federalnoe gosudarstvennoe byudzhetnoe obrazovatelnoe uchrezhdenie vysshego obrazovaniya "Permskij gosudarstvennyj meditsinskij universitet imeni akademika E.A. Vagnera" Ministerstva zdravookhraneniya
发明人:
Kulesh Aleksej Aleksandrovich (RU),Кулеш Алексей Александрович (RU),Kajleva Nadezhda Aleksandrovna (RU),Кайлева Надежда Александровна (RU),Drobakha Viktor Evgenevich (RU),Дробаха Виктор Евгеньевич (RU
申请号：
RU2020102188
公开号：
RU0002727009C1
申请日:
2020.01.20
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely neurology and rehabilitation, and can be used for determining rehabilitation potential of a patient suffering acute cerebrovascular accident. Patient is admitted to hospital to assess whether intravenous thrombolysis is carried out or not, severity of NIHSS neurological deficiency, and on 5–10th day, a multimodal magnetic resonance tomography of the brain is performed to estimate the size of a cerebral infarction area, fractional anisotropy of the cingular beam and cerebral blood flow in M2 area of the unaffected hemisphere. Further, the rehabilitation potential is calculated at the moment of completion of the first stage of treatment and rehabilitation by formula P = X1·(0.53 + 0.14·X2) – X3·0.07 + X4·12.88 + X5·0.06 – 9.15, where P is an assessment of the patient's rehabilitation potential at the moment of completion of the first stage of treatment and rehabilitation (points), X1 is the result of the NIHSS scale at the time of hospital admission (points), X2 – conducting or not conducting intravenous thrombolysis (1 or 0), X3 is the size of a cerebral infarction area (mm), X4 – fractional anisotropy of the cingular beam of the non-expressed hemisphere, X5 is the rate of cerebral blood flow in M2 area of the unaffected hemisphere according to the ASPECTS scale (white matter) (ml/min). If the P value ranges from 0 to 4 points, the low rehabilitation potential is stated, and 5 points or more – the high rehabilitation potential.EFFECT: method provides objectification of the patient's rehabilitation potential determination by determining the rehabilitation potential value.1 cl, 2 tbl, 1 dwg, 4 exИзобретение относится к области медицины, а именно неврологии и реабилитологии, и может быть использовано для определения реабилитационного потенциала пациента, перенесшего острое нарушение мозгового кровообращения. У больного при поступлении в стационар оценивают факт проведения или не проведения внутривенного тро
