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A method for predicting the absence of regression of motor deficiency in patients in the late recovery period of ischemic stroke with mild or moderate central hemiparesis

机译:一种预测在轻度或中度中央偏瘫的缺血性卒中恢复期晚期患者运动功能障碍无退化的方法

摘要

FIELD: medicine.SUBSTANCE: method for predicting the absence of motor defect regression in patients in the late recovery period of ischemic stroke with mild or moderate central hemiparesis is that in the patients suffering cerebral ischemic stroke, microcirculation and the state of the neuromuscular apparatus are examined by the following factors: mean square deviation of detected Doppler signals from average value (flux level), index of floxometry, amplitude of low-frequency oscillations of tissue blood flow, amplitude of motor response in distal nerve point, recorded from muscle, finger of thumb - m. abductor pollicis brevis, with stimulation of the median nerve (n.medianus) by a single stimulus, the value of prognostic coefficients is found. In the patients suffering mild hemiparesis of 4 points, PC = 6.4, moderate hemiparesis of 3 points PC = 3.2. If the value of the fluke level is less than 0.8, the PC is taken equal to 5, while the value of the flax level is 0.8–1.1, the PC is taken equal to 4, while the value of the level of the flag is higher than 1.1 PC = 1. If amplitude of low-frequency oscillations of tissue blood flow is less than 0.15 PC = 1.5, with value of amplitude of low-frequency oscillations of tissue blood flow 0.15–0.2 PC = 2.5, with value of amplitude of low-frequency oscillations of tissue blood flow is more than 0.2 PC = 1. If the measured value of the floxometry index is less than 0.25, the PC is taken equal to 1.6, while the flaxometry index is 0.25–0.5 PC = 1.6, while the flaxometry index is more than 0.5 PC = 0.8. If the motor response amplitude is less than 3 PC = 7.2, the motor response amplitude is 3–5 PC = 3.6, and the motor response amplitude is more than 5 PC = 1.2. That is followed by calculating the sum of prognostic coefficients, dividing it by 20.5 and predicting the absence of regression of motor deficiency with the derived values of 0.81–1.1.EFFECT: invention provides optimization of early rehabilitation of patients.1 cl, 1 tbl
机译:领域:药物:预测在轻度或中度中央偏瘫的缺血性卒中恢复期患者中无运动缺陷消退的方法是,在患有脑缺血性卒中的患者中,微循环和神经肌肉设备的状态通过以下因素进行检查:检测到的多普勒信号与平均值(通量水平)的均方差,血栓测定指数,组织血流的低频振荡幅度,远端神经点的运动反应幅度,从肌肉,手指记录的幅度拇指-米短肌外展肌,通过单个刺激刺激正中神经(中位神经),可以发现预后系数的值。轻度偏瘫4分,PC = 6.4,中度偏瘫3分,PC = 3.2。如果fluke级别的值小于0.8,则将PC取为5,而亚麻级别的值为0.8–1.1,将PC取为4,而flag的值将为4。高于1.1 PC =1。如果组织血流的低频振荡幅度小于0.15 PC = 1.5,则组织血流的低频振荡幅度为0.15–0.2 PC = 2.5,且幅度为值组织血流的低频振荡大于0.2 PC =1。如果絮凝测定指数的测量值小于0.25,则PC等于1.6,而亚麻测定指数为0.25–0.5 PC = 1.6,而亚麻含量指数大于0.5 PC = 0.8。如果电机响应幅度小于3 PC = 7.2,则电机响应幅度为3–5 PC = 3.6,并且电机响应幅度大于5 PC = 1.2。然后计算预后系数的总和,将其除以20.5,并预测运动缺陷缺乏的回归,其推导值为0.81-1.1。效果:本发明为患者的早期康复提供了优化。1cl,1 tbl

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