Akusherstvo i ginekologii͡a
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Akush Ginekol (Sofiia) · Jan 2004
Randomized Controlled Trial Clinical Trial[Postoperative nausea and vomiting--possibility to prevent after long-lasting gynecological operations].
The aim of this study is to establish the possibilities for effective influence upon the postoperative nausea and vomiting and to summarize the existing literature data. The observation is carried out upon 361 patients with performed hysterectomy, who were hospitalised at the Department of Obstetrics and Gynecology of the University Hospital "Saint George" Plovdiv for the period January-December 2003 year. We performed randomized study about the effect of the application of dexamethasone used in the introduction of anaesthesia and its effect upon the postoperative nausea and vomiting. Our observation confirms the literature data about the safe and effective application of dexamethasone as a method of choice for minimizing the frequency of the postoperative nausea and vomiting
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Akush Ginekol (Sofiia) · Jan 2004
Clinical Trial Controlled Clinical Trial[Profenid or veral for the postoperative analgesia in gynaecology].
We present our results for study and assessment of efficacy in accordance with postoperative analgesia with single dose Profenid (ketoprofen) or Veral (diclofenac) administrated per rectum. We studied 60 patients divided in two groups--group 1 (analgesia with Profenid) and group 2 (analgesia with Veral). All patients received standard endotracheal anesthesia for elective gynaecologic operations. We have assessed quality of the postoperative analgesia by: Ta--time of analgesia (time for first want of analgesics by patient), VRS (verbal rating score), VAS (visual analogue score), PONV (postoperative nausea and vomiting) and sedation rate.
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Akush Ginekol (Sofiia) · Jan 2004
[Respiratory and hemodynamic monitoring during laparoscopy and two computer-controlled TCI anesthesiologic technique].
Forty women under general anaesthesia (computer-controlled TCI-infusion) in two groups were subjected to non-invasive haemodynamic monitoring together with arterial gasometry and capnography. Simultaneous continuous monitoring of aortic blood flow and PetCO2 allows an undelayed recognition of major circulatory disturbances, before significant changes in heart rate and arterial pressure occur.
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Akush Ginekol (Sofiia) · Jan 2004
[Intranatal asphyxia, prematurity and congenital infection--their role for brain damage in very low birth weight newborns].
The authors examined 273 newborns weighing less than 1500 g. Their birth weight was very low (1001-1500 g) in 179 but extremely low (< 1000 g) in 94 newborns. Neurological damage was proved in 101 cases (36.99%). ⋯ The severe degree of prematurity (and immaturity) remained the only causative factor in the rest 64 premature newborns (63.37% of the cases). The results from the distribution of the neurological lesions according to the gestational age were also considered. Usage of monofactorial regression models detected statistically significant differences between asphyxia, infection and brain damage in the newborns of different gestational age.
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Akush Ginekol (Sofiia) · Jan 2004
Comparative Study[Comparative study of the endometrial pathology using flexible ambulatory hysteroscopy of patients treated with Tamoxifen].
There were checked out 32 women in concern with genital bleeding receiving Tamoxifen 20 mg daily for a period of an year. The above mentioned were receiving this medicine because of breast cancer with the help of flexible office hysteroscopy. ⋯ In group II--patients without Tamoxifen was found endometrial pathology in 69%. As a result of this investigation the authors confirm that Tamoxifen increase the risk of endometrial pathology.