In the dental clinic GAUZ KSP No. 10, Volgograd examined 80 patients who applied for dental care at the age of 25-30 years. Before and after the dental appointment, blood pressure - systolic (SD), diastolic (DD), pulse rate (HR), and respiratory rate (RR) were measured. The indirect method of Star (1954) was used to calculate the minute volume of blood circulation (MVC), according to the formula of F. Poiseuille (1839), peripheral vascular resistance (PSS) was determined, according to the formula of N.N. Savitsky (1974) calculated the average hemodynamic pressure of the SRS. The vegetative status was calculated according to the values of the Kerdo vegetative index (VI). The patients were divided into 3 groups, depending on the type of ANS, sympathotonics in 36 patients (including 25 men and 11 women), normotonics 18 people (8 men and 10 women), vagotonics 26 people (5 men and 21 women). During a dental appointment, patients with a symptomatic type of autonomic regulation had high blood pressure (SD, DD), PD, and heart rate, IOC, SRS. With the vagotonic and normotonic type of autonomic regulation, DM and DD were within the normal range, but before taking the numbers were higher than after it. Analysis of hemodynamic parameters in patients during a visit to the dentist made it possible to identify the features of regulation and mechanisms of tension of adaptive capabilities depending on the type of the autonomic nervous system.
We studied the reporting and statistical documentation of the State Medical Institution "KSP No. 10" for the last 5 years (medical records, an advisory journal, laboratory tests, methods of treatment). 276 medical records were analyzed. The age of the patients ranged from 20 to 70 years. Among the treated patients, there were 104 men and 146 women. The analysis of the treatment of patients with diseases of the oral mucosa revealed that the structure of lesions of the oral mucosa is dominated by leukoplakia, decubital ulcer, glossalgia, lichen planus (CPL), chronic recurrent aphthous stomatitis (HRAS). Many patients associate the cause of glossalgia, CPL, and exfoliative cheilitis with stress and depression. The appointment of psychotherapeutic treatment in such patients led to positive dynamics and persistent remission.
Cancer of the lower jaw is one of the most common causes of the development of total defects. There are many indices and indicators to assess the quality of life of patients with this pathology, but they do not fully describe the features of their postoperative rehabilitation. The question of developing an evaluation criterion for the introduction of a special device in patients with subtotal defects of the lower jaw remains open.Material and methods. In the period from 2010 to 2021, 100 patients with subtotal defects of the lower jaw, aged 30 to 65 years old, who are being treated in the Department of Maxillofacial Surgery at the Department of Maxillofacial Surgery of the GBUZ SKKKB, were interviewed. All patients were divided into 2 groups of 50 people each. In the main rehabilitation was carried out using a special device to optimize the biomechanics of the lower jaw, in the control group, rehabilitation was carried out without one. The article presents the results of assessing the quality of life, which were carried out using a special questionnaire.Conclusions. This questionnaire makes it possible to assess the standard of living of patients using a special device at the stages of rehabilitation.
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