@ Blue Sparks Publishing Grę Wiadomości Lekarskie 2013, tom LXVI, nr 4, cz. 11
PRACA ORYGINALNA ORIGINAL ARTICLE
KaTaMHecTtmecKoe nccneflOBaHne M3MeHeHiiu KorHUTHBHoro tiaTyca nocne nepeHeceHHoro HHcynbTa
fly/ibiK A.P., Ipaóap B.B., rupsiBeu M.B., Myneca C.B., CMonaHKa B.M.
PE3IOME
Ue/ib nccneflOBamifl: fnaBHOH ue/ibio wccneflOBaHua 6bino wyueHMe fliiHaMMKH H3MeHeHnń KorHHTHBHbix (py hkumm y nauueHTOB, nepeHecuiux UHCynbT Maiepnanbi w MeTOflbi: B Te^eHne 2012-2013 roflos bkthbho noceiuanucb Ha flowiy nauweHTbi, y KOTopbix nocne nepeHeceHHoro mh cynbia b 2005-2010 roflax 6wno npoBeAeHO HewponoraononiHecKoe oćcneaoBaHwe. yroHHfmocb nx i|>yHKUMOHanbHoe cocTonmie, npoBO AHnocb noBTopHoe HewponowonorMuecKoe o6aieflOBaHMe. y 74 nauueHTOB yaanocb cpaBHUTb pe3ynbTaTbi TecTHpoBaHHa cornacHO uina nw MMSE, y 177 nauueHTOB - pe3ynbTaTbi TecTa pwcoBaHHR nacoB, y 338 nauueHTOB - pesynwaTbi M0Aw{>nunp08aHH0H wKanw P3hkmh Pe3ynbTaTbi: HeiiponcMxonorMMecKoe recnipoBamie no uiKane MMSE npoBeaeHHoe nepe3 6 neT nocne BbinucKM noKa3ano floaoBepHoe CHH^eHHe pe3ynbTaT08 ao ypoBHa AeweHumi. CpaBHeHiie pe3ynbraTOB TecTa pucoBanuR nacoB noKa3ano, hto Mewi AmtHHee nepnoA nocne BbinucKM, TeM xy*e CTaHOBRTcn pe3ynbTaTbi. fliiHaMHKa noKa3aTenn Moam|inunpoBaHHOM uinanbi PanKMH noKa3ana, hto Kaacflbiii roa, npoweflWMii nocne BbimicKii, noBbi-uiaeT BeponTHOCTb yxyAUieHHe coctorhmr y nauweHTa.
BbiBOAbi: CpaBHeHiie pe3ynbTaroB KorHHTMBHbix cpyHKUMti y nauueHTOB uepe3 asa u 6onee neT nocne nepeHeceHHoro MHcynbTa noKa3ano, hto Haminwe npn BbinncKe yMepeHHbix KorHMTMBHbix HapyweHiiii npiiBoaiiT k AanbHewweMy cHuweHMio KorHHTiiBHbix 4>yHKunM, Koropoe cornacHO TecTy pncoBaHna MacoB cooTBeTCTByeT b cpeaneM 0,3 6anna b roa.
K/llOHEBbIE CilOBA: nocTHHcynbTHbie KorHHTHBHbie HapyiueHHn, K3T3MHe3, MMSE, TecT pucoBaHun nacoB, ujKana PaHKHH ABSTRACT
Neuropsychological assessment was conducted in 2012-2013 at the patients' homes in patients who suffered from stroke in 2005-2010 and for whom previous assessment results were available. It was possible to compare MMSE scores in 74 patients, dock drawing test scores in 177 patients, and modified Rankin scalę scores in 338 patients. MMSE results at 4 and 6 years after discharge were significantly decreased, indicating dementia. A comparison of dock drawing test results revealed that the longer the period after discharge, the worse the results. An analysis of modified Rankin scalę scores showed that every year after discharge increases the likelihood of deterioration in a patient's condition.
KEY WORDS: post-stroke cognitive impairment, MMSE, dock drawing test, Rankin Scalę
Wiad Lek 2013,66 (4) a. II, 337-339
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