The Reamberin’s Usage Effectiveness with the Purpose of Cognitive Functions’ Correction in the Acute Period of Polytrauma
Journal Title: Український журнал медицини, біології та спорту - Year 2017, Vol 6, Issue 4
Abstract
Injury is one of the causes of critical states and cognitive impairments development as well as their consequences. Cognitive impairments that occur in critical patients can not only significantly slow down the recovery process and worsen the quality of life after hospital, but also directly related to higher lethality. One of the important factors that oppress cognitive functions in traumatized patients may be posttraumatic stress disorder. Objective. The purpose of the article is to examine the reamberin’s effect on the cognitive functions’ state in the acute period in patients with polytrauma, not burdened by intracranial lesion. Materials and Methods: 49 patients were examined (26 in the control group and 23 in the main group). The level of cognitive functions before trauma was assessed by the CFQ questionnaire for 2-3 days after injury and in telephone mode 3 months after discharge; the MMSE scale was applied on the 2nd day in the intensive care unit, when transferring from the department and before discharge. The severity of the injury was assessed by the ISS scale. The severity of the response to traumatic stress was assessed by the IES-R scale. The data were processed using parametric and nonparametric statistics. Results. In both groups the baseline level of cognitive function was within the age range. Groups were comparable by age and severity of injury. In the early post-traumatic period, there was a significant decrease in cognitive functions in both groups according to baseline level. During treatment the inhibition of cognitive functions decreased. Cognitive function in the group receiving reamberin was slightly higher especially at the stage of transfer from the ICU, where this difference was statistically significant (p = 0.03). After 3 months the cognitive function in both groups decreased slightly relative to the level that was observed during discharge from the hospital. The psychological response to trauma and stress at the time of being in the intensive care unit was low in both groups. After 3 months the response to stress in both groups increased, with the initial difference with greater severity in the main group being replaced by an excess in the control group (the total in the main group increased by 15.8%, while in the control group it increased by 25.2%).
Authors and Affiliations
A. Krishtafor, L. Usenko, D. Krishtafor, M. Perederiy
Keywords
Related Articles
- EP ID EP273111
- DOI -
- Views 128
- Downloads 0
СИНДРОМ ЕНДОГЕННОЇ ІНТОКСИКАЦІЇ У ХВОРИХ НА ЦУКРОВИЙ ДІАБЕТ В ПОЄДНАННІ З НЕАЛКОГОЛЬНОЮ ЖИРОВОЮ ХВОРОБОЮ ПЕЧІНКИ
Увагу клініцистів все частіше привертають особливості клінічного перебігу неалкогольної жирової хвороби печінки у поєднанні з цукровим діабетом, причинно-наслідкові взаємини, структурнофункціональні зміни органів гепатоб...
FEATURES OF ADAPTATION OF CARDIOHEMODYNAMICS INDICES OF MEDICAL STUDENTS TO PHYSICAL EXERTION
The research is aimed at the study of the cardiovascular parameters of medical students with different features of the central processes such as excitation and inhibition during the physical exertion. The research involv...
ЯКІСТЬ ЖИТТЯ ПАЦІЄНТІВ З НЕГОДЖКІНСЬКИМИ ЛІМФОМАМИ Й ХРОНІЧНОЮ ЛІМФОЦИТАРНОЮ ЛЕЙКЕМІЄЮ, ЇЇ КЛІНІКО-ЛАБОРАТОРНІ ПРЕДИКТОРИ ТА ЗВ'ЯЗОК З ВИЖИВАННЯМ
Метою дослідження було вивчити якість життя хворих на негоджкінські лімфоми і хронічну лімфоцитарну лейкемію, встановити її зв’язок з клініколабораторними даними та прогностичне значення. Обстежено 45 пацієнтів: 36 осіб...
Consideration of Peculiarities of the Menstrual Cycle in Athletes Engaged in Pankration
Тhe development of modern women's sports is taking place quite intensively today, involving young women, both puberty and adolescence, and the first reproductive age. For many years, female athletes have been involved in...
ANTIARRHYTHMIC EFFICIENCY OF ACE-INHIBITOR OF RENITEC AND ANTAGONIST OF RECEPTORS OF ANGIOTENZIN-II COZAAR AND ITS SUBSTANTIATION
Inhibitors angiotensin converting enzyme (renitec) and antagonists of receptors angiotensin II (cozaar) have largely revolutionized in the treatment of cardiovascular diseases. Among them are arterial hypertension, conge...