Динамика показателей клинических оценочных шкал в острейшем и остром периодах при отдельных подтипах ишемического инсульта

Intensity of neurological changes, disturbances in the functional activities of daily living is different depending on pathogenetic subtypes of ischemic stroke. Objective: To study the clinical evaluation using scales in patients with the most acute and acute periods of ischemic stroke is subject to certain pathogenic subtypes of neurological disorders and changes in the functional activities of daily living to clarify the severity of stroke. Material. The study involved 117 patients: 69 men and 48 of women, mean age 58,5 ± 10,2. The clinical rating scales: NIHSS, Orgogozo, Scandinavian, Gusev and Skvortsova, Barthel patients were applied twice: on admission (in the acute phase), and by the end of the acute period of the ischemic stroke (21 days). Results. In the acute phase of the ischemic stroke as a whole for the entire group of patients, and at the atherothrombotic variant of ischemic stroke, the cardioembolic variant of ischemic stroke and the lacunar variant of ischemic stroke, testified in most cases of moderate stroke with moderate disability need help. By the end of the acute period of the ischemic stroke, both in general and in specific pathogenic subtypes ( the atherothrombotic variant of ischemic stroke, the cardioembolic variant of ischemic stroke and the lacunar variant of ischemic stroke was observed a clear trend towards improved performance of all applicable clinical rating scales. There was a statistically significant trend at the cardioembolic variant of ischemic stroke in the acute period to more severe neurological changes compared with the atherothrombotic variant of ischemic stroke, and also more severe functional disturbances in daily life, as compared to the lacunar variant of ischemic stroke. Conclusion. The clinical rating scales should be more widely used in clinical practice for the objectification of the severity of the ischemic stroke to assess the severity of neurological disorders and changes in the functional activities of daily living in order to develop differentiated rehabilitation schemes for patients with stroke.