反流合并消化系统功能障碍或围产期神经系统损害患儿出生前6个月骨病状况的比较

E. A. Eremina, T. B. Serdyukova, Y. Kuzmina
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摘要

介绍。近年来,儿童消化系统功能障碍(FD DS)的患病率有所增加。反流是FD DS最常见的表现之一,也是围产期神经系统损害(PD NS)的症状之一。由于仪器研究方法的使用有年龄限制,FD DS的诊断最困难的是新生儿和前半生儿童。躯体功能障碍的骨科诊断可以补充此类儿童的临床和仪器研究方法。目前还没有研究评估患有FD DS和PD NS的儿童在出生后前6个月的骨病状况。本研究的目的是评估反流儿童出生后前6个月的骨科状况,并比较消化系统功能障碍或围产期神经系统损伤儿童的骨科状况。材料和方法。对50例1 ~ 6个月的反流患儿进行了检查。根据纳入研究的标准,将患者分为两组,每组25人-诊断为FD DS或PD NS,植物-内脏综合征的存在。收集记忆信息。进行单次骨科检查,根据检查结果比较两组患儿的骨科状况。我们发现在FD DS患儿中最常见的是颈部区域(躯体部分)的区域性躯体功能障碍和胸膈及乙状结肠的局部躯体功能障碍。局部性躯体功能障碍在PD - NS和植物-内脏综合征患者中最为常见,可能与中枢神经系统的病理发展有关。所获得的结果允许推荐骨科诊断来澄清反流的可能原因,目的是在患有FD DR和PD NS的前六个月儿童中进行后续的骨科矫正。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the osteopathic status of children in the fi rst six months of life with regurgitation with functional disorders of the digestive system or perinatal damage of the nervous system
Introduction. Recently, the prevalence of functional disorders of the digestive system (FD DS) in children has increased. Regurgitation is one of the most common manifestations of FD DS, but also one of the symptoms of perinatal damage to the nervous system (PD NS). The most diffi cult diagnosis of FD DS is in newborns and children of the fi rst half of life, since there are age restrictions in the use of instrumental research methods. Osteopathic diagnostics of somatic dysfunctions can complement clinical and instrumental research methods in such children. No studies have been conducted to assess the osteopathic status of children in the fi rst six months of life with FD DS and PD NS. The aim of the study is to assess the osteopathic status of children in the fi rst six months of life with regurgitation and to compare the osteopathic status in children with functional disorders of the digestive system or perinatal NS damage.Materials and methods. There were examined 50 children aged 1 to 6 months with regurgitation. The patients were divided into 2 groups of 25 people in accordance with the criteria for inclusion in the study — the presence of a diagnosed FD DS or PD NS, vegeto-visceral syndrome. Anamnestic information was collected. A single osteopathic examination was conducted, according to the results of which the osteopathic status of children of both groups was compared.Results. It was found that regional somatic dysfunction of the neck region (somatic component) and local somatic dysfunctions of the thoracic diaphragm and sigmoid colon are the most common in the group of children with FD DS. Regional somatic dysfunctions of the head and neck region are the most common in patients with PD NS and vegeto-visceral syndrome, which could be associated with the development of central nervous system pathology.Conclusion. The obtained results allow to recommend the osteopathic diagnostics to clarify the possible cause of regurgitation with an aim to its subsequent osteopathic correction in children of the fi rst six months of life with FD DR and PD NS.
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