FREQUENTLY ILL CHILDREN: FEATURES OF THE CARDIOVASCULAR SYSTEM CONDITION AND PSYCHO-EMOTIONAL BACKGROUND
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Abstract
Children’s health condition has always been a matter of particular concern, especially lately. According to the results of long-term scientific observations conducted by the Institute of Hygiene and Prevention of Children, Adolescents and Young People’s Diseases over the past 30 years, the health of schoolchildren has a steady tendency to deterioration. The number of healthy children in the first grade decreased from 38.7 % to 5.2 %. A large proportion of acute respiratory disease cases occurs at pre-school age.
Purpose the of research – to study the peculiar features of the cardiovascular system condition and psycho-emotional background of the preschool-aged children often ill.
Material and methods. The study involved 433 children aged 5-7 years, of which 276 children were a group of frequently and lastingly ill children, 157 – occasionally ill children. All children were examined by a pediatrician; electrocardiogram (ECG) and electroencephalogram (EEG) were performed.
Results. The incidence of viral respiratory infections during the year of the observation was 1271 ± 3.08 per 1000 children. Records of ARVI cases were carried out on the basis of certificates from children's clinics. On the average, there were 4.5 cases per 1 child. The incidence was mainly due to ARVI. Somatic pathology accounted for only 3.3 % of the cases. Somatic pathology among frequently ill children was represented by functional cardiopathy (16.9 %), the consequences of perinatal encephalopathy (24.8 %), biliary dyskinesia (34.9 %), allergic reactions (29.2 %). In the group of frequently and lastingly ill children, the signs of functional cardiopathy, caused mainly by the violation of vegetative regulation and metabolic changes, were more common. In the psycho-emotional background, high-anxiety children prevailed – 66.7 % (p < 0.001).
Conclusion. Thus, clinical and laboratory signs of functional cardiopathies (41 %) were more common among frequently ill children, while only 8 % of occasionally ill children had the same signs. The state of chronic intoxication, accompanied by the usual hypoxia of the cerebral cortex, contributed to the prevalence of general brain changes among frequently ill children. The majority of those children (60 %) had a high level of anxiety, revealed only among 14 % of occasionally ill children.
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Author Biographies
Вера Петровна Вавилова,
Vavilova Vera Petrovna
MD, PhD, professor, professor, department of training of doctors of primary link of health care.
She is a member of the European Respiratory Society, the European Paediatric Association, the Chairman of the regional branch of the Union of Pediatricians of Russia in the Kemerovo region.
She has 26 years of experience in scientific and pedagogical practice and 34 years of professional work experience. Three Candidate dissertations were defended under her supervision.
She is the Head of the certification cycles and thematic enhancements for pediatricians, a member of the editorial boards of “Pediatric Pharmacology” (Moscow) and “Children's Otorhinolaryngology” (Moscow) journals. Four times a year she organizes international conferences.
She implements “Treatment and Rehabilitation School for Frequently and Protractedly Ill Children”. She also advises parents of children with psychosomatic pathology and has the international certificate of Wiesloch Institute for Systemic Solutions (Germany). Professor V. P. Vavilova is the supervisor of scientific studies of Russian and international levels. Her scientific researches are represented in several PhD dissertations (in 2008, 2010, 2014). There were published 200 scientific works and methodical guidelines. V. P. Vavilova was awarded the honorary diploma of the Ministry of Health and Social Development of the Russian Federation.
Александр Михайлович Вавилов,
doctor of medical sciences, docent, professor of the department of propaedeutics of internal diseasesИрина Александровна Нечаева,
candidate of medical sciences, head of the department of functional diagnosticsВиталий Анатольевич Тюлюкин,
pediatricianТатьяна Александровна Караульнова,
candidate of medical sciences, head of the pediatric departmentArticle Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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