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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">bekhterev</journal-id><journal-title-group><journal-title xml:lang="ru">Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева</journal-title><trans-title-group xml:lang="en"><trans-title>V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7053</issn><issn pub-type="epub">2713-055X</issn><publisher><publisher-name>V. M. BEKHTEREV  NATIONAL  RESEARCH  MEDICAL  CENTER  FOR  PSYCHIATRY  AND  NEUROLOGY                           OF    THE  RUSSIAN  FEDERATION   MINISTRY  OF  HEALTH</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31363/2313-7053-2024-1060</article-id><article-id custom-type="elpub" pub-id-type="custom">bekhterev-1071</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>В ПОМОЩЬ ПРАКТИКУЮЩЕМУ ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>GUIDELINES FOR THE PRACTITIONER</subject></subj-group></article-categories><title-group><article-title>От патогенеза хронической церебральной ишемии к таргетной терапии</article-title><trans-title-group xml:lang="en"><trans-title>From the pathogenesis of chronic cerebral ischemia to targeted therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2266-9197</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захаров</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharov</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Захаров Денис Валерьевич -доктор медицинских наук, главный научный сотрудник, заведующий отделением интегративной терапии больных психоневрологического профиля</p><p>192019, Россия, г. Санкт-Петербург, ул. Бехтерева, 3</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">zaharov_dv@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-2530-7623</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ярыгина</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yarygina</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ярыгина Юлия Владимировна — кандидат медицинских наук, научный сотрудник отделения интегративной терапии больных психоневрологического профиля</p><p>192019, Россия, г. Санкт-Петербург, ул. Бехтерева, 3</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">judidu@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7700-2704</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлов</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhailov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Михайлов Владимир Алексеевич - доктор медицинских наук, главный научный сотрудник, научный руководитель отделения интегративной терапии больных психоневрологического профиля и отделения экзогенно-органических расстройств и эпилепсии</p><p>192019, Россия, г. Санкт-Петербург, ул. Бехтерева, 3</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">vladmikh@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.M. Bekhterev National MedicalResearchCenterfor Psychiatry and Neurology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>15</day><month>12</month><year>2024</year></pub-date><volume>58</volume><issue>4-1</issue><fpage>122</fpage><lpage>128</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Захаров Д.В., Ярыгина Ю.В., Михайлов В.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Захаров Д.В., Ярыгина Ю.В., Михайлов В.А.</copyright-holder><copyright-holder xml:lang="en">Zakharov D.V., Yarygina Y.V., Mikhailov V.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.bekhterevreview.com/jour/article/view/1071">https://www.bekhterevreview.com/jour/article/view/1071</self-uri><abstract><p>Хроническая прогрессирующая цереброваскулярная патология представляет собой мощный инвалидизирующий фактор современного общества. В основе хронической ишемии головного мозга лежат проблемы микроциркуляции и нейровоспаления, представляющие собой взаимно потенцирующие патогенетические аспекты. В качестве поиска современной патогенетически ориентированной таргетной терапии огромное внимание уделяется церебральной капилляропатии, окислительному стрессу в мозговой ткани и вопросам подавления нейровоспаления. В статье представлены материалы проведенных экспериментальных и клинических исследований экстракта Гинкго билоба и холина, а также их комбинации — Холин Стронг®</p></abstract><trans-abstract xml:lang="en"><p>Chronic progressive cerebrovascular pathology is a powerful disabling factor in modern society. Chronic cerebral ischemia is based on microcirculation and neuroinflammation problems, which are mutually potentiating pathogenetic aspects. As a search for modern pathogenetically oriented targeted therapy, great attention is paid to cerebral capillary disease, oxidative stress in brain tissue and the issues of suppressing neuroinflammation. The article presents the materials of experimental and clinical studies of Ginkgo biloba extract and choline, as well as their combination — Choline Strong®</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микроангиопатия</kwd><kwd>когнитивная дисфункция</kwd><kwd>нейровоспаление</kwd><kwd>окислительный стресс</kwd><kwd>Гинкго билоба</kwd><kwd>ацетилхолин</kwd><kwd>Холин Стронг</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microangiopathy</kwd><kwd>cognitive dysfunction</kwd><kwd>neuroinflammation</kwd><kwd>oxidative stress</kwd><kwd>Ginkgo biloba</kwd><kwd>acetylcholine</kwd><kwd>Choline Strong</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Антипенко Е.А., Густов А.В. Хроническая ишемия головного мозга: современное состояние проблемы // Медицинский совет. 2016. № 19. С. 38–43</mixed-citation><mixed-citation xml:lang="en">Antipenko E.A., Gustov A.V. 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