<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2013-10-2-8</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1367</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>БЛОКАДА ПОВЕРХНОСТНОГО ШЕЙНОГО СПЛЕТЕНИЯ КАК КОМПОНЕНТ ОБЩЕЙ КОМБИНИРОВАННОЙ АНЕСТЕЗИИ ПРИ ОПЕРАЦИЯХ НА СОННЫХ АРТЕРИЯХ</article-title><trans-title-group xml:lang="en"><trans-title>CERVICAL PLEXUS BLOCADE AS A COMPONENT OF GENERAL COMBINED ANESTHISIOLOGY IN SURGERY OF CAROTID ARTERIES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипенко</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipenko</surname><given-names>D. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Марочков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Marochkov</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Гомельский областной клинический кардиологический диспансер</institution></aff><aff xml:lang="en"><institution>Gomel Regional Clinical Cardiologic Dispensary</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Могилевская областная больница</institution></aff><aff xml:lang="en"><institution>Mogilev Regional Hospital</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>28</day><month>06</month><year>2013</year></pub-date><volume>0</volume><issue>2</issue><fpage>44</fpage><lpage>51</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Осипенко Д.В., Марочков А.В., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Осипенко Д.В., Марочков А.В.</copyright-holder><copyright-holder xml:lang="en">Osipenko D.V., Marochkov A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/1367">https://journal.gsmu.by/jour/article/view/1367</self-uri><abstract><p>Проведено проспективное, рандомизированное исследование для оценки эффективности сочетания общей многокомпонентной анестезии на основе пропофола и фентанила с блокадой поверхностного шейного сплетения при оперативных вмешательствах на сонных артериях. Выполнено 60 операций, проведен анализ изменений гемодинамики, биспектрального индекса, кортизола плазмы крови, интенсивности болевого синдрома и количества периоперационных осложнений. Установлено, что предложенная методика анестезии является более эффективной и безопасной, а также обеспечивает оптимальное обезболивание в послеоперационном периоде.</p></abstract><trans-abstract xml:lang="en"><p>To estimate the efficacy of the combination of general multicomponent anesthesiology based on propofol and fentanyl and blocade of cervical plexus in surgery of carotid arteries, prospective randomized study has been carried out. 60 operations were performed, the changes of hemodynamics, biospectral index, cortisol blood plasma, pain syndrome intensity and number of post-surgery complications were analyzed. It was determined that the proposed anesthesiology method is more effective and safe and ensures optimal pain relief in the post-operative period.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>блокада шейного сплетения</kwd><kwd>пропофол</kwd><kwd>фентанил</kwd><kwd>сонные артерии</kwd><kwd>cervical plexus blockade</kwd><kwd>propofol</kwd><kwd>fentanyl</kwd><kwd>carotid arteries</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Суслина, З. А. Сосудистые заболевания головного мозга: Эпидемиология. Основы профилактики / З. А. Суслина, Ю. Я. Варакин, Н. В.Верещагин. - М.: МЕДпресс-информ, 2006. - 256 с.</mixed-citation><mixed-citation xml:lang="en">Суслина, З. А. Сосудистые заболевания головного мозга: Эпидемиология. Основы профилактики / З. А. Суслина, Ю. Я. Варакин, Н. В.Верещагин. - М.: МЕДпресс-информ, 2006. - 256 с.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis / North American Symptomatic Carotid Endarterectomy Trial Collaborators // The New England Journal of Medicine. - 1991. - Vol. 325, № 7. - P. 445-453.</mixed-citation><mixed-citation xml:lang="en">North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis / North American Symptomatic Carotid Endarterectomy Trial Collaborators // The New England Journal of Medicine. - 1991. - Vol. 325, № 7. - P. 445-453.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">European Carotid Surgery Trialists' Collaborative Group. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST) / European Carotid Surgery Trialists' Collaborative Group // The Lancet. - 1998. - Vol. 351, № 9113. - P. 1379-1387.</mixed-citation><mixed-citation xml:lang="en">European Carotid Surgery Trialists' Collaborative Group. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST) / European Carotid Surgery Trialists' Collaborative Group // The Lancet. - 1998. - Vol. 351, № 9113. - P. 1379-1387.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Spargo, J. R. Local anaesthesia for carotid endarterectomy / J. R. Spargo, D. Thomas // Continuing Education in Anaesthesia, Critical Care &amp; Pain. - 2004. - Vol. 4, № 2. - P. 62-65.</mixed-citation><mixed-citation xml:lang="en">Spargo, J. R. Local anaesthesia for carotid endarterectomy / J. R. Spargo, D. Thomas // Continuing Education in Anaesthesia, Critical Care &amp; Pain. - 2004. - Vol. 4, № 2. - P. 62-65.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Knighton, J. D. Carotid endarterectomy A survey of UK anaesthetic practice / J. D. Knighton, M. D. Stoneham // Anaesthesia. - 2000. - Vol. 55, № 5. - P. 475-488.</mixed-citation><mixed-citation xml:lang="en">Knighton, J. D. Carotid endarterectomy A survey of UK anaesthetic practice / J. D. Knighton, M. D. Stoneham // Anaesthesia. - 2000. - Vol. 55, № 5. - P. 475-488.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Шмигельский, А. В. Анестезия при каротидной эндартерэктомии / А. В. Шмигельский, А. Ю. Лубнин // Анестезиология и реаниматология. - 2008. - № 2. - С. 45-50.</mixed-citation><mixed-citation xml:lang="en">Шмигельский, А. В. Анестезия при каротидной эндартерэктомии / А. В. Шмигельский, А. Ю. Лубнин // Анестезиология и реаниматология. - 2008. - № 2. - С. 45-50.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">GALA Trial Collaborative Group. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial / GALA Trial Collaborative Group // Lancet. - 2008. - Vol. 372, № 9656. - P. 2132-2142.</mixed-citation><mixed-citation xml:lang="en">GALA Trial Collaborative Group. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial / GALA Trial Collaborative Group // Lancet. - 2008. - Vol. 372, № 9656. - P. 2132-2142.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Rerkasem, K. Local versus general anaesthesia for carotid endarterectomy / К. Rerkasem, P. M. Rothwell // Cochrane Database Syst Rev. - 2008. - № 4.</mixed-citation><mixed-citation xml:lang="en">Rerkasem, K. Local versus general anaesthesia for carotid endarterectomy / К. Rerkasem, P. M. Rothwell // Cochrane Database Syst Rev. - 2008. - № 4.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Howell, S. J. Carotid endarterectomy / S. J Howell // British Journal of Anaesthesia. - 2007. - Vol. 99, № 1. - P. 119-131.</mixed-citation><mixed-citation xml:lang="en">Howell, S. J. Carotid endarterectomy / S. J Howell // British Journal of Anaesthesia. - 2007. - Vol. 99, № 1. - P. 119-131.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Малрой, М. Местная анестезия: Иллюстрированное практическое руководство / М. Малрой; пер. с англ. С. А. Панфилова; под ред. проф. С. И. Емельянова. - М.: БИНОМ. Лаборатория знаний, 2005. - 301 с.</mixed-citation><mixed-citation xml:lang="en">Малрой, М. Местная анестезия: Иллюстрированное практическое руководство / М. Малрой; пер. с англ. С. А. Панфилова; под ред. проф. С. И. Емельянова. - М.: БИНОМ. Лаборатория знаний, 2005. - 301 с.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Марочков, А. В. Измерение острой боли в клинической практике: монография / А. В. Марочков, Д. А. Якимов. - Могилев: УО «МГУ им. А. А. Кулешова», 2011. - 188 с.</mixed-citation><mixed-citation xml:lang="en">Марочков, А. В. Измерение острой боли в клинической практике: монография / А. В. Марочков, Д. А. Якимов. - Могилев: УО «МГУ им. А. А. Кулешова», 2011. - 188 с.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
