FEDERALNOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "NAUCHNYJ TSENTR NEVROLOGII" ROSSIJSKOJ AKADEMII MEDITSINSKIKH NAUK
发明人:
PIRADOV MIKHAIL ALEKSANDROVICH,Пирадов Михаил Александрович,GNEDOVSKAJA ELENA VLADIMIROVNA,Гнедовская Елена Владимировна,RJABINKINA JULIJA VALEREVNA,Рябинкина Юлия Валерьевна,PROKAZOVA POLINA RUSLANOV
申请号：
RU2012120062/14
公开号：
RU0002487694C1
申请日:
2012.05.16
申请国别(地区):
RU
年份:
2013
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to field of medicine, in particular to neurology resuscitation, rehabilitology and can be applied for early rehabilitation of patients in acute period of stroke. For this purpose monitoring and drug correction of arterial pressure (AP), cardiac activity, main parameters of homeostasis are carried out to patient. In case if level of systolic arterial pressure (SAP) not higher than 220 mm Hg, diastolic pressure (DAP) not higher than 120 mm Hg is observed in patient suffering from arterial hypertension, and if in patients who do not suffer from arterial hypertension or in case of thrombotic therapy level of SAP is not higher than 185 mm Hg, DAP level is not higher than 100 mm Hg, body temperature is not higher than 39°C, heart rate is not less than 45 or not more than 120 beats per minute, acute irregularity of heart rhythm is absent, saturation of blood is not less than 92% and frequency of breathing, if patient breathes independently, is not more than 30 respirations per minute, and if in carrying out artificial lungs inhalation desynchronisation of patient with ALI apparatus is absent, robotised mechanothramy of arms and legs on training apparatus MOTOmed letto is carried out simultaneously against the background of drug correction and under control of monitoring of AP, HR, blood saturation, body temperature and breathing frequency parameters. On the first day passive round motions of legs for 40 minutes at rate 20 turnings per minute and with change of direction - "forward-backward" after each 5 minutes, and then round motions by arms for 30 minutes at rate 20 turns per minute and the same change of direction are performed, and on the second day and all following days time of passive round motion by legs is increased until 60 minutes, duration of mechanotherapy course being 21 days.EFFECT: method makes it possible to achieve acceleration of rehabilitation in case off neurological deficit at early stage and reduce thrombo
