Bashmakova N V
Lik Sprava. 1994 Sep-Dec(9-12):113-8.
Particular features have been studied of clinical course of neurocirculatory dystonia (NCD) in 604 patients with chronic focal infection (ChFI) of upper respiratory tract. Comprehensive paraclinical examination of patients included the analysis of actual psychoemotional state and certain psychophysiological parameters such as time for simple and complex sensomotor reaction, memory, attention; status of vegetative regulation (tone, reactivity, vegetative security of activity) and its neurohumoral and metabolic provision; adaptive potentialities of vegetative, neuroendocrine and cardiorespiratory systems to mental, psychoemotional and physical demands; tonsillocardiac and palatocardiac reflexes according to an original methodology. Described for the first time are two clinico-pathogenetic variants ("peripheral" and "central") of NCD in patients with ChFI, which can be distinguished by severity of clinical manifestations, as well as by degree of disturbances in homeostasis and adaptation in vegetative, neurohumoral, somatic and psychoemotional spheres. Practical significance of the aforementioned variants consists in feasibility of employing pathogenetic approaches to the treatment of NCD and ChFI patients. Pathogenetic method of treatment of patients with NCD and ChFI is discussed.
对604例患有上呼吸道慢性局灶性感染（ChFI）的神经循环性肌张力障碍（NCD）患者的临床病程的特殊特征进行了研究。对患者进行的综合辅助检查包括分析实际心理情绪状态和某些心理生理参数，如简单和复杂感觉运动反应时间、记忆力、注意力；植物神经调节状态（张力、反应性、活动的植物神经安全性）及其神经体液和代谢供应；植物神经、神经内分泌和心肺系统对心理、心理情绪和身体需求的适应潜力；按照一种原创方法检测扁桃体心脏反射和腭心脏反射。首次描述了ChFI患者中NCD的两种临床-发病机制变体（“外周型”和“中枢型”），它们可通过临床表现的严重程度以及植物神经、神经体液、躯体和心理情绪领域内稳态和适应的紊乱程度来区分。上述变体的实际意义在于对NCD和ChFI患者采用发病机制方法进行治疗的可行性。讨论了NCD和ChFI患者的发病机制治疗方法。
