ANALYSIS OF EXPRESSION POSTOPERATIVE PAIN DURING RESECTION OF A THYROID GLAND - TRAUMATIC MODELS OPERATION OF LOW - FROM THE POSITION OF THE CONCEPT ANTISTRESSFUL ANESTHETIC PROTECTION ORGANISM
Accepted in the study participated 30 patients with a diagnosis of "diffuse goiter I-II degree, euthyroidism." And "nodular goiter, euthyroidism" at the age of 25-65 years. Patients underwent a comprehensive evaluation of post-operative pain and the stress voltage rating of the autonomic nervous system by kardiontervalografii with mathematical analysis of heart rate and stress index calculation. The following results: the impact factors of perioperative stress in thyroid resection reliably leads to a pronounced voltage of adaptive resources of the autonomic nervous system of the type subcompensated hypersympathicotonia. The traditional method of postoperative analgesia does not ensure the prevention of postoperative pain, as well as the optimal level and duration of analgesia, which negatively affects the neurovegetative status and quality of life of patients in the early postoperative period.