医学新闻

Pathological Changes in Microcirculation in the Early Recovery Period of Ischemic Stroke

Binhong HU, Kulikov EV, Vatnikov YuA, Kuznetsov VI, Sturov NV, Shirmanov VI, Drukovsky SG, Petrov AK and Narresin Abdulaziz

The rates of morbidity and mortality due to stroke among people of working age have been growing in recent years and have increased by more than 30% over the past 10 years. An important place among the complications of ischemic stroke is motor disorders, accompanied by persistent muscle hypertension and disorders of peripheral microcirculation. The purpose of the study: to reveal the features of microcirculatory disorders in patients in the early recovery period of ischemic stroke. Violations of peripheral hemodynamics are very typical for patients in the early recovery period of ischemic stroke. They are more pronounced on the side of the paresis. In the early recovery period, more severe forms of microcirculation disorder were observed more often on the paretic limb, accompanied by signs of a sharp decrease in blood flow, increased vascular tone with the phenomena of blood stagnation. The revealed disorders of the microcirculatory link allow the use of disaggregants, peripheral vasodilators, venotonicks, massage, physiotherapy, reflexotherapy, and physical therapy with the involvement of the patient and healthy limbs to be recommended to patients in the early recovery period after ischemic stroke. All this should contribute to improving the effectiveness of rehabilitation of this category of patients during the early recovery phase.