirogov Russian National Research Medical University named after « of the Ministry of Health of Russian Federation.

Ekostenko58@mail.ru

Петрова

Л. В.

Petrova

L. V.

к.м.н., заведующая неврологическим отделением Государственного автономного учреждения здравоохранения города Москвы «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения города Москвы».

Cand. of Sci. (Med), Head of the neurological department of the State Autonomous Healthcare Institution of Moscow «Moscow Scientific and Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare of Moscow».

ludmila.v.petrova@yandex.ru

Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской Федерации; Государственное автономное учреждение здравоохранения города Москвы «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения города Москвы».РоссияFederal State Budgetary Educational Institution of Higher Education Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation; Moscow State Autonomous Healthcare Institution «Moscow Scientific and Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare Department»Russian Federation

осударственное автономное учреждение здравоохранения города Москвы «Московский научно-практический центр медицинской реабилитации, восстановительной и спортивной медицины Департамента здравоохранения города Москвы».РоссияMoscow State Autonomous Healthcare Institution «Moscow Scientific and Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of Moscow Healthcare Department».Russian Federation

2019

11062019

092230

2019

Костенко 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/3031

В статье рассмотрены аспекты клинического определения транзиторной ишемической атаки (ТИА), приведен анализ данных факторов риска инсульта после ТИА и их этиопатогенетической взаимосвязи. Обсуждаются вопросы особенности ведения пациентов с высоким риском развития инсульта после ТИА. Освещены вопросы междисциплинарного и мультидисциплинарного подхода к проведению медицинской реабилитации (МР) пациентов с ТИА. Представлены результаты собственных исследований эффективности программы МР у 351 пациента с ТИА с включением нейроцитопротекторов (холина альфосцерат, Церепро).

Результаты и заключение. Патогенетически обоснованным является включение в программы МР пациентов с ТИА препаратов с нейроцитопротекторным эффектом. Показана высокая эффективность холина альфосцерата (Церепро) в виде улучшения когнитивных функций, уменьшения выраженности эмоциональных расстройств и снижения числа случаев повторного острого цереброваскулярного события.

The article deals with the aspects of clinical definition of transient ischemic attack (TIA), the analysis of these risk factors for stroke after TIA and their etiopathogenetic relationship. The features of management of patients with high risk of stroke after TIA are discussed. The issues of interdisciplinary and multidisciplinary approach to medical rehabilitation (MR) of patients with TIA are covered. The results of our own studies of the effectiveness of the MR program in 351 patients with TIA with the inclusion of neurocytoprotectors (choline alfoscerate, Cerepro) are presented. Results and conclusion. Pathogenetically justified is the inclusion in MR of patients with TIA of drugs with neurocalibration effect. The high efficiency of choline alfoscerate (Cerepro) in the form of improving cognitive functions, reducing the severity of emotional disorders and reducing the number of cases of recurrent acute cerebrovascular event is shown.

транзиторная ишемическая атаканейроцитопротекторымедицинская реабилитацияхолина альфосцерат

transient ischemic attackneurocytoprotectorsmedical rehabilitationcholine alphosceratus

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