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.