Vol 21, No 4 (2017)

The present study is devoted to the development of anesthesia tactics for the purpose of early recovery of patients after amputation of the uterus and shortening of hospitalization. The algorithm of pre-operative examination of middle-aged patients with uterine myoma is proposed to select the optimal method of anesthesia, which allows to optimize the postoperative period in women with an increased risk of develop-ing severe pain syndrome and postoperative cognitive impairment. The study showed the advantage of regional anesthesia with dexmedetomidine sedation in the operation of amputation of the uterus in the form of a lower incidence of postoperative cognitive dysfunction syndrome, marked postoperative pain, as well as a reduction in hospitalization, which in turn allows rationalizing the economic costs of medical institutions, as well as improving the population's satisfaction quality of care.

A functional review of 156 patients with a median hernia of anterior abdominal wall. The data series are included in the algorithm of multifunctional surgical treatment of medial hernias. The greatest number of matches with the algorithm (53,1%) was found when using the five-factor functional analysis. Among the four-factor diagnostic options in choosing a reliable method of hernioplasty combined proved sharing criteria for intra-abdominal pressure, electrofasciomyographya taking into account the size and location of medial hernia defects (41,3%).

Researches of the last years convincingly showed negative influence of climatic factors (cold, a heat, changes of atmospheric pressure, etc.) on a state of health of the population. The aim is to study the specific features of the hemodynamic, rheological and bioenergetic indicators in weather-sensitive patients with the arterial hypertension. Information and methods: 160 patients with the arterial hypertension grade 2 were examined (weather-sensitive patients - 100, nonweather-sensitive patients - 60). Complex clinical examination, tests on hemodynamic, rheological and bioenergetic indicators were conducted. Results. In many cases weather-sensitive patients with the arterial hyperten-sion grade 2 have a hyperkinetic kind of the bloodflow, contructive function’s overwork of the left ventricle, the arterial hypertension grade 3; the strengthening of aggregation and the reduction of the red cells deflectivity leading to extension of the blood viscosity in the microcirculatory bloodstream with tendency to thrombosis; the reduction of adenine nucleotides concentration in blood, the extention of skin electrial capacity. Conclusion. The onset of meteopathic reactions in patients with the arterial hypertension lead to the development of the negative hemodynamic status and systematic abnormalities of the microcirculation. Studing of the bioenergetic characteristic of the body tissues allows to predict meteopathic reactions and do their correction.

The article is devoted to the study of the medical and social characteristics of families of military retirees applied for dental orthopedic treatment. The following socio-demographic characteristics of the patients were studied: material status, level of education, financial status, access to benefits, employment. The researchis based on sociological research of military retirees’ self-reported health status materials (300 profiles). Most (93%) of the respondents live together with their spouse without children or with children. The majority (87.7%) assess the financial situation of the family as satisfactory. Among the working (31.3%) military retirees are satisfied with their work, in whole or in part, about 85.0%. Almost a third of respondents (37.5%) noted that they never pay for medical care; fewer say that they never pay for dental care (24.8%). Thus, dental care requires significantly higher costs.