Analysis of Multimodal Postoperative Analgesia Optimized Progamms Efficiency as a Basis for Anti-stress Providing after Gynecological Operations of Low and Medium Traumatization Degree

Abstract


Relevance The article presents the data of the original research to assess the clinical effectiveness of prevent and eliminate postoperative pain syndrome program after gynecological operations of low and medium traumatization degree (by the respective examples a vaginoplastics and transvaginal hysterectomy). The purpose of the study Development of optimized programs for prevention and treatment of postoperative pain syndrome in patients after gynecological operations of low and medium trauma degree based on the of multimodal and pre-emptive analgesia conceptions. Materials and methods Study materials represented 70 patients after low-traumatic gynecological operations and a similar number of patients after medium-traumatic gynecological operations. Total number of examined patients amounted to 140 people. Among the investigated contingent of operations of each trauma degree were identified the main and the control groups (by 35 patients in each). In the control groups used the traditional method of analgesia. In the main groups used the developed method analgesia. Methods of the research: assessment of the pain intensity with application of modern analogue scales (visual analogue scale, digital rating scale); assessment of the stress-tension level of the autonomic nervous system by cardiointervalography with mathematical analysis of cardiac rhythm; descriptive statistical methods to determine the level of intergroup differences significance.Results and their discussion In the study groups identified the best level of analgetic protection and neurovegetative stabilization. Proved the comprehensive effectiveness of a developed analgesia program during gynecological operations both low and medium traumaticity degree. All of identified intergroup differences have a high level of statistical significance. Conclusion The obtained results allow us to: statistically reasonably considered designed program of analgesia as a means of optimizing the anti-stress support for gynecological interventions, recommend it to practical

Results and their discussion In the study groups identified the best level of analgetic protection and neurovegetative stabilization.
Proved the comprehensive effectiveness of a developed analgesia program during gynecological operations both low and medium
traumaticity degree. All of identified intergroup differences have a high level of statistical significance.
Conclusion The obtained results allow us to: statistically reasonably considered designed program of analgesia as a means of
optimizing the anti-stress support for gynecological interventions, recommend it to practical application

application.

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Author for correspondence.
Email: skryab1969@mail.ru
 post-graduate student of the Department of anesthesiology and resuscitation of ИДПО Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: alpebro@yandex.ru
applicant for the Department of anesthesiology and resuscitation of ИДПО Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: grroma@yandex.ru
 applicant for the Department of anesthesiology and resuscitation of ИДПО Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: author@vestnik-surgery.com
applicant for the Department of anesthesiology and resuscitation of ИДПО Voronezh state medical Academy named after N.N. Burdenko

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: zirisha85@rambler.ru
 applicant for the Department of anesthesiology and resuscitation of ИДПО Voronezh state medical Academy named after N.N. Burdenko

  • G. Edward Morgan, Maged S. Mikhail, Michael J. Murray
  • Klinicheskaia anesteziologiia[Clinical Anesthesiology.]
  • McGraw-Hill Publ., 2002; 1042.
  • Moscow: ZAO «Izdatel'stvo
  • BINOM», 2005; 1064. .
  • Dolina O.A. Anesteziologiia i reanimatologiia
  • [Anesthesiology and Reanimatology].
  • Moscow, 2009; 576.
  • Gritsai A.N., Pereloma V.I.Vliyanie preventivnoj anal'gezii
  • i anesteziya dlya formirovaniya boli v rannem
  • posleoperacionnom periode. X s"ezd Federatsii anesteziologov
  • i reanimatologov [Effect of pre-emptive analgesia
  • and anesthesia for a formation of pain in the early
  • postoperative period. X Congress of the Federation of
  • anesthesiologists and emergency].
  • Saint-Petersburg, 2006;38-39.
  • Ovechkin A.M., Gnezdilov A.V., Iurasov A.V. Lechenie
  • posleoperatsionnoi boli – kachestvennaia klinicheskaia
  • praktika [Postoperative Pain - Good Clinical Practice].
  • Moscow: Meditsina, 2003; 213.
  • Ovechkin A.M., Sviridov S.V. Posleoperacionnaya bol' i
  • obezbolivanie: sovremennoe sostoyanie problemy.[Postoperative pain and
  • analgesia: current state of problem.]
  • Regionarnaia anesteziia
  • i lechenie ostroi boli. 2006; 1(0): 1-15.
  • Kukushkin M.L. Patofiziologicheskie mekhanizmy boli
  • sindromy.[Pathophysiological mechanisms of pain
  • syndromes.]
  • Bol', 2003; № 1 (1): 5-12.
  • Colin J.L. Kachestvennyj sistemnyj analiz roli
  • antagonisty NMDA v profilakticheskoj anal'gezii.[A qualitative systemic review of the role of
  • NMDA antagonists in preventive analgesia.]
  • Anesth. Analg.
  • ; 98: 1385-1400.
  • Bonica J.J. Upravlenie bol'yu.[The management of pain.]
  • Lea & Febiger, 1990;
  • Aveline C., Bonnet F.Effekty ehpidural'noj anestezii
  • po prodolzhitel'nosti truda i sposoba dostavki. [The effects of peridural anesthesia
  • on duration of labor and mode of delivery.]
  • Ann. Fr. Anesth.
  • Reanim., 2001; 20(5): 471-484.
  • De Kock M. Rasshirenie nashego krugozora: perekhod ostroj
  • boli v postoyannuyu bol' i ustanovleniya hronicheskoj
  • posleoperacionnoj boli. [Expending our horizons: transition of acute
  • pain to persistent pain and establishment of chronic
  • postsurgical pain service.] Anesthesiology, 2009; 111: 461-
  • Ferrante M.E., VadeBoncouer T.R. Lechenie posleoperacionnoj boli
  • Rukovodstvo.[Postoperative Pain
  • Management.] New York, Edinburgh, London, Melbourne,
  • Tokyo: Churchill Livingstone, 1998; 640.
  • Morgan G.E., Mikhail M.S. Klinicheskaya anesteziologiya, vtoroe
  • izdanie. [Clinical anesthesiology, second
  • edition.]
  • Prentice-Hall International Inc., 2005; 1064.

Views

Abstract - 45

PDF (Russian) - 39


Copyright (c) 2014 ., ., ., ., .

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.