The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment
Aim. Analyzing the vegetative tensity of organism» functional systems before and after surgical treatment of elderly patients with metabolic-and-dystrophic gonarthrosis. Methods. The evaluation of vegetative homeostasis, reactivity of the vegetative nervous system by the data of variation pulsometry...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Saratov State Medical University
2012-12-01
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| Series: | Саратовский научно-медицинский журнал |
| Subjects: | |
| Online Access: | http://www.ssmj.ru/system/files/201204-975-979.pdf |
| _version_ | 1818765100496977920 |
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| author | Karaseva T.lu. Buravtsov P.P. Karasev E.A. Biriukova M.lu. Dolganova T.I. |
| author_facet | Karaseva T.lu. Buravtsov P.P. Karasev E.A. Biriukova M.lu. Dolganova T.I. |
| author_sort | Karaseva T.lu. |
| collection | DOAJ |
| description | Aim. Analyzing the vegetative tensity of organism» functional systems before and after surgical treatment of elderly patients with metabolic-and-dystrophic gonarthrosis. Methods. The evaluation of vegetative homeostasis, reactivity of the vegetative nervous system by the data of variation pulsometry («REAN-POLY» RGPA-6/12, Taganrog) in 60 patients with gonarthrosis at the age of 50-72 years and the disease duration — 9+1.5 years before and after surgical treatment: total tunnelization (Group I), tunnelization with osteotomy of leg bones for correction of limb biomechanical axis (Group II), treatment-and-diagnostic arthroscopy (Group III). Results. The reduction of the level of hypoxia tolerance and the decrease of the processes of general adaptation one month after surgery in Group I was registered in 40% of patients. As for patients of Group II, by the end of the period of fixation with the llizarov device — in 50%. As for those of Group III after arthroscopy — in 10% of patients. Among the patients whose 1С / 1С calculated parameter after surgical treatment was registered <1.0, its values were >10.0 before treatment in 70% of cases. At rest, marked vagotonia was registered with hypersympathicotonic reaction to orthotest, as well as with sharp decrease of the proportion of second-order slow waves while transition to standing position (VLF proportion <10.0%), thereby reflecting organism»s energy deficiency state. Conclusion. Preoperative examination. When VLF proportion after orthotest is registered <10.0%, such patients should be referred to risk group and prescribed in-depth examination. The index of centralization (1С) dynamics for orthotest (1С test/1С rest) is one of the criteria of functional recovery level for the particular patient: its increase points to the positive dynamics of restorative rehabilitative process, and the values <1.0 —to the negative one. |
| first_indexed | 2024-12-18T08:12:43Z |
| format | Article |
| id | doaj.art-39685243ac78450a9170540744262ec2 |
| institution | Directory Open Access Journal |
| issn | 1995-0039 2076-2518 |
| language | Russian |
| last_indexed | 2024-12-18T08:12:43Z |
| publishDate | 2012-12-01 |
| publisher | Saratov State Medical University |
| record_format | Article |
| series | Саратовский научно-медицинский журнал |
| spelling | doaj.art-39685243ac78450a9170540744262ec22022-12-21T21:14:52ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал1995-00392076-25182012-12-0184975979The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatmentKaraseva T.lu.Buravtsov P.P.Karasev E.A.Biriukova M.lu.Dolganova T.I.Aim. Analyzing the vegetative tensity of organism» functional systems before and after surgical treatment of elderly patients with metabolic-and-dystrophic gonarthrosis. Methods. The evaluation of vegetative homeostasis, reactivity of the vegetative nervous system by the data of variation pulsometry («REAN-POLY» RGPA-6/12, Taganrog) in 60 patients with gonarthrosis at the age of 50-72 years and the disease duration — 9+1.5 years before and after surgical treatment: total tunnelization (Group I), tunnelization with osteotomy of leg bones for correction of limb biomechanical axis (Group II), treatment-and-diagnostic arthroscopy (Group III). Results. The reduction of the level of hypoxia tolerance and the decrease of the processes of general adaptation one month after surgery in Group I was registered in 40% of patients. As for patients of Group II, by the end of the period of fixation with the llizarov device — in 50%. As for those of Group III after arthroscopy — in 10% of patients. Among the patients whose 1С / 1С calculated parameter after surgical treatment was registered <1.0, its values were >10.0 before treatment in 70% of cases. At rest, marked vagotonia was registered with hypersympathicotonic reaction to orthotest, as well as with sharp decrease of the proportion of second-order slow waves while transition to standing position (VLF proportion <10.0%), thereby reflecting organism»s energy deficiency state. Conclusion. Preoperative examination. When VLF proportion after orthotest is registered <10.0%, such patients should be referred to risk group and prescribed in-depth examination. The index of centralization (1С) dynamics for orthotest (1С test/1С rest) is one of the criteria of functional recovery level for the particular patient: its increase points to the positive dynamics of restorative rehabilitative process, and the values <1.0 —to the negative one.http://www.ssmj.ru/system/files/201204-975-979.pdfarthroscopydecompression-draining surgeriesgonarthrosisvariational pulsometry |
| spellingShingle | Karaseva T.lu. Buravtsov P.P. Karasev E.A. Biriukova M.lu. Dolganova T.I. The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment Саратовский научно-медицинский журнал arthroscopy decompression-draining surgeries gonarthrosis variational pulsometry |
| title | The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment |
| title_full | The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment |
| title_fullStr | The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment |
| title_full_unstemmed | The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment |
| title_short | The state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment |
| title_sort | state of the vegetative nervous system in patients with gonarthrosis for surgical treatment before and after surgical treatment |
| topic | arthroscopy decompression-draining surgeries gonarthrosis variational pulsometry |
| url | http://www.ssmj.ru/system/files/201204-975-979.pdf |
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