| 摘要 |
FIELD: medicine, gynecology. ^ SUBSTANCE: in antenatal clinic it is necessary to predict the degree the severity of psychoautonomic disorders (SPD) after bilateral ovariectomy (BO). Moreover, it is important to detect in points the females' age, education, profession, financial, living and family conditions, quantity of children, disorders of menstrual function, character of sexual life, gynecological diseases and psychic traumas in anamnesis, mutual relations with sexual partners, reference to BO to summarize the points obtained. At the quantity of points ranged 13-21 one should predict light, at 22-30 - average, at 31-39 - severe SPD degree. On the 5th d after operation it is necessary to prescribe climacteric phytospecies at course to last for about 3-12 mo. Then in antenatal clinic one should carry out transcranial electrostimulation and acupuncture reflexotherapy. At predicting light-degree SPD hormonal therapy should not be prescribed. In case of average-degree SPD at the absence of uterus it is necessary to introduce estrogens or, in case of intact uterus -femoston per 1 tablet daily for 3 mo. At predicting severe-degree SPD one should additionally introduce thianeptin per 1 tablet thrice daily for 6 mo. The innovation provides differential system of curative-diagnostic and rehabilitation measures of postovariectomy syndrome and, thus, decreased autonomic-vascular disorders, psychoautonomic disorders and metabolic-endocrine ones against conventional therapy. ^ EFFECT: higher efficiency of therapy. ^ 2 cl, 2 ex |
