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1.
Can J Physiol Pharmacol ; 99(1): 72-79, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32910863

RESUMEN

Examination of the patterns of free-radical processes (FRP) and changes of the early screening markers to predict the course of hemorrhagic stroke (HS) and applied pathophysiologically based therapy can be of great practical importance. This study aimed to determine early changes in the parameters of oxidative stress and routine biochemistry blood tests in patients with HS and to assess their relationship with clinical outcome. The effects of early applied cytoflavin were also investigated. The prospective study included 151 patients with HS. Forty-eight percent of patients in the standard conservative therapy were given cytoflavin antioxidant energy therapy from the first day of hospitalization. The neurological status, neuroimaging, biochemical blood tests and FRP were assessed on days 1, 5, 10, and 20 of hospitalization. In patients with HS, an imbalance of all stages of FRP was detected proportionately to the severity of HS. The malondialdehyde concentration above 5.3 µmol/L, the number of leukocytes above 15 800, glucose above 11.9 mmol/L, lactate dehydrogenase above 574 IU/L, and lactate above 2.5 mmol/L, detected on the first day, predetermined a high risk of death. Additional cytoflavin treatment allowed stabilizing the clinical laboratory picture of HS, improved the treatment results, and reduced hospital mortality rate.


Asunto(s)
Antioxidantes/administración & dosificación , Mononucleótido de Flavina/administración & dosificación , Accidente Cerebrovascular Hemorrágico/mortalidad , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Anciano , Animales , Biomarcadores/sangre , Glucemia , Encéfalo/diagnóstico por imagen , Combinación de Medicamentos , Femenino , Accidente Cerebrovascular Hemorrágico/sangre , Accidente Cerebrovascular Hemorrágico/diagnóstico , Accidente Cerebrovascular Hemorrágico/tratamiento farmacológico , Mortalidad Hospitalaria , Humanos , L-Lactato Deshidrogenasa/sangre , Ácido Láctico/sangre , Imagen por Resonancia Magnética , Masculino , Malondialdehído/sangre , Persona de Mediana Edad , Estrés Oxidativo/efectos de los fármacos , Pronóstico , Estudios Prospectivos , Medición de Riesgo/métodos , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
2.
Khirurgiia (Mosk) ; (8): 69-74, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32869618

RESUMEN

OBJECTIVE: To substantiate the advisability of using cytoflavin to correct postoperative cognitive dysfunction (POCD) in patients undergoing video laparoscopic cholecystectomy (VLCE) under conditions of inhalation anesthesia with sevoflurane. MATERIAL AND METHODS: The data of two representative groups of patients (n=60) who underwent video-laparoscopic cholecystectomy under the conditions of inhalation anesthesia with sevoflurane were analyzed. At the stages of the perioperative period, in order to monitor the state of higher mental functions, neuropsychological testing was performed: anxiety and depression scales (HADS), the Montreal scale of cognitive dysfunction (MoCA), and frontal dysfunction batteries (FAB). Patients of the first group (n=19) were not corrected for POKD. For the correction of cognitive impairment, patients of the second group (n=41) were treated with Cytoflavin according to the 20 ml regimen per 250 ml of 0.9% sodium chloride solution intravenously once before the operation, then within 4 days of the postoperative period. RESULTS: Neuropsychological testing in group I patients revealed the development of moderate POCD. The inclusion of Cytoflavin in the treatment regimen in the II group of patients contributed to an improvement in the state of HMF, accompanied by a decrease in the level of anxiety and depression. CONCLUSION: The inclusion of Cytoflavin in treatment regimens helps prevent the development of POKD and is accompanied by an improvement in the state of higher mental functions, which is manifested by a decrease in the level of anxiety and depression, favorably affecting the emotional background of patients.


Asunto(s)
Anestésicos por Inhalación/efectos adversos , Colecistectomía Laparoscópica , Trastornos del Conocimiento/terapia , Mononucleótido de Flavina/administración & dosificación , Inosina Difosfato/administración & dosificación , Fármacos Neuroprotectores/administración & dosificación , Niacinamida/administración & dosificación , Sevoflurano/efectos adversos , Succinatos/administración & dosificación , Anestesia por Inhalación/efectos adversos , Anestesia por Inhalación/métodos , Colecistectomía Laparoscópica/efectos adversos , Colecistectomía Laparoscópica/métodos , Trastornos del Conocimiento/inducido químicamente , Trastornos del Conocimiento/diagnóstico , Trastornos del Conocimiento/etiología , Combinación de Medicamentos , Humanos , Cirugía Asistida por Video
3.
Zh Nevrol Psikhiatr Im S S Korsakova ; 120(3. Vyp. 2): 49-53, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32307430

RESUMEN

AIM: To evaluate the efficacy of including cytoflavin in rehabilitation measures in the early recovery period of patients with ischemic stroke. MATERIAL AND METHODS: Results of rehabilitation measures of 100 patients (50 women and 50 men, aged 18 to 85 years) in the early recovery period of ischemic stroke were analyzed. Psychological testing included NIHSS, MMSE, Rankin scale, Rivermead mobility index, exercise tolerance test. Depending on the rehabilitation scheme, patients were divided into the main group (n=50), who received a verticalization course and cytoflavin (intravenously, drip 20.0 ml in 250.0 ml 5% glucose for 14 days). The control group (n=50) included patients who received standard treatment. RESULTS AND CONCLUSION: Inclusion of cytoflavin in the rehabilitation scheme for patients with ischemic stroke increased the effectiveness of treatment, which was manifested by a decrease in the severity of neurological disorders assessed with NIHSS by 17.6% in the main group versus 10.8% in the control group (p<0.05) and recovery of cognitive functions assessed with MMSE by 5.8% versus 1.6%, respectively (p<0.05). In addition, there was a positive dynamics in the restoration of blood pressure (by 37.1% in the main group versus 30.6% in the control group (p<0.05)).


Asunto(s)
Isquemia Encefálica/terapia , Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular/terapia , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Presión Sanguínea/efectos de los fármacos , Isquemia Encefálica/metabolismo , Cognición/efectos de los fármacos , Combinación de Medicamentos , Femenino , Mononucleótido de Flavina/administración & dosificación , Mononucleótido de Flavina/farmacología , Mononucleótido de Flavina/uso terapéutico , Humanos , Inosina Difosfato/administración & dosificación , Inosina Difosfato/farmacología , Inosina Difosfato/uso terapéutico , Masculino , Persona de Mediana Edad , Niacinamida/administración & dosificación , Niacinamida/farmacología , Niacinamida/uso terapéutico , Accidente Cerebrovascular/metabolismo , Succinatos/administración & dosificación , Succinatos/farmacología , Succinatos/uso terapéutico , Resultado del Tratamiento , Adulto Joven
4.
Khirurgiia (Mosk) ; (5): 57-63, 2019.
Artículo en Ruso | MEDLINE | ID: mdl-31169820

RESUMEN

AIM: To study the effectiveness of intraoperative administration of Cytoflavine for the prevention of ischemic brain injury during cerebral aneurysm (CA) clipping with temporary occlusion of the leading artery under general anesthesia. MATERIAL AND METHODS: The prospective cohort single-center study included 40 patients with CA ( the main group - 27 patients with intraoperative administration of cytoflavine; the comparison group -13 patients without use of cytoflavine), who underwent aneurism clipping with temporary occlusion of the afferent artery. We assesed the intraoperative state of the brain, the time of awakening and extubation of patients after surgery, neurological deficit and local ischemic changes in the area of surgery according to the CT of the brain in the early postoperative period, resuscitation bed-day and the relationship of these indicators with the duration of temporary occlusion of the afferent artery in the selected groups of patients. RESULTS: In intergroup comparison, patients of the main group treated with intraoperative cytoflavin showed a reduction in the time of awakening (p=0.013) and the time of extubation (p=0.01) both with temporary occlusion of the afferent artery and in patients without temporary occlusion (p<0.05). The duration of resuscitation bed-day decreased in the main group of patients receiving intraoperatively cytoflavine (p=0.01), as well as in patients in the comparison group without temporary occlusion (p<0.05). CONCLUSION: Temporary occlusion of the afferent artery with short intervals of vessel occlusion in combination with intraoperative intravenous administration of cytoflavine expands the tolerability to artery occlusion in patients operated in the 'cold' period, reduces the possibility of neurological deficit, reduces the recovery period and resuscitation bed-day after surgical clipping CA.


Asunto(s)
Lesiones Encefálicas/prevención & control , Isquemia Encefálica/fisiopatología , Encéfalo/irrigación sanguínea , Mononucleótido de Flavina/administración & dosificación , Inosina Difosfato/administración & dosificación , Aneurisma Intracraneal/fisiopatología , Fármacos Neuroprotectores/administración & dosificación , Procedimientos Neuroquirúrgicos/efectos adversos , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Encéfalo/efectos de los fármacos , Encéfalo/fisiopatología , Encéfalo/cirugía , Lesiones Encefálicas/etiología , Lesiones Encefálicas/fisiopatología , Lesiones Encefálicas/cirugía , Isquemia Encefálica/etiología , Isquemia Encefálica/cirugía , Combinación de Medicamentos , Mononucleótido de Flavina/farmacología , Humanos , Inosina Difosfato/farmacología , Aneurisma Intracraneal/complicaciones , Aneurisma Intracraneal/cirugía , Cuidados Intraoperatorios , Fármacos Neuroprotectores/farmacología , Procedimientos Neuroquirúrgicos/métodos , Niacinamida/farmacología , Estudios Prospectivos , Succinatos/farmacología , Técnicas de Sutura
5.
Georgian Med News ; (283): 89-96, 2018 Oct.
Artículo en Ruso | MEDLINE | ID: mdl-30516501

RESUMEN

The aim of the study was to assess the impact of cytoflavin and bioflavin therapy on the dynamics of clinical and psychophysiological status of patients with Osteochondrosis. 150 patients with osteochondrosis of a backbone were investigated. The patients were divided into two groups using method of randomization: the main group - 75 patients - and control group -75 patients. All patients received a standard treatment (non-steroidal anti-inflammatory drugs, myorelaxants, chondroprotectors, as well as physiotherapy). The main group in addition to standard treatment received biofeedback therapy and cytoflavin. The results showed that cytoflavin and biofeedback therapy significantly enhanced the positive effect of standard treatment and significantly increased the quality of life of patients. It is recommended to treat elderly patients with neurological complications of spinal osteochondrosis with Cytoflavin in combination with biofeedback therapy Before prescribing biofeedback therapy and Cytoflavin it is necessary to take into account a number of positive and negative predictors of their effectiveness in reducing severity of pain syndrome.


Asunto(s)
Antiinflamatorios no Esteroideos/uso terapéutico , Biorretroalimentación Psicológica , Mononucleótido de Flavina/uso terapéutico , Inosina Difosfato/uso terapéutico , Enfermedades del Sistema Nervioso/terapia , Niacinamida/uso terapéutico , Modalidades de Fisioterapia , Osteocondrosis de la Columna Vertebral/terapia , Succinatos/uso terapéutico , Anciano , Antiinflamatorios no Esteroideos/administración & dosificación , Terapia Combinada , Combinación de Medicamentos , Mononucleótido de Flavina/administración & dosificación , Humanos , Inosina Difosfato/administración & dosificación , Persona de Mediana Edad , Enfermedades del Sistema Nervioso/tratamiento farmacológico , Enfermedades del Sistema Nervioso/psicología , Niacinamida/administración & dosificación , Estudios Retrospectivos , Osteocondrosis de la Columna Vertebral/tratamiento farmacológico , Osteocondrosis de la Columna Vertebral/psicología , Succinatos/administración & dosificación , Encuestas y Cuestionarios , Resultado del Tratamiento
6.
Arkh Patol ; 80(6): 35-42, 2018.
Artículo en Ruso | MEDLINE | ID: mdl-30585591

RESUMEN

The limited possibilities of determining myocardial morphological changes in the clinic make it necessary to investigate the effects of intermittent hypobaric hypoxia in an experiment setting. OBJECTIVE: To reveal the peculiarities of changes in the markers of myocardial remodeling in experimental hypobaric hypoxia. MATERIAL AND METHODS: The investigation was conducted on 26 mature male Wistar rats weighing 220-310 g, which were divided into 3 groups: 1) 6 intact animals; 2) 10 rats that were exposed to 30-day simulated hypobaric hypoxia without correction; 3) 10 rats that were given once-daily intraperitoneal injections of cytoflavin solution at a rate of 0.5 ml/100 g of body weight for 30 days before immersion in a hypobaric chamber. RESULTS: The early stages of myocardial remodeling in hypobaric hypoxia were found to be characterized by structural re-systematization of the components of the normal ventricular wall, which was manifested by cardiomyocyte hypertrophy and ischemia; circulatory disorders; fibroblast proliferation that dramatically enhances the extracellular expression of protein matrix, which can lead to the formation of fibrous tissue and irreversible myocardial dysfunction. Elevated matrix metalloproteinase levels are evidence for collagen degradation and cardiac remodeling. In the authors' opinion, the cyto- and angioprotective effects of cytoflavin in rats treated with the latter used in combination therapy are associated with the composition of the drug, the active components of which have mutually potentiating effects, are inducers of the major metabolic pathways in the cells and are also activators of key energy-generating processes. CONCLUSION: Identification of the molecular mechanisms of myocardial remodeling is of great practical importance. This enables remodeling markers to be considered as a potential therapeutic target in the treatment of hypoxia-induced myocardial injury.


Asunto(s)
Remodelación Atrial , Mononucleótido de Flavina , Hipoxia , Inosina Difosfato , Fármacos Neuroprotectores , Niacinamida , Succinatos , Animales , Combinación de Medicamentos , Mononucleótido de Flavina/administración & dosificación , Mononucleótido de Flavina/farmacología , Lesiones Cardíacas , Inosina Difosfato/administración & dosificación , Inosina Difosfato/farmacología , Masculino , Miocardio , Fármacos Neuroprotectores/administración & dosificación , Fármacos Neuroprotectores/farmacología , Niacinamida/administración & dosificación , Niacinamida/farmacología , Ratas , Ratas Wistar , Succinatos/administración & dosificación , Succinatos/farmacología
7.
Khirurgiia (Mosk) ; (11): 44-48, 2018.
Artículo en Ruso | MEDLINE | ID: mdl-30531753

RESUMEN

The aim of the study was to evaluate the impact of various variants of multimodal anesthesia on the cognitive functions of elderly patients after surgical interventions on pelvic organs, the development of preventive measures for POCD. MATERIAL AND METHODS: A study was conducted in 76 elderly patients aged 62 to 84 years with an increased risk of developing POCD. Of these, 46 women and 30 men. Patients were divided into two groups, depending on the type of anesthesia. The 1st group consisted of 37 patients who had low-flow anesthesia with sevoflurane combined with epidural analgesia. 2nd - 39 patients who had anticipated multimodal analgesia on the basis of systemic administration of lidocaine, sulphate magnesia, verapamil. In each group, patients are divided into subgroups - the main (O) and control (K). In the main subgroups anesthetics were supplemented with 20 ml. Cytoflavin, administered 20-25 minutes before the end of surgery and on the 1-3 days of the perioperative period. Cognitive functions were assessed by standardized scales: Mini Mental State Examination (MMSE), Montreal Cognitive Evaluation Scale (MoCA), Frontal Assessment Batteries (FAB). The level of anxiety and depression was determined by the hospital scale of anxiety and depression (HADS). RESULTS: At oncological patients of advanced age in 52.5% of cases there is a moderate degree of cognitive impairment. In the perioperative period, in the study groups, when using different variants of multimodal anesthesia, there is an equivalent transient decrease in cognitive functions by 12.5 and 12.8%. The use of cytoflavin can reduce the manifestation of POCD from 1-day perioperative period, improve the cognitive status of patients. CONCLUSION: In cancer patients of advanced age, cognitive impairment is observed, aggravated after surgical treatment, regardless of the variant of multimodal anesthesia. Protection by Cytoflavin allows to restore the cognitive functions of elderly cancer patients, reduce the manifestations of POCD.


Asunto(s)
Anestesia/efectos adversos , Anestésicos/efectos adversos , Disfunción Cognitiva/prevención & control , Mononucleótido de Flavina/administración & dosificación , Inosina Difosfato/administración & dosificación , Fármacos Neuroprotectores/administración & dosificación , Niacinamida/administración & dosificación , Neoplasias Pélvicas/cirugía , Succinatos/administración & dosificación , Anciano , Anciano de 80 o más Años , Anestesia/métodos , Anestesia Epidural/efectos adversos , Anestesia General/efectos adversos , Anestésicos/administración & dosificación , Cognición/efectos de los fármacos , Disfunción Cognitiva/inducido químicamente , Disfunción Cognitiva/diagnóstico , Disfunción Cognitiva/etiología , Combinación de Medicamentos , Femenino , Mononucleótido de Flavina/farmacología , Humanos , Inosina Difosfato/farmacología , Masculino , Persona de Mediana Edad , Fármacos Neuroprotectores/farmacología , Pruebas Neuropsicológicas , Niacinamida/farmacología , Succinatos/farmacología , Procedimientos Quirúrgicos Operativos/efectos adversos
8.
Artículo en Ruso | MEDLINE | ID: mdl-29171485

RESUMEN

AIM: To improve the quality of anesthesia in school-age children by using intraoperative metabolic-mediated cerebroprotection to reduce the incidence of cognitive impairment after total intravenous anesthesia based on propofol. MATERIAL AND METHODS: A randomized, prospective, longitudinal clinical study was conducted, involving 60 school-age children operated under total intravenous anesthesia on the basis of propofol. Children were randomized into two equal groups. Patients of the 1st group did not receive intraoperative metabolic-mediated cerebroprotection, patients of the 2nd group were treated with cytoflavin. For Z-assessment of changes in cognitive potential, neuropsychological testing of 30 children of the same age who were not subjected to surgical intervention was performed. RESULTS AND CONCLUSION: On the 1st day of the postoperative period, 13.79% of patients of the 1st group had postoperative cognitive dysfunction (POCD), on the 7th day, POCD was observed in 26.67% of children. In the 2nd group, POCD was detected in 6.67% and 3.33% of patients on the 1st and 7th day, respectively (p=0,009). The results confirm the efficacy of cytoflavin in intraoperative prevention of POCD in school-age children.


Asunto(s)
Anestesia General/efectos adversos , Anestesia Intravenosa/efectos adversos , Anestésicos Intravenosos/efectos adversos , Disfunción Cognitiva/prevención & control , Mononucleótido de Flavina/farmacología , Inosina Difosfato/farmacología , Cuidados Intraoperatorios , Fármacos Neuroprotectores/farmacología , Niacinamida/farmacología , Complicaciones Posoperatorias/prevención & control , Succinatos/farmacología , Adolescente , Encéfalo/efectos de los fármacos , Niño , Preescolar , Disfunción Cognitiva/inducido químicamente , Disfunción Cognitiva/diagnóstico , Combinación de Medicamentos , Mononucleótido de Flavina/administración & dosificación , Humanos , Inosina Difosfato/administración & dosificación , Neuroprotección , Fármacos Neuroprotectores/administración & dosificación , Pruebas Neuropsicológicas , Niacinamida/administración & dosificación , Complicaciones Posoperatorias/inducido químicamente , Propofol/administración & dosificación , Propofol/efectos adversos , Estudios Prospectivos , Succinatos/administración & dosificación
9.
Artículo en Ruso | MEDLINE | ID: mdl-28884718

RESUMEN

AIM: To evaluate the efficacy of cytoflavin in the correction of functional state and working ability of Navy operators after a long working cycle. MATERIAL AND METHODS: Results of the examination of 25 Navy operators, aged from 27 to 42 years, were analyzed at baseline and after treatment with cytoflavin. The Rusalov questionnaire for Individuality Formal Dynamic Properties and EEG were used to evaluate the state of participants. RESULTS AND CONCLUSION: The results demonstrate the ability of cytoflavin to exert the positive effect on the energetic component of the functional state of Navy operators after a long working cycle, increasing the psychomotor activity and optimizing the spontaneous electrical activity of the brain. The activation of energetic potential, physical activity and emotional reactions by cytoflavin is correlated with the growth of the central nervous system reserves in Navy operators treated after a long working cycle.


Asunto(s)
Encéfalo/efectos de los fármacos , Mononucleótido de Flavina/farmacología , Inosina Difosfato/farmacología , Personal Militar , Fármacos Neuroprotectores/farmacología , Niacinamida/farmacología , Desempeño Psicomotor/efectos de los fármacos , Succinatos/farmacología , Adulto , Encéfalo/fisiología , Combinación de Medicamentos , Ejercicio Físico , Mononucleótido de Flavina/administración & dosificación , Humanos , Inosina Difosfato/administración & dosificación , Masculino , Persona de Mediana Edad , Fármacos Neuroprotectores/administración & dosificación , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Encuestas y Cuestionarios
10.
Khirurgiia (Mosk) ; (8): 75-78, 2017.
Artículo en Ruso | MEDLINE | ID: mdl-28805783

RESUMEN

The aim of the study was to evaluate the effectiveness of cytoflavin in the complex treatment of patients with diabetic foot syndrome. MATERIAL AND METHODS: The research is based on the results of a comprehensive survey of 140 people with diabetic foot syndrome. Depending on the treatment, all patients were divided into 2 groups. The first group (n=35) received basic therapy. The second group (n=35) in addition to basic therapy received cytoflavin 10 ml (+200 ml 0.9% NaCl) for 10 days, followed by switching to the tablet form of the drug 2 tablets twice a day for 1 month. RESULTS: Analyzing the severity of polyneuropathy after treatment, we noted a more positive dynamic in patients who in addition to standard therapy received cytoflavin.


Asunto(s)
Pie Diabético , Mononucleótido de Flavina , Inosina Difosfato , Niacinamida , Polineuropatías , Succinatos , Calcificación Vascular , Anciano , Arterias/diagnóstico por imagen , Arterias/patología , Pie Diabético/complicaciones , Pie Diabético/diagnóstico , Pie Diabético/terapia , Combinación de Medicamentos , Femenino , Mononucleótido de Flavina/administración & dosificación , Mononucleótido de Flavina/efectos adversos , Humanos , Inosina Difosfato/administración & dosificación , Inosina Difosfato/efectos adversos , Masculino , Persona de Mediana Edad , Fármacos Neuroprotectores/administración & dosificación , Fármacos Neuroprotectores/efectos adversos , Niacinamida/administración & dosificación , Niacinamida/efectos adversos , Polineuropatías/complicaciones , Polineuropatías/diagnóstico , Índice de Severidad de la Enfermedad , Succinatos/administración & dosificación , Succinatos/efectos adversos , Resultado del Tratamiento , Ucrania , Calcificación Vascular/complicaciones , Calcificación Vascular/diagnóstico
11.
Artículo en Ruso | MEDLINE | ID: mdl-28374695

RESUMEN

AIM: To compare the efficacy of cytoflavin in doses of 10 and 20 ml/day in the complex pharmacological therapy of patients with acute ischemic stroke. MATERIAL AND METHODS: Eighty-six patients, aged from 43 to 85 years, were examined. Patient's status was assessed using the NIHSS, the Rankin scale, the Barthel index and the Rivermead mobility index. Patients were stratified into 3 groups: patients of group 1 received standard treatment, patients of group 2 received cytoflavin in dose of 10 ml/day in addition to standard treatment and patients of group 3 were treated with cytoflavin in dose of 20 ml/day in addition to standard treatment. RESULTS AND CONCLUSION: Cytoflavin in doses of 10 and 20 ml/day significantly promotes the regression of neurological deficit, improves day-to-day activity, and therefore, improves functional independence in daily life. The dose-dependent effect of the drug was shown. The use of cytoflavin in dose of 20 ml/day resulted in the more rapid regress of neurological symptoms during inpatient treatment and higher indices of daily activities and functional independence of patients that was important for the further rehabilitation.


Asunto(s)
Mononucleótido de Flavina/administración & dosificación , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Accidente Cerebrovascular/tratamiento farmacológico , Succinatos/administración & dosificación , Anciano , Anciano de 80 o más Años , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Femenino , Hospitalización , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento
12.
Artículo en Ruso | MEDLINE | ID: mdl-28399094

RESUMEN

AIM: To carry out an integral quantitative assessment of the clinical efficacy of parenteral use of cytoflavin in treatment of patients with CNS disorders based on the systemic selection of published controlled clinical trials and their meta-analysis. MATERIAL AND METHODS: Twenty-one high evidence-based studies on the efficacy of parenteral use of cytoflavin in different CNS disorders (4314 patients) have been analyzed. Comparisons with basic treatment groups were undertaken to clarify the drug clinical effects adjusted for heterogeneity and variability of response parameters. RESULTS AND CONCLUSION: An analysis of formalized efficacy indicators (increase in the absolute and relative value, odds ratio (OR) etc.) has demonstrated the advantages of cytoflavin. Group combination has increased the statistical power of the meta-analysis. Two models with fixed (Mantel-Haenszel amendment) and random effects were used. All the estimation protocols in different clinical groups of patients with neurologic diseases provided similar results and confirmed the stability of calculated values irrespective of heterogeneity of data arrays. OR of positive outcomes in neuropathologies treated with cytoflavin was 3,02 with χ2 heterogeneity 427,3 and p = 0,000…, I2= 85,7% (82%; 88%).


Asunto(s)
Enfermedades del Sistema Nervioso Central/tratamiento farmacológico , Mononucleótido de Flavina/uso terapéutico , Inosina Difosfato/uso terapéutico , Niacinamida/uso terapéutico , Succinatos/uso terapéutico , Combinación de Medicamentos , Mononucleótido de Flavina/administración & dosificación , Humanos , Infusiones Parenterales , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Resultado del Tratamiento
13.
Khirurgiia (Mosk) ; (7): 53-57, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27459489

RESUMEN

The aim of the study was to assess the effectiveness of cytoflavin inclusion in complex treatment of patients with hypoparathyroidism occurring after thyroid surgery. To do this, an analysis of treatment of 54 patients who received surgical treatment for thyroid diseases of various etiologies. Depending on the scheme of post-operative medical therapy, the patients were divided into 2 groups: group I patients (27 persons) received basic therapy according to regulatory documents, II of the group (27 patients) in addition cytoflavin intravenous drip of 10 ml to 200 ml 0.9% NaCl for 7 days. In addition to standard clinical and laboratory examination, all patients were studied and the level of active ionized Ca2+ and PTH, oxidation products of the modified protein, lipid peroxidation and antioksidazation system dynamics - 1, 3 and 7 days after surgery. It was revealed that in the first days after the surgical treatment of patients significantly reduced the levels of ionized Ca2+ and PTH that may be regarded as signs of postoperative hypoparathyroidism, as well as the activation of the system of lipid peroxidation and antioxidant system depression. Turning cytoflavin in drug regimens improved the efficiency of the treatment, which was manifested in arresting to 7 days of monitoring signs of hypoparathyroidism, improve tissue oxygenation and restoring the balance by reducing the activity of the system of lipid peroxidation and antioxidant system strengthening.


Asunto(s)
Mononucleótido de Flavina/administración & dosificación , Hipotiroidismo , Inosina Difosfato/administración & dosificación , Peroxidación de Lípido/efectos de los fármacos , Niacinamida/administración & dosificación , Oxidación-Reducción/efectos de los fármacos , Complicaciones Posoperatorias , Succinatos/administración & dosificación , Enfermedades de la Tiroides/cirugía , Tiroidectomía/efectos adversos , Adulto , Calcio/sangre , Combinación de Medicamentos , Monitoreo de Drogas/métodos , Femenino , Humanos , Hipotiroidismo/sangre , Hipotiroidismo/diagnóstico , Hipotiroidismo/etiología , Infusiones Intravenosas , Masculino , Persona de Mediana Edad , Fármacos Neuroprotectores/administración & dosificación , Hormona Paratiroidea/sangre , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/tratamiento farmacológico , Estudios Retrospectivos , Tiroidectomía/métodos , Resultado del Tratamiento
14.
Ter Arkh ; 88(5): 55-61, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27239928

RESUMEN

AIM: To evaluate the impact of incorporating cytoflavin in a treatment regimen for patients with different stages of hypertensive disease (HD). SUBJECTS AND METHODS: The results of treatment were analyzed in 140 patients with HD (53 with Stage I, 50 with Stage II, and 37 with Stage III). According to the treatment regimen, the patients were divided into 2 groups. A study group (n=74) received combination treatment involving antihypertensive therapy and cytoflavin intravenously dropwisely in a single dose of 200 ml of 5% glucose solution for 10 days, then 2 tablets twice daily for 60 days, with a total cycle time being 70 days. A comparison group (n=66) had antihypertensive therapy only. Thirty apparently healthy individuals (a control group) were examined to have reference values. All the patients were examined using conventional clinical and laboratory studies. The patients' complaints and neurological status were assessed using respective questionnaires over time - before and after treatment. RESULTS: The incorporation of cytoflavin in a treatment regimen was ascertained to reduce the degree of anxiety, depressive, dissomnic, and cognitive disorders, improves quality of life in patients with Stage I HD, and lowers the degree of asthenic and autonomic disorders in all disease stages. CONCLUSION: The found efficacy and safety of the drug may recommend its incorporation in combination therapy regimens for Stages I-III HD.


Asunto(s)
Antihipertensivos/farmacología , Ansiedad/tratamiento farmacológico , Enfermedades del Sistema Nervioso Autónomo/tratamiento farmacológico , Trastornos del Conocimiento/tratamiento farmacológico , Depresión/tratamiento farmacológico , Mononucleótido de Flavina/farmacología , Hipertensión/tratamiento farmacológico , Inosina Difosfato/farmacología , Niacinamida/farmacología , Succinatos/farmacología , Adulto , Anciano , Antihipertensivos/administración & dosificación , Combinación de Medicamentos , Quimioterapia Combinada , Femenino , Mononucleótido de Flavina/administración & dosificación , Humanos , Inosina Difosfato/administración & dosificación , Masculino , Persona de Mediana Edad , Niacinamida/administración & dosificación , Índice de Severidad de la Enfermedad , Succinatos/administración & dosificación , Resultado del Tratamiento
15.
Klin Med (Mosk) ; 94(7): 533-9, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-30289219

RESUMEN

The aim of this study was to investigate the efficiency of metabolic therapy in correction of cognitive impairment in patients with type 2 diabetes. We undertook the analysis of results of the treatment of cognitive dysfunction in 80 patients with a diagnosis of type 2 diabetes. All patients received basic hypoglycemic therapy. 32 patients (study group) received in addition to the basal glucose lowering therapy daily intravenous infusion of 10 mlcytoflavindiluted in 200 ml of a 0.9% sodium chloride solution for 10 days, followed by 2 tablets b.i.d. for 25 days.The group of comparison consisted of 29 patients given in addition to the basal glucose-lowering therapy daily intravenous infusion of 24 ml (600 mg) thioctacid diluted in 200 mL of a 0.9% sodium chloride solution for 10 days. Thereafter, they received 1 tablet of thioctacid BV once daily for 30 days. The control group consisted of 19 patients who received basic hypoglycemic therapy without additional metabolic therapy.Inclusion of cytoflavin in the combined treatment of patients with type 2 diabetes ensured a more effective correction of cognitive impairment. There was a statistically significant improvement in optical-spatial activities (p = 0.001), attention (p = 0.001), abstract thinking (p = 0.046), and memory (p<0.001) compared to those in other groups, according to the MOS test. Positive dynamics was expressed as the improvement of the optical-spatial activities by 9,8 ± 10,3%, attention by 13,5 ± 11,8%, abstract thinking by 7,0 ± 8,9%, and memory by 23.0 ± 14 6%. The study of variations of the serum level of brain neurotrophic factor (BDNF) over time during the treatment with metabolic preparations reveal edits statistically significant increase (p = 0.002) in the patients treated with cytoflavin compared with comparison (p = 0.139) and control (p = 0.078) groups. These results suggest the influence of cytoflavin on the processes of neuroplasticity under conditions of hyperglycemia, improvement of cerebral microcirculation and cerebroprotective action of this medication.


Asunto(s)
Trastornos del Conocimiento , Cognición/efectos de los fármacos , Diabetes Mellitus Tipo 2 , Mononucleótido de Flavina/administración & dosificación , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Anciano , Glucemia/análisis , Glucemia/efectos de los fármacos , Cognición/fisiología , Trastornos del Conocimiento/etiología , Trastornos del Conocimiento/fisiopatología , Trastornos del Conocimiento/terapia , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Diabetes Mellitus Tipo 2/psicología , Combinación de Medicamentos , Monitoreo de Drogas/métodos , Femenino , Humanos , Hipoglucemiantes/administración & dosificación , Masculino , Persona de Mediana Edad , Fármacos Neuroprotectores/administración & dosificación , Pruebas Neuropsicológicas , Resultado del Tratamiento
16.
Adv Gerontol ; 29(5): 816-821, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-28556655

RESUMEN

The authors studied the efficiency of the expansion of the standard course of conservative therapy of deforming coxarthrosis by appointment Cytoflavin and behavioral therapy. The study was performed on 104 elderly patients. It was found that the addition of the existing scheme increases the effectiveness of therapeutic interventions, which manifests itself as the improvement of the mental and physical components of quality of life by reducing pain and increasing the functionality of some of the affected hip. At the heart of positive clinical effect is a decrease in processes of inflammation and reduction of tension of regulatory processes in the organism. Positive quality extra medical appointments was the absence of significant side effects when taken orally Cytoflavin requiring discontinuation of the drug, as well as the absence of failure patients from further sessions of behavioral therapy.


Asunto(s)
Terapia Cognitivo-Conductual/métodos , Mononucleótido de Flavina/administración & dosificación , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Osteoartritis de la Cadera , Dolor , Calidad de Vida , Succinatos/administración & dosificación , Anciano , Terapia Combinada/métodos , Combinación de Medicamentos , Femenino , Humanos , Masculino , Fármacos Neuroprotectores/administración & dosificación , Osteoartritis de la Cadera/complicaciones , Osteoartritis de la Cadera/diagnóstico , Osteoartritis de la Cadera/psicología , Osteoartritis de la Cadera/terapia , Dolor/diagnóstico , Dolor/etiología , Dolor/psicología , Manejo del Dolor/métodos , Resultado del Tratamiento
17.
Vestn Khir Im I I Grek ; 174(4): 53-5, 2015.
Artículo en Ruso | MEDLINE | ID: mdl-26601519

RESUMEN

An evaluation of cognitive functions was presented in 90 patients undergoing thyroid surgery. An attention deterioration, shot-term memory impairment and degradation were revealed after operation. It was shown that reduction of manifestations of cognitive dysfunction and stabilization of the haemodynamics indices were allowed due to application of cytoflavin during operation and in early postoperative period.


Asunto(s)
Trastornos del Conocimiento/etiología , Cognición/fisiología , Mononucleótido de Flavina/administración & dosificación , Hiperparatiroidismo/cirugía , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Complicaciones Posoperatorias/etiología , Succinatos/administración & dosificación , Tiroidectomía/efectos adversos , Trastornos del Conocimiento/fisiopatología , Trastornos del Conocimiento/prevención & control , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Femenino , Estudios de Seguimiento , Humanos , Imidazoles , Complicaciones Posoperatorias/fisiopatología , Complicaciones Posoperatorias/prevención & control , Pronóstico , Estudios Prospectivos , Tetrazoles
18.
Klin Med (Mosk) ; 93(6): 67-72, 2015.
Artículo en Ruso | MEDLINE | ID: mdl-26495531

RESUMEN

Immediate and long-term results of parenteral and oral administration of cytoflavin to patients with diabetic foot complicated by grade I and II trophic ulcers (Wagner classification) are considered with special reference to the assessment of reparative processes, normalization of the serum pro oxidant-antioxidant system, and improvement of clinical and instrumental bloodflow characteristics.


Asunto(s)
Pie Diabético/tratamiento farmacológico , Mononucleótido de Flavina/farmacología , Inosina Difosfato/farmacología , Fármacos Neuroprotectores/farmacología , Niacinamida/farmacología , Succinatos/farmacología , Adulto , Anciano , Combinación de Medicamentos , Femenino , Mononucleótido de Flavina/administración & dosificación , Humanos , Inosina Difosfato/administración & dosificación , Masculino , Persona de Mediana Edad , Fármacos Neuroprotectores/administración & dosificación , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Síndrome , Resultado del Tratamiento
19.
Artículo en Ruso | MEDLINE | ID: mdl-26356615

RESUMEN

AIM: To compare clinical and morphological results of treatment of ischemic stroke in three groups of patients which differed by the forms and duration of an antioxidant therapy. MATERIAL AND METHODS: A randomized clinical trial was performed in 8 vascular centers of the Russian Federation in 2010-2014. It included 373 patients with ischemic stroke in the carotid territory. Patients were randomized into 3 groups to receive different regimens of antioxidant therapy as an adjunct to standard therapy: control group (ascorbic acid; 132 patients); cytoflavin (20 ml per day for 10 days; 133 patients); cytoflavin (the dose was decreased to 10 ml per day from 11th to 20th day) (108 patients). Patient's condition was assessed in 1, 10 and 21 day by a complex of clinical, laboratory and instrumental methods. RESULTS AND CONCLUSION: The analysis of CT in 1th and 21th day revealed a significant 1,5-1,7- fold decrease in the cerebral ischemic lesion in both groups treated with cytoflavin with no significant morphologic changes in the ascorbic acid group. The percentage of patients with ischemic lesion, increased during days 1-21, was 2-fold higher in the ascorbic acid group compared to cytoflavin groups. Morphologic changes were correlated with clinical variables and outcome. In patients with ≥14 points on NIH scale on admission, prolonged 20 day cytoflavin therapy was associated with a more prominent improvement of neurologic, functional and cognitive status compared to 10-day cytoflavin infusion. No differences in clinical variables were observed in patients with mild symptoms (<14 points on NIH scale on admission) receiving cytoflavin for 10 and 20 days.


Asunto(s)
Antioxidantes/uso terapéutico , Ácido Ascórbico/uso terapéutico , Infarto Encefálico/tratamiento farmacológico , Infarto Encefálico/patología , Mononucleótido de Flavina/uso terapéutico , Inosina Difosfato/uso terapéutico , Niacinamida/uso terapéutico , Succinatos/uso terapéutico , Adulto , Anciano , Anciano de 80 o más Años , Antioxidantes/administración & dosificación , Ácido Ascórbico/administración & dosificación , Infarto Encefálico/diagnóstico por imagen , Combinación de Medicamentos , Metabolismo Energético , Femenino , Mononucleótido de Flavina/administración & dosificación , Humanos , Infusiones Intravenosas , Inosina Difosfato/administración & dosificación , Masculino , Persona de Mediana Edad , Niacinamida/administración & dosificación , Federación de Rusia , Succinatos/administración & dosificación , Tomografía Computarizada por Rayos X , Resultado del Tratamiento
20.
Klin Med (Mosk) ; 93(2): 67-71, 2015.
Artículo en Ruso | MEDLINE | ID: mdl-26117922

RESUMEN

This comparative study of the influence of cytoflavin and cardioxipin on the parameters of 24-hour arterial pressure monitoring in 56 patients with chronic cerebral circulation insufficiency, arterial hypertension and hypercholesterolemia included 32 women and 24 men aged 42-72 years divided into 3 groups matchedfor the stage of diseases, age, sex, severity of AH, total cholesterol level, and antihypertensive therapy. Patients of group 1 were treated without cytoflavin and cardioxipin. Those in group 2 received daily i/v droplet infusion of 10 mg/kg cardioxipin (20-30 droplets/min). Patients of group 3 were given daily i/v droplet infusion of 10 ml cytoflavin in 200 ml 0.9% sodium chloride solution for 10 days. 24-hour arterial pressure monitoring was used to estimate the influence of the two drugs on systolic and diastolic pressure, its daily rhythm, AP variability and frequency of elevation. The study showed that both therapeutic modalities improved daily AP rhythm as manifested in a significant increase of the number of patients with the dipper rhythm and a decrease in the number of systolic/diastolic non-dipper patients. Moreover cytoflavin significantly decreased the number of systolic over-dippers compared with control group.


Asunto(s)
Antihipertensivos/administración & dosificación , Presión Arterial/efectos de los fármacos , Monitoreo Ambulatorio de la Presión Arterial/métodos , Trastornos Cerebrovasculares/tratamiento farmacológico , Mononucleótido de Flavina/administración & dosificación , Hipercolesterolemia/tratamiento farmacológico , Hipertensión/tratamiento farmacológico , Inosina Difosfato/administración & dosificación , Niacinamida/administración & dosificación , Succinatos/administración & dosificación , Adulto , Anciano , Circulación Cerebrovascular/efectos de los fármacos , Trastornos Cerebrovasculares/complicaciones , Trastornos Cerebrovasculares/fisiopatología , Enfermedad Crónica , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Quimioterapia Combinada , Femenino , Estudios de Seguimiento , Humanos , Hipercolesterolemia/complicaciones , Hipercolesterolemia/fisiopatología , Hipertensión/complicaciones , Hipertensión/fisiopatología , Infusiones Intravenosas , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Resultado del Tratamiento
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