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一项开放性临床研究中急性缺血性脑卒中患者的临床及神经学变化动态

Dynamics of clinical and neurological changes in patients with acute ischemic stroke in an open clinical study.

作者信息

Srailova Kamilla B, Raimkulov Bekmurat N, Nurguzhaev Erkyn S, Gafurov Bakhtiyor G, Taukebayeva Gulsym B

机构信息

Department of Nervous Diseases with a Course of Neurosurgery, Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan.

Department of Neurology, Tashkent Institute for Advanced Training of Doctors, Tashkent, Republic of Uzbekistan.

出版信息

Med J Islam Repub Iran. 2021 Sep 16;35:119. doi: 10.47176/mjiri.35.119. eCollection 2021.

Abstract

Studies of treatment methods for patients with acute ischaemic stroke should include aetiological causes, concomitant pathology, and localisation of the lesion, and the extent of the lesion in the brain. The purpose of the study was to determine changes in clinical and neurological parameters in patients with ischaemic stroke in the acute period. This is an open clinical study for which 240 patients were selected with an acute condition after an ischaemic stroke. All patients were divided into 4 groups (depending on the treatment). Clinical neurological examination and testing was performed upon admission to the hospital and upon discharge- after treatment. Electroencephalographic biofeedback (EEG-BFB) therapy was performed using a EEG-BSE device (Bio-Link). Data was processed according to the statistical method of experimental data assessment. To study the effectiveness of treatment upon acute ischaemic stroke, a comprehensive treatment system was developed, involving acupuncture, Qigong breathing exercises, and electroencephalographic biological feedback (EEG-BIOFEEDBACK), based mainly on the mechanisms of action. The study investigated the features of the acupuncture treatment in patients with ischaemic stroke during recovery. The authors noted the degree of effectiveness of EEG-BFB therapy, Qigong therapy, acupuncture, and standard treatment. Studies revealed that the development of ischaemic stroke begins gradually and at an early age. It was concluded that the most effective method for treating the clinical and neurological manifestations of acute ischaemic stroke is EEG-BFB therapy, followed by acupuncture, Qigong therapy, and standard treatment.

摘要

急性缺血性中风患者治疗方法的研究应包括病因、伴随病变、病变部位以及脑部病变范围。本研究的目的是确定缺血性中风急性期患者临床和神经学参数的变化。这是一项开放性临床研究,选取了240例缺血性中风急性期患者。所有患者根据治疗方法分为4组。入院时及治疗后出院时进行临床神经学检查和测试。使用脑电图生物反馈(EEG - BFB)设备(Bio - Link)进行脑电图生物反馈治疗。数据根据实验数据评估的统计方法进行处理。为研究急性缺血性中风的治疗效果,基于作用机制开发了一个综合治疗系统,包括针灸、气功呼吸练习和脑电图生物反馈(EEG - BIOFEEDBACK)。该研究调查了缺血性中风患者恢复期间针灸治疗的特点。作者指出了脑电图生物反馈治疗、气功治疗、针灸和标准治疗的有效性程度。研究表明,缺血性中风的发病是逐渐开始的,且发病年龄较早。得出的结论是,治疗急性缺血性中风临床和神经学表现最有效的方法是脑电图生物反馈治疗,其次是针灸、气功治疗和标准治疗。

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Curr Neurol Neurosci Rep. 2019 Apr 4;19(5):25. doi: 10.1007/s11910-019-0940-0.
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Early Rehabilitation After Stroke: a Narrative Review.中风后的早期康复:一篇叙述性综述。
Curr Atheroscler Rep. 2017 Nov 7;19(12):59. doi: 10.1007/s11883-017-0686-6.
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Early rehabilitation after stroke.中风后的早期康复
Curr Opin Neurol. 2017 Feb;30(1):48-54. doi: 10.1097/WCO.0000000000000404.

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