Abstract
Purpose. An increase of rehabilitation efficiency of patients with consequences ofhemispheric brain infarction including cognitive and emotional violations at the expenseof determination of influence of the basic incorrected risk factors: arterial hypertension,dyslipidemia, activity of the blood coagulation system, hyperglycaemia on its results andlife quality by the improvement of the rehabilitation measures policy.Material and methods. A complex clinical - laboratory examination andneuropsychological testing of 109 patients under 65 years of age with a history of ischemicstroke (IS) and neurological deficiency in anamnesis, and one or another neurologicaldeficit have been carried out in the course of study. SF-36 questionnaire was used for thecomplex estimation of the life quality.Results. A thorough clinical and neurological examination, conducted in the IS recoveryperiod, allowed us to identify different degree of cognitive impairment expressionin patients, and divide them into two groups in the first stage of the study: with mildneuropsychological disorders and moderately pronounced impairment of the cognitivefunctions.Further studies have confirmed that in addition to primary severity of IS, risk factors(RF), which also determine the degree of recovery or impairment of cognitive function inthe restorative period of cerebral infarction, are arterial hypertension, hypercolesteremia,impaired blood viscosity, hyperglycemia.Conclusions. 1. Use of the worked out rehabilitation program for patients with ISconsequences, directed to the correction of the changed homeostasis, removal ofhypercholesteremia, hyperglycemia, arterial hypertension enables to achieve a definitedegree of restoration of the cognitive and emotional disorders in 6-12 months aftertherapy.2. Application of the suggested individualized method of medicinal therapy has a positiveeffect on the life quality of patients with IS consequences, provides a decline of disabilitydue to the aimed correction of the basic risk factors of IS development and reductionof the negative contribution of the cognitive disorders and depression in the process ofrehabilitation.
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