FREQUENTLY ILL CHILDREN: FEATURES OF THE CARDIOVASCULAR SYSTEM CONDITION AND PSYCHO-EMOTIONAL BACKGROUND

• Main Authors: Вера Петровна Вавилова, Александр Михайлович Вавилов, Ирина Александровна Нечаева, Виталий Анатольевич Тюлюкин, Татьяна Александровна Караульнова
• Format: Article
• Language: Russian
• Published: The Publishing House Medicine and Enlightenment 2019-10-01
• Series: Мать и дитя в Кузбассе
• Subjects: часто болеющие дети; функциональная кардиопатия; нарушение ритма; уровень тревожности
• Online Access: http://mednauki.ru/index.php/MD/article/view/385

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.