Preview

Health and Ecology Issues

Advanced search

PSYCHOVEGETATIVE STATE IN PATIENTS WITH BRONCHIAL ASTHMA AND SPECIAL APPROACH IN BRONCHOLITIC THERAPY

https://doi.org/10.51523/2708-6011.2010-7-2-10

Abstract

Among123 patients with asthma: 59 (47,9 %) had increase sympathetic activity, they complained of cough with dry sputum (the first group); 44 (35,8 %) had increase parasympathetic activity and prolonged cough with large amount of sputum (the second group); 20 (16,3 %) had no increase in parasympathetic either sympathetic activity (the third group). The first group showed anxiety, the second group had depression. According to obtained data the bronchial asthma treatment should be with different approach as for the first group medication should include anxiolytics and decreased doses of beta-2-agonists, the patients of second group should receive antidepressant, anticholinergic and mycolytic drugs. The differentiated approach to bronchial asthma treatment allows to obtain reduction of the disease in shorter terms and helps to reduce side action of beta-2-agonists (arterial pressure increase, tachycardia, anxiety etc.).

About the Authors

Z. P. Lemeshevskaya
Grodno State Medical University
Belarus


V. P. Vodoevich
Grodno State Medical University
Belarus


References

1. Ануашвили, А. Н. Основы психологии / А. Н. Ануашвили. - М., 2001. - 136 с.

2. Асимметрия лица и компьютерная диагностика психологического типа личности / С. В. Михальчик [и др.] // Медицинские новости. - 2004. - № 7. - С. 38-43.

3. Вейн, А. М. Вегетативные расстройства. Клиника, диагностика, лечение / А. М. Вейн. - М.: МИА, 1998. - 346 с.

4. Психовегетативные нарушения у больных бронхиальной астмой / А. М. Убайдуллаева [и др.] // Терапевтический архив. - 1996. - № 3. - С. 44-47.

5. Черняк, Б. А. Агонисты β2-адренергических рецепторов в терапии бронхиальной астмы: вопросы эффективности и безопасности / Б. А. Черняк, И. И. Воржева // Consilium Medicum. - 2006. - Т. 8, № 10. - С. 32-38.

6. Barnes, P. G. Neurogenic inflammation in the airways / P.G. Barnes // Respir. Physiol. - 2001. - Vol. 125. - P. 145-154.

7. Broide, H. D. Research points to new techniques for noninvasive asthma monitoring CME / H. D. Broide // Allergy, Asthma and Immunology. - 2003. - № 12. - P. 27-31.

8. Control of airway caliber by autonomic nerves in asthma and in chronic obstructive pulmonary disease / J. C. De Jongste [et al.] // American Rev. Respir. - 1991. - № 143. - P. 1421-1426.

9. Efthimiadis, A. Induced sputum: time from expectoration to processing / A. Efthimiadis [et al.] // Eur Respir. - 2002. - № 19. - P. 706-708.

10. Mental disorders and asthma in the community / R. D. Goodwin [et al.] // Arch. Gen. Psychiatry. - 2003. - № 6. - P. 1125-1130.

11. Honig, P. K. Drug interactions between prescribed and over-the-counter medication / P. K. Honig, B. K. Gillespie // Drug Saf. - 1995. - № 13. - P. 296-303.

12. Jartti, T. Asthma, asthma medication and autonomic nervous dysfunction / T. Jartti // Clin. Physiol. - 2001. - Vol. 21. - P. 260-269.

13. Mazzone, S. B. Evidence for differential reflex regulation of cholinergic and noncholinergic parasympathetic nerves innervating the airways / S. B. Mazzone, B. J. Canning // Am. J. Respir. Crit. Care Med. - 2002. - Vol. 165. - P. 1076-1083.

14. Zaubler, T. S. Panic disorder in the general medical setting / T. S. Zaubler, W. Katon // J. of Psychosomatic Research. - 1998. - Vol. 44. - P. 25-42.


Review

For citations:


Lemeshevskaya Z.P., Vodoevich V.P. PSYCHOVEGETATIVE STATE IN PATIENTS WITH BRONCHIAL ASTHMA AND SPECIAL APPROACH IN BRONCHOLITIC THERAPY. Health and Ecology Issues. 2010;(2):47-53. (In Russ.) https://doi.org/10.51523/2708-6011.2010-7-2-10

Views: 233


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)