Наукові праці. Кафедра медицини невідкладних станів та медицини катастроф

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Author: search.filters.author.Naumenko, V.Subject: search.filters.subject.cognitive function

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    Dynamics changes of post operational cognitive functional to the results of the test on a scout Shylte on the background of neuroprotective therapy
    (2019) Дубівська, Світлана Станіславівна; Науменко, Віктор Олександрович; Григоров, Ю.Б.; Товажнянська, О.Л.; Сирчина, В.; Dubivska, Svitlana; Grygorov, Yuriy; Tovazhnyanskaya, E.; Naumenko, V.; Syrchina, V.
    The nature of postoperative cognitive changes depends on the type of anesthesia, somatic and neurological status, as well as on the patient's age. The aim of the study was to study the dynamics of changes in the state of cognitive function on the Schulte scale in patients after surgery using general anesthesia on the background of neuroprotective therapy. To achieve this goal, we conducted a study of the cognitive sphere in 126 patients with acute surgical pathology on days 1, 7, 30 after surgery compared with the preoperative period. The study was conducted on the basis of the Kharkiv City Clinical Hospital of Emergency and Emergency Medical Aid. prof. A.I. Meshchaninov. All patients underwent standard intravenous premedication. Surgery was performed under conditions of general multicomponent anesthesia with artificial ventilation of the lungs using propofol and fentanyl. Patients on the background of standard postoperative therapy added neuroprotective drug according to the scheme. In the short periods of observation, the restoration of cognitive function by the Schulte test in young patients was noted. Recovery in the postoperative period was gradual in other age groups. After a month of research, the state of cognitive function in patients according to Schulte's test significantly improved from the values before the operation in patients of groups 1 and 2, but in patients of group 3, they did not fully recover.
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    Dynamics of the test results drawing hours on the background of neuroprotective therapy in surgical patients for the diagnosis of postoperative cognitive dysfunction
    (2019) Дубівська, Світлана Станіславівна; Науменко, Віктор Олександрович; Кудінова, Ольга Василівна; Григоров, Ю.; Dubivska, Svitlana; Naumenko, V.; Kudinova, O.; Grygorov, Yuriy
    The paper discusses the results of a study of the state of cognitive function based on the dynamics of the results of the drawing clock test against the background of neuroprotective therapy in patients with acute surgical pathology. The study was conducted in the surgical departments of various profiles on the basis of the Kharkov City Clinical Hospital of Emergency and Emergency Medical Care. prof. A.I. Meshchaninov. Patients of all groups, in all periods of observation, against the background of neuroprotective therapy, observed their own course of postoperative cognitive dysfunction. In particular, a full recovery within a month to the values for the operation for this test in young patients. Also, with a partial recovery in middle-aged patients and an improvement in elderly patients from the values to surgery for this test.