Methodology of audit for the intensity restoration of the energy-structural status in patients, suffering an ischemic cerebral stroke

Abstract

Objective. Creation of the audit methodology for іntensity of restoration of the energy-structure status while application of technologies of personified intensive therapy in superacute and acute periods of ischemic cerebral stroke. Materials and methods. The work was performed on the base of the audit results, obtained for intensity of the energy-structure status restoration in 134 patients, suffering the ischemic cerebral stroke, who stayed in the intensive therapy wards of Department of Neurology. In accordance to intensity of restoration of the energy-structure status the technologies of personified intensive therapy were applied: the homeostasis guaranteeing in eubiotic state; energy-protection in hypoergic dysfunction; energy-resuscitation in hypoergic damage; energy-correction in hypoergic insufficiency. Results. Using the achievement of the main physiological targeted indices of organism in the patients, suffering the ischemic cerebral stroke (the arterial blood saturation by the oxygen, average arterial pressure, the heart rate and central venous pressure), it became possible to improve the treatment results. Clinical application of the proposed method of personified restoration of the energy-structure status have promoted to prevent further development of the vital activity disorders, what have had reduced the disability index in patients, suffering an ischemic cerebral stroke. Achievement of the indices targeted realized, using the methods of personified intensive therapy, constitutes a guarantee for the vital skills exclusion in patients, suffering an ischemic cerebral stroke. Conclusion. The clinical investigation conduction have permitted to elaborate the audit methodology for the energy-structure status restoration in the ischemic cerebral stroke and in accordance to intensity of restoration of the energy-structure status indices to apply the іnnovative technologies of personified intensive therapy.

Keywords

• ischemic cerebral stroke
• the energy-structure status
• personified intensive therapy
• standard intensive therapy