Analysis of Preеmptive Post-Operative Analgesia Optimized Programm Effectiveness as a Basis for Anti-Stress Providing after Hysterectomy

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 hysterectomy. The purpose of the study Improving the efficiency of complex anti-stress protection during hysterectomy based prevention and treatment optimization of postoperative pain syndrome. Materials and methods 80 gynecological patients with indications for hysterectomy. Among the investigated contingent differentiated two contrasting groups. 40 patients were included in the control group (using traditional program of analgesia). Another 40 patients were included in the study group (using the developed program of analgesia). 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 group identified the best level of analgetic protection and neurovegetative stabilization. Proved the possibility o

Relevance The article presents the data of the original research to assess the clinical effectiveness of prevent and eliminate
postoperative pain syndrome program after hysterectomy.
The purpose of the study Improving the efficiency of complex anti-stress protection during hysterectomy based prevention and
treatment optimization of postoperative pain syndrome.
Materials and methods 80 gynecological patients with indications for hysterectomy. Among the investigated contingent
differentiated two contrasting groups. 40 patients were included in the control group (using traditional program of analgesia).
Another 40 patients were included in the study group (using the developed program of analgesia).
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 group identified the best level of analgetic protection and neurovegetative stabilization.
Proved the possibility of prevention of postoperative pain syndrome severe forms in the studied conditions. 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.

f prevention of postoperative pain syndrome severe forms in the studied conditions. 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.

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

Author for correspondence.
Email: grroma@yandex.ru
applicant for the Department of anesthesiology and resuscitation of N.N. Burdenko Voronezh State Medical Academy

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

Email: author@vestnik-surgery.com
 post-graduate student of the Department of anesthesiology and resuscitation of N.N. Burdenko Voronezh State Medical Academy

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 N.N. Burdenko Voronezh State Medical Academy

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 N.N. Burdenko Voronezh State Medical Academy.

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 N.N. Burdenko Voronezh State Medical Academy

  • Morgan G.E., Mikhail M.S.
  • Klinicheskaia anesteziologiia. [Clinical anesthesiology.]
  • M.: ZAO «Izdatel'stvo BINOM»,
  • 1064].
  • Dolina O.A. Anesteziologiia i reanimatologiia. [ Anesthesiology and reanimatology.]
  • Moscow,2009. 576.
  • Gritsai A.N., Pereloma V.I. Vliianie uprezhdaiushchei
  • analgezii na techenie anestezii i formirovanie bolevogo
  • sindroma v rannem posleoperatsionnom periode. Desiatyi
  • s"ezd Federatsii anesteziologov i reanimatologov.[Effect of pre-emptive
  • analgesia and anesthesia for a formation of a painful
  • syndrome in the early postoperative period.]
  • 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 Publ., 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
  • sindromov.[Pathophysiological mechanisms of pain
  • syndromes.]
  • Bol'. 2003; 1(1): 5-12.
  • Colin J.L Kachestvennyj sistemnyj analiz roli
  • antagonisty NMDA v profilakticheskoj anal'gezii. Anesth. Analg.[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, 1990.570
  • Aveline C., Bonnet F. Effekty ehpidural'noj anestezii
  • po prodolzhitel'nosti truda i sposoba dostavki. Anna. Fr. Anesth.
  • Reanim.[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 gorizontov: perekhod ostroj boli
  • k postoyannoj boli i ustanovlenie hronicheskoj posleoperacionnoj
  • boli. Anesteziologiya. [Expending our horisons: transition of acute pain
  • to persistent pain and establishment of chronic postsurgical
  • pain service.]
  • Anesthesiology. 2009; 111: 461-463
  • Ferrante M.E., VadeBoncouer T.R. Lechenie posleoperacionnoj boli
  • Rukovodstvo.[Postoperative Pain
  • Management. ]
  • New York, Edinburgh, London, Melbourne,
  • Tokyo: Churchill Livingstone Publ., 1998; 640.
  • Morgan G.E., Mikhail M.S. Klinicheskaya anesteziologiya, vtoroe
  • izdanie. [Clinical anesthesiology, second
  • edition.]
  • Prentice-Hall International Inc., 2005; 1064.

Views

Abstract - 36

PDF (Russian) - 11


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

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