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

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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.

全文:

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.