Sergeenko N I, Solov'ev Iu A
Anesteziol Reanimatol. 1993 May-Jun(3):23-6.
Using a complex of techniques, the state of autonomic nervous system, nociceptive reactivity, emotional status and endocrine reactions have been studied in 108 patients with preoperative emotional stress. It has been established that the immediate preoperative period in young patients is characterized by predominance of sympathetic nervous system tone associated with hypercortisolemia and high nociceptive reactivity. Sedative effect of premedication with tranquilizers is poorly realized. Elderly patients in analogous conditions are characterized by predominance of parasympathicotonia, low autonomic, emotional, endocrine and nociceptive reactivity.
运用一系列复杂技术，对108例术前存在情绪应激的患者的自主神经系统状态、伤害性反应性、情绪状态和内分泌反应进行了研究。已证实，年轻患者术前即刻的特点是交感神经系统张力占优势，伴有高皮质醇血症和高伤害性反应性。术前使用镇静剂的镇静效果不佳。处于类似状况的老年患者的特点是副交感神经张力占优势，自主、情绪、内分泌和伤害性反应性较低。
