FEATURES OF INDICATORS OF ARTERIAL PRESSURE IN CHILDREN WITH CHRONIC GASTRODUODENAL PATHOLOGY

Abstract

Over the past 25 years, the prevalence of cardiovascular diseases, includinghypertension, has tripled among children in Ukraine. The children of the school age aremost prone to the development of arterial hypertension, which is determined by thecharacteristic disorders of the vegetative function for this period of childhood.The aim of our study - to evaluate the peculiarities of the blood pressure level in childrenof school age with chronic gastroduodenal pathology.Material and methods. 120 children who were hospitalized in the gastroenterologicaldepartment of the Сity children's clinical hospital were examined. All children weredivided into two groups: the 1-st group (60 children) included children with chronicsuperficial gastritis and gastroduodenitis; the 2-nd group (60 children) consisted ofchildren with chronic hyperplastic and erosive gastroduodenitis.To assess the level of blood pressure, children underwent tonometry three times, with aninterval of 3 minutes, on the brachial artery of the left hand. Results were evaluated bypercentile nomograms relative to age, gender and height.Results. In most children of the 1-st group, the systolic blood pressure level was in therange of 105-120 mm Hg and the level of diastolic blood pressure was 50-60 mm Hg. In alarger number of children of the 2-nd group, the systolic blood pressure level was within110-120 mm Hg, diastolic - was in the range of 50-70 mm Hg. In children of the 2-ndgroup, in contrast to children of the 1-st group, significantly more cases of increasedindicators of both systolic and diastolic blood pressure were determined. When assessingthe blood pressure level in children according to percentile tables, it has been foundthat in the 2-nd group there is a greater tendency to arterial hypertension than in the 1-st group. Thus, in children of the 2-nd group more often were observed: 1) a significantincrease in the level of systolic blood pressure and diastolic blood pressure 2) a greaternumber of children with an increased level of blood pressure comparing to the childrenof the 1-st group.Conclusions. This may be due to the presence of a more pronounced organic lesion ofthe mucous membrane of the stomach and duodenum.