Terapia wewnątrznaczyniowa i trombolityczna a stan funkcjonalny chorych po udarze niedokrwiennym mózgu

Introduction . Stroke is treated as a direct threat to life. Mechanical thrombectomy used as an independent treatment or in combination with systemic thrombolysis is currently the standard care in the treatment of ischemic stroke. Aim . Evaluation of the functional status of patients after ischemic stroke treated with thrombolysis or thrombectomy. Material and Methods . The study involved 50 patients hospitalized due to ischemic stroke. Standardized research tools were used: the Rankin scale, the Barthel scale and the Functional Index “Repty” (WFR). The study was conducted twice in one patient: on the first and ninth day after the treatment. The collected material was developed statistically. Results . Most of the respondents were men — 62%. Thrombolytic treatment was used in all subjects, and thrombectomy in 26% people. Analyses showed that there were differences in the Barthel scale level Z = 4.87; p < 0.001, Rankin Z = 4.80; p < 0.001 and WFR Z = 4.83; p < 0.001. The age of the respondents was related negatively to the Barthel scale score on the 1 st day   = -0.51; p < 0.001 and the 9 th day   = -0.53; p < 0.001 and the result in the WFR scale on the 1 st day   = -0.54; p < 0.001 and the 9 th day   = -0.52; p < 0.001. Conclusions . The performance of the subjects on the 1st day of treatment was worse than on the 9th day. People who were only treated with thrombolysis had better results in fitness tests and had a lower level of disability than people treated with thrombolysis and thrombectomy. (JNNN 2019;8(2):69–77)