The work of Wilson et al., (1970), BI Tkachenko (1971), GP Conradie (1973), P.
Johnson (1982), Dudanov IP (1998) proved that the regulation of regional blood flow
includes diverse effects of nerve control, mainly
way - from the SNA. As is well known, has a vasoconstrictor effect
(GP Konradi, 1973; B. Falco et al. 1976; VN Volkov., 1992; Norberg
IA, 1970, etc.) . Proved that the constrictor fibers distributed unevenly
body in various vascular areas, in connection with what has
place varying degrees of vasoconstriction in the regions.
In a typical localization of appendix (CHO) is located in the right iliac fossa
next to the iliac vessels, which are known to be densely
criss-crossing fibers of the SNA. Irritation of the latter, which naturally occurs as a result of acute inflammation
CHO, causing the arterial constrictor response
artery. Identifying them will increase the objectivity of the reflex symptoms of OA.
The available literature data on this are not available. If you consider the fact,
that one of the conditions for gipodiagnostiki OA is that Cho is in
so-called "silent" area of the abdominal cavity, it is of great scientific and practical interest
and serves as the basis for the search ways of objectification
additional reflections.
Material and methods.
Identification and study of vascular reactions of the lower extremities in OA
carried by the following method, the essence of which lies in the fact that the typical localization
CHO is located in the right iliac fossa near
iliac vessels, which are known to be densely criss-crossing fibers of the SNA.
irritation last due to acute inflammation causes CHO constrictor response
main artery.
When a patient in a hospital, after a 10-15-minute stay at rest in
position of a patient lying down, round brass electrodes with a diameter of 3 cm were attached to
upper third of the leg and rear foot on both sides, that is the right and left
limb. Rheogram recorded at rest and after the fast flexor
limb movements in hip and knee joints (knees to bring
abdomen) within 30 seconds. Logical content of the above-described
functional test is the stimulation of pain impulse and, consequently,
gain of the reflex of its consequences.
reovazogramm analysis was performed on the shape of the curve, duration anakroticheskoy
phase as a percentage of one cardiac cycle (A%) and blood flow indicator: K
= A x 100 / a%, where A - height of the wave amplitude of the fundamental rheographic in ohms.
quantitative analysis were also subjected to the following indicators rheograms: T -
duration of the cardiac cycle (the time of writing rheographic curve) T1 - time
rheographic distribution curve in seconds ; T1 - time distribution
rheographic curve as a percentage, a (s) - duration anakroticheskoy phase
seconds; R (ohms) - an indicator of complex resistance in ohms. Speed
the chart at the time of writing - 5 mm / sec.
rheographic Control studies were performed in 16 healthy individuals aged
22-46 years. They were motivated not only individual characteristics
equipment used by various authors, but also the fact that in the available literature
we have not met the specific characteristics of rheograms lower extremities,
recorded at a time, synchronously.
Reovazogramma in healthy people has the form of regular homogeneous waves with a steep rise
systolic wave, acuminate apex, gentle descent. At
decaying limb usually has 2-3 additional tooth, located in the middle or lower part of
. On both sides rheogram were similar in shape.
Should be noted that the control group before and after exercise form
rheograms almost unchanged.
Methods symmetric longitudinal rheovasography - examined 44 patients, including
including acute catarrhal appendicitis (RCA) - 11, acute appendicitis phlegmonous (Ofa)
- 21, acute gangrenous appendicitis (RSA) - 12 patients. In patients with OKA
only after exercise in 8 of 11 patients in the right lower limb
curve was flattened with delayed systolic rise, rounded top and
with smooth dicrotic notch.
With Ofa reovazogrammy shape right in a peaceful situation has changed in 14
from 21 patients: in 8 it was presented in the form of an arch (a slow systolic rise
, round top and a gentle slope ), 6 - had the shape of the burst (fast
ascent and descent, jag). The left curve shape has not changed. After
exercise the right reovazogramma all patients changed: 13 patients
she looked like a dome, and at 8 - the shape of the burst.
the left tibia in 7 patients form reovazogrammy also been changed. When Governor
form reovazogrammy right leg in all patients at rest was flattened. The left
reovazogramma changed their shape in 8 patients out of 12 similar changes in
right lower limb. After exercise, both right and left
reovazogrammy were flattened, smooth dicrotic notch in all patients
governors.
Consequently, qualitative analysis reovazogrammy proves that as
increase of inflammatory and destasctive processes in CHO
increases and the number of cases with different forms rheogram changes in the first place - with
right lower limb. After exercise, these changes occur at
OKAmorethan half of patients, with Ofa and governors - all patients, and for
governors - and in a quiet position.
patients with acute catarrhal appendicitis analysis of quantitative indicators
suggests that the propagation time rheographic wave in seconds
and a percentage of the cardiac cycle, both right and left alike, and
at rest and after exercise (tabl.15). There was a significant lengthening
anakroticheskoy phase right after the functional test to 15,28 ± 1,39% vs.
14,80 ± 0,86% in the control group (P <0,05) 13,98 ± 1,048% the patient in a quiet
position (P <0.05).
value anakroty and vascular tone are directly proportional
dependence, with an increase in tonic tension vessels
anakroty expectancy increases and blood flow, respectively, slowed down - write HH
Yaasllin (1967), O. Korkushko (1983), VP Bisyarina. (1986). Consequently, patients
OKA functional test comes after peripheral vasospasm
right lower limb.
From literature review it is clear that those responsible for vascular tone is
sympathetic nervous system, rendering vasoconstrictor effect (VZ
Parin. 1965; GP Konradi, 1971; AM Chernukha . 1971; VA Negovsky, 1977;
BI Tkachenko, 1984; Folikov AB and O. Neill, 1976; P. Johnson, 1982).
Consequently, peripheral spasm indicates an increase in SNS tone,
caused, most likely, increased pain stimulation of peripheral
fibers after exercise. Blood flow index and the amplitude
rheographic waves in ohms significantly decreased after exercise
also in the right lower extremity.
Table 1. Performance reovazogrammy (M