Influence of different volume of hysterectomy is on the state of the vegetative nervous system and quality of life of women of perimenopausal age

The objective: to learn influence of hysterectomy of different volume on the state of the vegetative nervous system and quality of life of women of perimenopausal age, and also possibilities of correction of these violations. Materials and methods. 150 women of perimenopausal period, middle age of which made 46,9±1,1 years, were inspected. to 120 women with different gynaecological diseases was perfomed hysterectomy, thus a 1 clinical group was made by 60 patients which was executed hysterectomy without appendages; 60 patients after hysterectomy with appendages were 2 clinical group, and in the group of control 30 women entered without operative treatment in anamnesis. Possibilities of correction of violations from the side of the vegetative nervous system women after hysterectomy had studied in 40 patients which had those or other vegetative changes: 15 women made a group A also 25 – group B. For the correction used two variants: gestagens (livial) or estrogen (divigel). The complex of methods of researches included clinical instrumental, laboratory, psychological and statistical. Results. At research of the vegetative providing a normal level found out in 20,0% and 13,3% respectively on groups. The surplus providing of activity found out in 26,7% and 23,3%. As compared to it considerably more frequent there was the insufficient vegetative providing – 53,3% and 63,3% respectively. The results of the conducted researches testify that the use of hormone-replacement therapy during 3 months allowed to normalize activity of the vegetative nervous system in 20,0% patients, and in 6 months – respectively in 36,7%. In addition we succeeded to reduce frequency of syndrome of vegetative dystonia from 66,7% to 43,3% in 3 months and to 23,3% – in 0,5.Conclusions.The changes of the state of the vegetative nervous system depend on the volume of the carried operative interference and carry the expressed enough character. Specifies findings on the necessity of development of complex of rehabilitation measures for patients which carried hysterectomy, thus taking into account nascent violations from the side of the vegetative nervous system and quality of life. The use of different variants of hormone-replacement therapy allows to reduce the degree of expressed of violations of the vegetative nervous system improvement of quality of life for the patients of this group.Keywords: hysterectomy, vegetative nervous system, quality of life, perimenopausal age.