The parameters of central hemodynamics and cerebral blood flow in puerperas with gestosis

Аннотация

The parameters of central hemodynamic and cerebral blood flow have been investigated in 40 health puerperas and in 125 puerperas with gestosis. 35 with light degree nephropathy (1 group), 40-with middle degree (2 group), 50-with grave nephropathy (3 group). The investigated has been realized on 1, 2, 3, 5, 8 and 10 days after delivery. In most cases (80%) the delivery was spontaneous, in 20% of cases the delivery was proceed by the cesarean section.

Полный текст

The parameters of central hemodynamic and cerebral blood flow have been investigated in 40 health puerperas and in 125 puerperas with gestosis. 35 with light degree nephropathy (1 group), 40-with middle degree (2 group), 50-with grave nephropathy (3 group). The investigated has been realized on 1, 2, 3, 5, 8 and 10 days after delivery. In most cases (80%) the delivery was spontaneous, in 20% of cases the delivery was proceed by the cesarean section. The intravenous introduction of promedol has been used in patients of 1 and control groups as anesthesia. The epidural anesthesia (EA) and combinational anesthesia (EA and endotracheal anesthesia) has been used in patients of 2 and 3 groups. The impedance rheocardyography by Kubicek method and impedance rheoencephalography by Paleev has been used. The investigated parameters show the hypertunetic type of blood circulation health puerperas. The patients of the 1 group had the analogous parameters. The cerebral blood flow has been enough. Slight symptoms of angiospasm has been during 2-3 days after delivery and disappeared by 5-8 days. Patients of 2 group has manifested the angiospasm beginnings the 1 day after delivery, cerebral blood flow has been reduced. The symptoms of vasoconstriction disappeared by 7-10 days after delivery. The most significance has been reduced during all 8-10 days after the delivery. The investigated parameters prove the prolonged introduction improving cerebral blood circulation and microcircular tobe expedient.