TO THE QUESTION OF VEGETATIVE BACKGROUND IN CHILDREN WITH CHRONIC GASTRODUODENAL PATHOLOGY

Abstract

Summary. It is proved that the vegetative dysfunction, which originated in childhood or adolescence, becomes an unfavorable background and a harbinger of many diseases, including chronic ones. In connection with the increase in the frequency of autonomic dysfunction in children, there is a need in recent years to study this problem. Objective. To study the state of the autonomic nervous system in children with chronic gastroduodenal pathology.Materials and methods. 120 school-age children were examined, who were hospitalized in the gastroenterological department of the city children's clinical hospital in Chernivtsi. Children are divided into two groups: the main one (60 people with chronic gastroduodenal pathology), and the control group (60 people with functional diseases of the gastrointestinal tract).During the questioning of children, using the questionnaire ofWayne, the state of the vegetative nervous system was evaluated. To determine the nature of autonomic dysfunction with a predominance of sympathetic or parasympathetic departments, the vegetative Kerdo index was used. All children were also electrocardiographically examined.Results. Children with chronic gastroduodenal pathology were twice as likely to have autonomic dysfunction as compared to the comparison group. Estimating the Curdo index in children from the main group, the prevalence of the sympathetic tone of the vegetative system was significantly higher (85.6 ± 0.2%, vs. 50.8 ± 0.3% in the control group and significantly less pronounced in them eutonia - 4.4 ± 0 4%, against 41.0 ± 0.2% in the control group, p <0.05.Conclusions. The predominance of the frequency of autonomic dysfunction in children of the main group can be explained by the effect of autonomic dysregulation and organic lesions of the gastroduodenal zone in them.