CLINICAL SYMPTOMS OF CARDIOVASCULAR DISORDERS IN NEWBORNS, DEPENDING ON THE SEVERITY OF PERINATAL ENCEPHALOPATHY

Abstract

Relevance. One of the leading tasks of Uzbekistan's healthcare is to improve the health status of children. Mortality from cardiovascular diseases in children has not decreased, but has increased over the past 10-15 years. Therefore, the high incidence of damage to the cardiovascular system of newborns with perinatal encephalopathy of varying severity makes it necessary to study the development of the disease in more detail. Materials and methods of research. This work shows the results of studying anamnestic, clinical, paraclinical, and generally accepted laboratory data from 120 newborns with moderate and severe perinatal CNS damage who were in the Department of Neonatal Pathology and in the Neonatal Intensive Care Unit of the Regional Children's Multidisciplinary Medical Center in Samarkand (Chief Medical Officer-Professor M.K. Azizov), which is the clinical base of the Department of 1-Pediatrics and Neonatology of Samarkand Medical University. The clinical characteristics of the observed patients were based on the study of the features of the medical history, data from electrocardiography (ECG), echocardiography (Echo KG), neurosonography (NSG), electroencephalography (EEG) and, if necessary, computed tomography of the brain (MRI). The results of the study. The study showed a high reliable incidence of disorders of the cardiovascular system in newborns in the studied groups with perinatal CNS damage. The clinical signs of CVD in newborns differ significantly in the groups of patients with moderate to severe perinatal CNS damage. A study of CVD in patients showed that the majority of patients with severe perinatal CNS damage had more pronounced CVD disorders compared with the group of newborns with moderate CNS damage. Conclusion. An analysis of studies on the clinical symptoms of damage to the newborn's cardiovascular system in perinatal encephalopathy has shown that changes in the cardiovascular system can further affect the child's health and quality of life, and with late diagnosis and severe cases, the disease can occur with a complicated long-term course of perinatal encephalopathy, which can lead to childhood disability.