Исследование эффективности нейропротективной терапии при восстановлении двигательной функции у пациентов в остром периоде ишемического инсульта

Журнал неврологии и психиатрии им. С.С. Корсакова. 2021. Т. 121. № 9. С. 44–50.

Минина Ю. Д., Захаров А. В., Повереннова И. Е., Андрофагина О. В.

Objective: The purpose of the work was to study the effect of neuroprotective therapy with Cellex on the features of recovery of movement disorders in patients in the acute period of ischemic stroke.

Material and methods: A single-center randomized study was conducted to assess the efficacy and safety of the use of neuroprotective therapy with Cellex in patients in the acute period of ischemic stroke. The study included 60 patients with a stroke duration of no more than 3 days in the middle cerebral artery area and vertebrobasillar area with moderate and severe central hemiparesis. Patients of the study group received 1 ml of Cellex. subcutaneously 1 time per day for 10 days. All patients received drug therapy and rehabilitation measures within the framework of the standard of care for patients with ischemic stroke.

Results: Against the background of the therapy, by the end of the study on days 14-21, the study and control groups showed a significant improvement according to clinical scales: NIHSS, mRS, RMI. The patients of the study group showed a more pronounced recovery of motor function, relative to the comparison group, according to motor scales: «A-D» FMA (54 [53; 62] and 42 [34; 51], p=0.03), «E-F» FMA (29 [28; 33] and 25 [18; 27], p=0.03), ARAT (47 [48; 57], 32 [24; 48], p=0.046). Among the patients of the study group, by the end of the study, the severity of mild stroke was 67%, relative to the comparison group 11% (χ21df=6.48; p=0.01). The use of neuroprotective therapy in the form of Cellex had a positive effect on both the prognostic score and the long-term assessment according to the SSS scale, due to the regression of motor disorders of the upper and lower extremities.

Conclusion: The study has demonstrated the effectiveness of the use of neuroprotective therapy in the treatment of movement disorders in patients in the acute period of ischemic stroke. Therapy with Cellex helped to reduce the severity of stroke, and had a positive effect on the prognosis of the disease.

Keywords: ischemic stroke, ишемический инсульт, двигательные нарушения, functional movement disorders, movement scales, neuroprotective therapy, двигательные шкалы, нейропротективная терапия

Publication based on the results of: Разработка технологий интерактивного мониторинга и стимуляции биоэлектрической активности коры головного мозга для решения задач персонифицированного выбора метода и способа двигательной реабилитации с учетом объективного контроля индивидуальных особенностей нейропластичности коры головного мозга (2022)