THE IMPORTANCE OF MODIFIED BRONCHOPHONOGRAPHY IN THE DIAGNOSIS OF RECURRENT BRONCHOOBSTRUCTIVE SYNDROME IN CHILDREN
Abstract
Abstract. Purpose of the study: to establish the diagnostic and prognostic significance of modified bronchophonography in bronchobstructive syndrome in children. Material and methods of research. The paper presents the results of examinations of children with bronchoobstructive syndrome. The patients were divided into 3 groups of 60 patients: Group I - patients with acute obstructive bronchitis (AOB), acute bronchiolitis (ABL), Group II - children with recurrent obstructive bronchitis (ROB) and bronchial asthma (BA), Group III - patients with acute bronchitis without bronchial obstruction (BA). Results of the study and discussion. Analysis of modified bronchophonography indices in groups I-II showed that on admission, E:I index>1.6 indicating bronchial obstruction of the II degree (P<0.001). On the 2nd day of observation, E:I index significantly decreased in patients with ROB, BA and was significantly lower in comparison with indices of patients with OOB, OBL (P<0,05). On the 3rd day of observation and at discharge, the indices were relatively equal, no significant difference was observed (P>0.2; P>0.1). When constructing the ROC-curve and analysing the curve coordinates, it was found that in determining the risk of ROB and AD in children, the diagnostic significance of the E:I index≥1.78, with a sensitivity of 71.7% and specificity of 61.1%. Conclusions. The values of E:I index≥1.78 are predictors of the risk of ROS and BA development, the diagnostic significance of which is confirmed by high sensitivity and specificity, which can be recommended for detecting the risk of recurrent course of BOS in children.
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List of references
Avaeva S. D. Comparative characteristics of methods for assessing the external respiratory function in children vvv. Bulletin of Medical Internet Conferences - Limited Liability Company Science and Innovations 2016;6:812–3.
Markovskaya A. I. I., Gaimolenko I. N. Bronchophonography in preschool children with acute obstructive bronchitis. Zabaikalsky Medical Bulletin 2021:65–9. DOI: https://doi.org/10.52485/19986173_2021_2_65
Geppe N.A., Malyshev V.S., Starostina L.S., Kolosova N.S., Borovkova A.M., Baleva L.S. Bronchophonography in paediatrics. М 2012:55.
Furman E. G., Yakovleva E. V., Malinin S. V., Furman G., Sokolovsky V. Computer analysis of respiratory noises in bronchial asthma in children. Modern Technologies in Medicine 2014;6:83–8.
Brand P. L. P., Baraldi E., Bisgaard H., Boner A. L., Castro J Rodriguez J., Custovic A. et al. Definition, assessment and treatment of wheezing disorders in preschool children: an evidence (based approach, ERS Task Force Report. Eur Respir J 2008:1096–110. DOI: https://doi.org/10.1183/09031936.00002108
Pasterkamp H., Kraman S., Wodicka G. Respira- tory Sounds. Advances beyond the stethoscope. AmJ Respir Respir Crit Care Med 1997;156. DOI: https://doi.org/10.1164/ajrccm.156.3.9701115
Adilbekova B. B. Course and prediction of outcomes of bronchial asthma depending on the influence of etiological factors. dis.. cand med sciences: Astana 2014:152.
Breikin D. V. Indicators of peak expiratory flow rate in healthy children and adolescents and in patients with bronchial asthma. autoref disc .. Cand of medical sciences n.d.
Geppe N.A., Malyshev V.S. Computer bronchophonography of the respiratory cycle. Moscow: Media Sphere 2016:108.
Earis J. E., Cheetham B. M. G. Current methods used for computerised respiratory sound analysis. Eur Respir Rev 2000;77:586–90.
Charbonneau G., Ademovic E., Cheet J ham B. M. G., Malmberg L. P., Vanderschoot J., Sovijarvi A. R.A. Basic techniques for respiratory sound recordings. Eur Respir Rev 2000;77:625–35.
Geppe N.A. Bronchial obstruction on the background of acute respiratory infection in preschool children: diagnosis, differential diagnosis, therapy, prevention. M MedCom Pro 2019.
Geppe N.A., Kolosova N.G. Bronchial obstruction in preschool children. Consilium Medicum 2016;18:25–9. DOI: https://doi.org/10.26442/2075-1753_2016.11.25-29
Lerchendorf Y.A., Lukina O.F., Petrenets T.N., Delyagin V.M. Bronchophonography in children 2-7 years old with bronchoobstructive syndrome. Practical medicine 2017;2:134–7.
Lim M.V. Improvement of diagnostics and tactics of treatment of bronchoobstructive syndrome in children of early age: autoref. dis.... PhD medical sciences. Tashkent 2019:46.
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