Complex Rehabilitation Discirculatory Encephalopathy Patients With Diabetes Mellitus
Keywords:dyscirculatory, encephalopathy, cognitive disorders, neuropsychological and psychoemotional examination, comprehensive rehabilitation, diabetes mellitus
According to the World Health Organization (WHO), dyscirculatory encephalopathy (DE) is usually a chronic or progressive syndrome in which cognitive function declines more than with normal aging, making it difficult to lead an active daily life. The most common grade 3 DE is vascular dementia. Vascular dementia is a type of dementia, consisting of a complex of pathomorphophysiological and clinical pathogenetic syndromes, the adjacent side of which is the relationship of cerebrovascular disorders with cognitive defects. In the context of a global epidemic of diabetes, the problem of chronic CVD in such patients is becoming increasingly important in medical and social contexts. The presence of diabetes increases the risk of dyscirculatory encephalopathy and stroke in all age categories, but to the greatest extent in the working population under 65 years of age. The relative risk of stroke increases to 1.8 – 3.8 times [I.V. Misnikova, A.V. Dreval, Yu.A. Kovaleva et al., 2011; J.C. Khoury, D. Kleindorfer, K. Alwell et al., 2013]. In total, patients with ischemic stroke (IS) and diabetes are younger, more often have a history of myocardial infarction (MI), suffer from arterial hypertension (AH) and dyslipidemia than patients without diabetes [E.J. Benjamin, P. Muntner, A. Alonso et al., 2019].
Measures taken by the medical community to correct risk factors for vascular diseases over the past decades have been aimed at significantly reducing the frequency of IS. However, along with significant successes in normalizing systolic blood pressure (BP) and reducing the prevalence of smoking, the progressive increase in the incidence of diabetes has played a negative role in this positive trend.