Кубанский научный медицинский вестник (Feb 2018)

PECULIARITIES OF MICROCIRCULATOR DISORDERS IN PATIENTS IN EARLY AND LATE RECOVERY PERIODS OF ISCHEMIC STROKE

  • N. V. VOROBYEVA,
  • E. N. DYAKONOVA,
  • V. V. MAKEROVA,
  • N. V. TYCHKOVA

DOI
https://doi.org/10.25207/1608-6228-2018-25-1-67-72
Journal volume & issue
Vol. 25, no. 1
pp. 67 – 72

Abstract

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Aim. To reveal the peculiarities of microcirculatory disorders in persons in early and late recovery periods of ischemic stroke using the method of laser Doppler flowmetry. Materials and methods. We examined 58 patients aged 43 to 75 years, diagnosed with ischemic stroke with motor deficiency. The functional state of microcirculation was studied in dynamics-in the early and late recovery periods of ischemic stroke by laser Doppler flowmetry (LDF).Results. All patients with ischemic stroke along with central hemodynamic disorder had peripheral microcirculatory disorders both on paretic and on healthy limbs correlated with the degree of paresis. Disorders of the сentral hemodynamics were revealed in the form of stenosing and non-stenosing atherosclerosis vessels of the carotid basin, hypertensive angiopathy. Violations of peripheral hemodynamics were established in all patients in both early and late recovery periods of ischemic stroke, coarser on the side of the paresis. More often, more severe forms of microcirculation disorders were observed in the paretic extremity both in the early and late recovery periods, accompanied by signs of a sharp decrease in blood flow, an increase in vascular tone with the phenomena of blood stagnation. In the presence of positive dynamics on the part of the motor sphere, patients in the late recovery period showed positive changes in the parameters of the microcirculation, both on the side of the paresis and on the healthy limbs.Conclusion. The established features of microcirculation disorders make it possible to recommend to patients with ischemic stroke both in the early and late recovery periods active use of drugs that improve arterial blood flow, remove vascular spasm, disaggregants, peripheral vasodilators, vegetative correctors, massage, physiotherapy, reflexology, physiotherapy involving Sick, and healthy limbs, which contributes to the improvement of rehabilitation potential in this category of patients At different stages of recovery.

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