Features of the vegetative state and arterial pressure level in children with chronic gastroduodenal pathology

Authors

  • T. M. Mikhieieva Bukovinian State Medical University, Chernivtsi, Ukraine,
  • D. Yu. Nechytailo Bukovinian State Medical University, Chernivtsi, Ukraine,
  • V. V. Poniuk Bukovinian State Medical University, Chernivtsi, Ukraine,
  • T. P. Fomina Bukovinian State Medical University, Chernivtsi, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2018.5.141662

Keywords:

children, arterial pressure, autonomic diseases, hypertrophic gastritis

Abstract

The vegetative dysfunction, having been present since childhood, becomes a premorbid abnormality and harbinger of many diseases. Given the increased frequency of vegetative dysfunction recent years, there is a need to study this problem.

The aim was to study the autonomic nervous system state and arterial pressure level in children with chronic gastroduodenal pathology.

Materials and methods. 80 school-age children, residents of the Chernivtsi region and city Chernivtsi were examined. The main group consisted of 40 children receiving inpatient treatment for chronic gastroduodenal pathology and high blood pressure in the gastroenterological department of the City Children Clinical Hospital. The control group consisted of 40 clinically healthy schoolchildren. The autonomic nervous system state was evaluated using the Wayne questionnaire.

Results. When assessing the blood pressure level relied on the percentile tables, 11 (27.5%) schoolchildren of the main group had high normal blood pressure in. Children of the control group were not diagnosed with high normal blood pressure.

The autonomic nervous system state assessment through the Wayne questionnaire revealed autonomic dysfunction in 32 children (80 %) from the main group in contrast to the control group children – 4 (10 %), P < 0.05.

After the Kerdo index estimation in the main group children the sympathetic tone of the vegetative system prevalence was found in 76.6 % of cases against 4.6 % in the control group and eutonia was observed significantly less – in 8.4 % of children against 81.0 % in the control group.

Conclusions. The assessment of the autonomic nervous system state in children of the main group has revealed autonomic dysfunction and increased blood pressure levels which occurred significantly more frequently than in the control group that could be one of their underlying disease manifestations.

 

References

Akarachkova, E. S., & Vershinina, S. V. (2011). Sindrom vegetativnoj distonii u sovremennykh detej i podrostkov [Syndrome of vegetative dystonia in modern children and adolescents]. Pediatriya. Zhurnal im. G.N. Speranskogo, 90(6), 129–136. [in Russian].

Babiy, I. L., Malinovska, N. O., Nikitina, N. O., & Rossikhina, N. N. (2012). Analiz funkcional'nykh osobennostej vegetativnoj nervnoj sistemy u detej s vegetososudistymi disfunkciyami [Analysis of functional features of the vegetative nervous system in children with vegeto-vascular disfunctions]. Perinatologiya i pediatriya, 1(49), 76–80. [in Russian].

Beketova, H. V. (2012). Khronichnyi hastroduodenit u ditei i pidlitkiv: epidemiolohiia, etiolohiia, patohenez, diahnostyka [Chronic gastroduodenitis in children and adolescents: epidemiology, etiology, pathogenesis, diagnosis]. Sovremennaya pediatriya, 6, 20–24. [in Ukrainian].

Bobrova, V. I., P’yankova, O. V., Nadtochy, N. I., & Zamula V. V. (2010). Epidemiolohichni aspekty perebihu khronichnoi hastroduodenalnoi patolohii u ditei. [Epidemiological aspects of chronic gastroduodenal pathology in children]. Suchasna hastroenterolohiia, 2(52), 33–36. [in Ukrainian].

Maidannyk, V. H., Smiian, O. I., Bynda, T. P., & Savelieva-Kulyk, N. O. (2013). Kliniko-patohenetychna kharakterystyka vehetatyvnykh dysfunktsii ta yikh likuvannia u ditei [Clinical and pathogenetic characteristic autonomic dysfunction and its treatment in children]. Sumy: Sumskyi derzhavnyi universytet [in Ukrainian].

Lychkovska, O. L. (2012). Osoblyvosti psykhoemotsiinoho stanu ditei z patolohiieiu hastroduodenalnoi dilianky [Psychoemotional characteristics of children with gastroduodenal pathology]. L'vovskij medicinskij zhurnal / Acta Medica Leopoliensia, 3, 12–18. [in Ukrainian].

Maydannik, V. G., Mityuryaeva, I. O., Kuchta, N. M., Moysienko, M. B., & Terletskii, R. V. (2013). Suchasni efektyvni metodyky likuvannia vehetatyvnykh dysfunkcii za hipertenzyvnym typom u ditei [Modern effective methods of treatment of vegetative dysfunction by hypertensive type in children]. Sovremennaya pediatriya, 4(52), 1–6. [in Ukrainian].

Pylypec, G. M. (2007). Stan vehetatyvnoi nervovoi systemy u ditei z khronichnym hastrytom i hastroduodenitom u period remisii [Vegetative nervous system status in pediatric patients with chronic gastritis and gastroduodenitis in remission stage]. Suchasna hastroenterolohiia, 6(38), 47–49. [in Ukrainian].

Sorokman, T. V., Kutsobina, N. Ye., Sokolnyk, S. V., & Makarova, O. V. (2010). Imunolohichna kharakterystyka ditei iz hastroduodenalnym khelikobakteriozom [Immunological characteristics of children with gastroduodenal helicobacteriosis]. Zdorov'e rebenka, 1(22). Retrieved from http://www.mif-ua.com/archive/article/12162. [in Ukrainian].

Tiazhka, O. V., Bobrova, O. V., & Koshova, A. O. (2015). Vikovi morfolohichni osoblyvosti khronichnoho zapalennia slyzovoi obolonky shlunka ta dvanadtsiatypaloi kyshky [Age-morphological features of chronic inflammation of the mucous membrane of the stomach and duodenum]. Sovremennaya pediatriya, 5, 161–163. [in Ukrainian].

Shlimkevych, I. V. (2015). Efektyvnist vazotropnoi terapii u ditei iz neirocyrkuliatornoiu dystoniieiu za hipertenzyvnym typom [Efficiency of vasotropic therapy in children with hypertensive neurocirculatory dystonia]. Zdorov'e rebenka, 60(1), 61–64. [in Ukrainian].

Abdel-Salam, O. M., Czimmer, J., Debreceni, A., Szolcsányi, J., & Mózsik, G. (2001). Gastric mucosal integrity: gastric mucosal blood flow and microcirculation. An overview. J Physiol Paris, 95(1), 105–127.

Bancalari, R., Díaz, C., Martínez-Aguayo, A., Aglony, M., Zamorano, J., Cerda, V., et al. (2011). Prevalence of hypertension in school age children and its association with obesity. Rev Med Chil., 139(7), 872–879. doi: /S0034-98872011000700007.

Stollte, M., & Eidt, S. (1992). Chronic erosions of the antral mucosa: a sequela of Helicobacter pylori-induced gastritis. J.Gastroenterol, 30(12), 846–50. PMID: 1481549

Toljamo, K. T., Niemelä, S., Karvonen, A. L., Karttunen, R., & Karttunen, T. J. (2011). Histopathology of gastric erosions. Association with etiological factors and chronicity. Helicobacter, 16(6), 444–451. doi: 10.1111/j.1523-5378.2011.00871.x.

How to Cite

1.
Mikhieieva TM, Nechytailo DY, Poniuk VV, Fomina TP. Features of the vegetative state and arterial pressure level in children with chronic gastroduodenal pathology. Zaporozhye medical journal [Internet]. 2018Sep.24 [cited 2024Apr.26];(5). Available from: http://zmj.zsmu.edu.ua/article/view/141662

Issue

Section

Original research