PharmatecaPharmatecaФарматека2073-40342414-9128Bionika Media277196ArticlesСтатьиCurrent principles of management of patients experienced acute cerebral circulation disorder at out-patient stageСОВРЕМЕННЫЕ ПРИНЦИПЫ ВЕДЕНИЯ БОЛЬНЫХ, ПЕРЕНЕСШИХ ОСТРОЕ НАРУШЕНИЕ МОЗГОВОГО КРОВООБРАЩЕНИЯ, НА АМБУЛАТОРНОМ ЭТАПЕTanashyanM MТанашянМ М

Научный центр неврологии РАМН, Москва

DomashenkoM AДомашенкоМ А

Научный центр неврологии РАМН, Москва

TanasjnMMDomashenkoM AНаучный центр неврологии РАМН, Москва200520091610NO10 (2009)№10 (2009)202422022023Copyright ©; 2009, Bionika MediaCopyright ©; 2009, ООО «Бионика Медиа»2009Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/2073-4034/article/view/277196

Ischemic stroke (IS) is an important medical and social problem due to high level morbidity as well as significant temporary disablement and disability rates in the population. In terms of secondary prevention of IS and patient's quality of life improvement, well-founded pathogenic management of patients experienced acute cerebral circulation disorder at out-patient stage is the most significant and economically justified. Current principles of treatment of patients with IS at out-patient stage based on competent and individualized antihypertensive therapy, lipid-lowering therapy, correction of the manifestations of diabetes mellitus, and antithrombotic therapy. This article provides an overview of the main classes of drugs used for stroke secondary prevention.

Ишемический инсульт (ИИ) является важнейшей медико-социальной проблемой в связи с высоким уровнем заболеваемости, а также значительными показателями временных трудовых потерь и инвалидизации населения. Патогенетически обоснованное ведение пациентов, перенесших острое нарушение мозгового кровообращения, в условиях поликлиники является наиболее значимым и экономически обоснованным с точки зрения как вторичной профилактики ИИ, так и улучшения качества жизни пациентов. В настоящее время основными принципами лечения пациентов с ИИ на амбулаторном этапе являются грамотная и индивидуализированная гипотензивная терапия, гиполипидемическая терапия, коррекция проявлений сахарного диабета, а также антитромботическая терапия. В статье приводится обзор основных классов препаратов, используемых с целью вторичной профилактики инсульта.

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