Phonoentrography as component of diagnostics of the gastrointestinal failure syndrome in newborns in neonatal intensive care

Abstract

Introduction. Existing scale for assessing gastrointestinal failure syndrome are not adaptive to the newborns and are sufficiently subjective, which leads to the search for means of their objectification. Objective. Objectification of the diagnosis of gastrointestinal failure syndrome in newborns on the basis of the analysis of the results of phonoenterography. Materials and methods. The study group consisted of 36 newborns in the intensive care unit. The phonoentenography was performed 10 minutes before the diagnostic enteral load and 15 minutes after it. Results. In newborns who need intensive care, there is an hypo type of motorized-evacuation function of the intestine. In these patients, the reduction in the intensity of sound phenomena reaches 100% in the baseline and 94.44% - in stimulation; reduction of frequency - 100%, both in the base, and on the stimulated indicators. I grade of gastrointestinal failure syndrome. Indexes of phonoenterogram are within the control values or statistically do not differ from them; The response to stimulation is statistically significant both in terms of strength and frequency of sound phenomena. II grade of gastrointestinal failure syndrome. Indexes of phonoenterogram are within the control values or statistically do not differ from them; the response to stimulation is statistically significant both in terms of strength and frequency of sound phenomena. III grade of gastrointestinal failure syndrome. Indexes of phonoenterogram less than control values; a statistically significant increase in the intensity of sound phenomena in response to stimulation, and the lack of change in frequency indexes. IV grade of gastrointestinal failure syndrome. Indexes of phonoenterogram less than control values; statistically significant response to stimulation is absent both by force, and by the frequency of sound phenomena. Conclusion. The results of phonoenterography show the presence and severity of gastrointestinal failure syndrome in newborns in neonatal intensive care.