YUQUMLI KASALLIKLAR BILAN ASORATLANGAN GEMORRAGIK INSULTNING UZOQ NATIJALAR
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gemorragik insult, asorat, nafas yo‘llari infeksiyalari va siydik yo‘llari infeksiyalari##article.abstract##
Tadqiqot maqsadi: Gemorragik insult (GI) ning o‘tkir davrida rivojlanadigan infeksion asoratlarning kasallikning kechki nevrologik va kognitiv natijalariga ta’sirini aniqlashdan iborat.
Tadqiqot materiali va usullar: Tadqiqotga bosh miyasiga o‘tkir qon quyilgan 96 nafar bemor kiritilgan. Ulardan 48 nafari o‘tkir davrda yondosh yuqumli kasalliklar (zotiljam, siydik yo‘llari infeksiyalari) bo‘lgan guruhni tashkil etdi, qolgan 48 nafar bemorda esa yuqumli asoratlar kuzatilmadi. Bemorlar holatini baholashda NIHSS shkalasi, Bartel indeksi, kognitiv testlar (MMSE, MoCA) qo‘llanildi. Bemorlar 12 oy davomida kuzatildi.
Natijalar: Yondosh yuqumli kasalliklar guruhida ishtirokchilar yoshi kattaroq bo‘lib, kasalxonaga qabul qilinganda aniq nevrologik buzilishlarga ega edilar. Shuningdek, disfagiya va psevdobulbar sindrom ko‘proq uchradi. Dastlabki olti oy davomida birinchi guruhdagi bemorlarda nazorat guruhiga nisbatan ham kognitiv, ham harakat funksiyalarini tiklashda sezilarli kechikish kuzatildi (r<0,05). 12 oydan keyin guruhlar o‘rtasida statistik jihatdan sezilarli farqlar, shu jumladan pastki nafas yo‘llari va siydik yo‘llari infeksiyalari bo‘lgan bemorlarda insultdan keyingi davrning o‘ziga xos xususiyatlari aniqlanmadi (p > 0,05).
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