Saratov JOURNAL of Medical and Scientific Research

Features of the medical and social characteristics and anxiodepressive disorders in patients with little brain insult in the early recovery period

Year: 2018, volume 14 Issue: №1 Pages: 141-144
Heading: Neurology Article type: Original article
Authors: Kutashov V.A., Ulyanova O.V., Zakharov O.P.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

The aim of the study was to study medical and social and anxiodepressive disorders (ADR) in patients with little brain insult (LBI) in the early recovery period. Materials and Methods. 140 patients were examined, the mean age of which was 57.2±2.2 years. The patients were examined in the early recovery period. Among the 140 patients with LBI, 62% were men and 38% women. The level of anxiety and depression was assessed using the Hamilton psychometric scales (HPMS). Results. In 6% of patients there are relatives who have undergone an acute cerebrovascular acident. 50% of patients live with their families, 27.2% lived with relatives and 22.8% lived alone. Only 25.5% of patients had a daily monitor blood pressure (BP), 17.8% of patients — several times a week and 17.8% of people — several times a month. In addition, 16.4% of patients are forced to measure BP in the health facility, since they do not have a personal tonometer. 26.4% of patients did not measure their BP. 16.4% measure blood pressure once a year. A high level of depression occurred in 3.57% of patients, an average level in 27.86% of patients, mild depression in 33.57% of patients and absence of depressive symptoms in 35% of patients. A high level of anxiety was found in 17.50% of patients with Ml, moderate anxiety level in47.86% of patients, low anxiety level in 45.00%, no anxiety in 1.43% of patients. Conclusion. In patients with LBI in the early recovery period a rather high level of ADR severity was revealed. That causes as early as possible the identification and administration of specific therapy for ADR with LBI.

Bibliography:
1 Suslina ZA, Piradov MA, eds. Stroke: diagnosis, treatment, prevention. Moscow: MEDpress-inform, 2008; 288 p.
2 Stakhovskaya LV, Kotov SV, eds. Stroke: A guide for doctors. Moscow.: MIA, 2013; 400 p.
3 Kutashov VA, Ulyanova OV. The most significant predictors of cardioembolic stroke, which determine the clinical picture and the outcome of the disease. Bulletin of Neurology, Psychiatry and Neurosurgery 2016; (6): 51-5
4 Kutashov VA, Budnevsky AV, Ulyanova OV, et al. Modern therapy of cerebrovascular diseases in the Voronezh region. Bulletin of Medical Internet Conferences 2016; 6 (10): 1543
5 Skvortsova VI. Fundamentals of early rehabilitation of patients with acute impairment of cerebral circulation. M.: MODEK, 2006; 336 p.
6 Ulyanova OV, Kutashov VA. On the issue of cardiogenic risk factors for the onset of ischemic stroke in young adults. Cardiovascular therapy and prevention 2015; 1 (15): 62-3
7 Vein AM, Voznesenskaya TG, Golubev VL, et al. Depression in neurological practice (clinic, diagnosis, treatment). 3rd ed. Moscow: MIA, 2007; 208 p.
8 Smulevich A, ed. Depression and comorbid disorders. Moscow: Prosveshcheniye, 1997; 426 p.
9 Surzhko GV, Kutashov VA, Khabarova ТВ, Ulyanova OV. Psychocorrection of anxiety-depressive disorders in patients with stroke in the early recovery period. Voronezh, 2017; 170 p.
10 Shklovsky VM. The concept of neurorehabilitation of patients after a stroke. S. S. Korsakov Journal of Neuropathology and Psychiatry. Suppl.: Stroke 2003; 8: 77-81

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