ASSESSMENT OF THE FUNCTIONAL STATE OF THE RESPIRATORY ORGANS IN CHILDREN WITH BRONCHO-OBSTRUCTIVE SYNDROME

Abstract

According to different authors, bronchial obstruction developing in children against the background of infectious diseases of the lower respiratory tract is observed from 5 to 40%. In children with aggravated allergy, broncho-obstructive syndrome (BOS) usually develops in 30-40% of cases, the same trend is observed in children who suffer from respiratory infections more than 6 times a year. The purpose of the study: to assess the functional state of the respiratory system in children with broncho-obstructive syndrome. Materials and methods. The study was conducted at the Pulmonology Department of the Children's Multidisciplinary Medical Center of the Andijan Region and the Pulmonology Department of the Republican Specialized Children's Scientific and Practical Medical Center. The study included 90 children aged 7 to 15 years. The control group consisted of 20 practically healthy children of the same age. The study of the external respiratory function (ERF) was conducted using the SEMA 2000 program on a SCHILLER SRIROVIT SR-1 spirometer (Moskva). Statistical processing of the obtained results was performed using the Statistica 6.0 software package. Results and discussion. Peak flow metric study showed that in 80.0% of children with acute obstructive bronchitis (AOB) peak expiratory flow rate (PEF) exceeded 80% of the norm, while in children with recurrent bronchial obstruction, a decrease in standard indicators was observed in 37.6% of children. PEF multipliers from 80% to 60% of the norm were noted in 44.1% of children with RB with BO and in 11.4% of children with AOB. PEF below 60% of the norm was noted in most cases (18.3%) in children suffering from RB with BO and in 8.6%6 cases in children suffering from AOB. Spirometry was used to determine obstructive, restrictive, or mixed types of ventilation disorders in children. Interestingly, 25.8% of children with COPD had vital capacity and other respiratory tract permeability parameters measured by spirometry within normal limits. Conclusion. The study revealed that the obstructive type is a specific type of pulmonary ventilation disorder detected by spirometry in children with AOB and RB with BO. Based on the studies conducted, most children have a decrease in the vital capacity of the lungs (VC) and the Tiffno index, which is considered a symptom of bronchial obstruction. This disease is usually caused by inflammatory changes in the bronchi and lungs.