Complex estimation of adaptation abilities of the organism in children using the indices of responsiveness of the cardiovascular system and characteristics of EEG

Abstract

Based on the complex analysis of the data of cardiointervalographic (CIG) and rheoencephalographic (REG) examination of 37 healthy children and 63 children suffering from bronchial asthma (BA), we identified the most informative indices characterizing reactions of the cardiovascular system under conditions of an active orthostatic test (coefficient of autonomic responsiveness and index of responsiveness of the vessels). We conclude that the relation between the values of these indices allows one to identify the level of strain of the regulatory mechanisms and the state of the adaptation systems of the organism, which determine the adequacy of control of the autonomic sphere. The following gradations can be classified: an optimum level, compensated adaptation disorders (strain and overstrain of the regulatory mechanisms), and decompensated adaptation disorders (exhaustion of the regulatory mechanisms and failure of adaptation). Among clinically healthy children, we found a risk group (about 30%) with manifestations of lowering of the organism’s adaptive abilities. It is shown that groups of healthy children and children suffering from BA differ from each other in the shares of different patterns of EEG and variants of EEG responses to a hyperventilation test. Qualitative and quantitative characteristics of EEG in children, despite high interindividual variability, clearly correlate with the state of adaptation processes. The expedience of a complex approach in estimating the adaptation ability of the child based on the data of CIG, REG and EEG examinations is discussed.