METHOD FOR PAIN MANAGEMENT FOLLOWING TOTAL HIP REPLACEMENT IN DEFORMING COXARTHROSIS

摘要

FIELD: medicine.;SUBSTANCE: in the preoperative period, a patient is questioned to determine a degree of manifestation of the length of pain syndrome caused by the presence of deforming coxarthrosis. A diastolic blood pressure and a pulse rate are determined to assess the autonomic nervous system activity by calculating a Kerdo index. A normal autonomic neurotony is presented by the range of values -10≤Kerdo ind.≤10, a prevailing parasympathetic autonomic neurotony is shown by the values of Kerdo ind.-10, and a sympathetic autonomic neurotony - be the values of Kerdo ind.10. The venous blood is sampled to analyse the hemocoagulation. The derived parameters are evaluated according to the 3-score scale. The total score is calculated, and the results are used for the purpose of the postoperative pain management using the drug preparations. If the total score is 4-6, a non-selective cyclooxygenase inhibitor is used; the total score of 7-9 enables a selective neuronal K+ channel activator to be preferred, while the total score of 10-12 provides choosing a selective cyclooxygenase-2 inhibitor.;EFFECT: invention provides the more effective postoperative pain management by a rational choice of the drug preparation adequate to functional disorders resulted from the pain syndrome.;3 ex