ANALYSIS OF CLINICAL AND FUNCTIONAL FEATURES OF BRONCHIAL ASTHMA IN CHILDREN OF EARLY AND PRESCHOOL AGE
https://doi.org/10.35266/2949-3447-2024-3-5
Abstract
The aim of the study is to conduct a comparative analysis of the clinical and functional features of the course of bronchial asthma in children of different age groups. A prospective cohort continuous study of bronchial asthma in clinical remission based on clinical and anamnestic data is made. Moreover,
we used computer bronchophonography with a reversibility test of bronchial obstruction and conducted a comprehensive assessment of the basic therapy prescribed to a child. The features of bronchial asthma in children are revealed: the burden of an allergic history, a high frequency of comorbid pathology of atopic dermatitis or allergic rhinitis. In the group of children under 6 years among triggers of disease exacerbation, the most common are viral respiratory infections, certain foods, contact with household dust, physical exertion. There are a contact with animals and psycho-emotional stress in addition to the above-listed triggers in the group of 6-year-olds and older. The results of the functional examination of children show higher values of the initial acoustic component of respiration in the high-frequency spectrum, a greater prevalence of latent bronchial obstruction and the reversibility of bronchial obstruction in children of early and preschool age.
Less than half of examined patients received basic bronchial asthma therapy, and a quarter of children received combined therapy, despite the high prevalence of reversibility of bronchial obstruction. The revealed clinical and functional features of the course of bronchial asthma in children in clinical remission allow us to recommend a combined basic therapy until the reversibility of bronchial obstruction disappears in the patient.
Keywords
bronchial asthma,
children,
etiology,
functional diagnostics,
computed bronchophonography,
treatment
Supporting agencies: we extend our deepest gratitude to our supervisor, Dr. Vitaly V. Meshcheryakov, for his support and insightful critiques throughout our research journey. We are thankful to him for project plan development, shared knowledge, skills and experience
About the Authors
V. A. Golovko
Surgut State University, Surgut
Russian Federation
Russian Federation
Postgraduate
A. A. Teplyakov
Surgut State University, Surgut
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Associate Professor
V. V. Meshcheryakov
Surgut State University, Surgut
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Professor
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For citations:
Golovko V.A., Teplyakov A.A., Meshcheryakov V.V. ANALYSIS OF CLINICAL AND FUNCTIONAL FEATURES OF BRONCHIAL ASTHMA IN CHILDREN OF EARLY AND PRESCHOOL AGE. Vestnik SurGU. Meditsina. 2024;17(3):32-37. (In Russ.) https://doi.org/10.35266/2949-3447-2024-3-5
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