rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2022-25-1-23-27zcsntdrosped-346Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL INVESTIGATIONSОсновные факторы риска развития детского церебрального параличаThe main risk factors for the development of cerebral palsy in childrenhttps://orcid.org/0000-0002-6903-2524КрючковаТатьяна АлексеевнаKryuchkovaTatyana A.

Канд. мед. наук, доцент каф. педиатрии с курсом детских хирургических болезней НИУ «БелГУ».

e-mail: haraba.tanya@mail.ru

MD, PhD, Associate Professor of the Department of Pediatrics with a course of Children’s Surgical Diseases, Belgorod State National Research University, Belgorod, 308015, Russian Federation.

e-mail: haraba.tanya@mail.ru

haraba.tanya@mail.ruhttps://orcid.org/0000-0002-3919-7045БалакиреваЕлена АлександровнаBalakirevaElena A.

Доктор мед. наук, проф. каф. педиатрии с курсом детских хирургических болезней НИУ «БелГУ».

e-mail: balakireva@mail.net

balakireva@mail.nethttps://orcid.org/0000-0002-0609-6889МатвиенкоЕлена ВитальевнаMatvienkoElena V.

Канд. мед. наук, доцент каф. педиатрии с курсом детских хирургических болезней НИУ «БелГУ».

e-mail: tabletka-2013@mail.ru

tabletka-2013@mail.ruФГБОУ ВО «Белгородский государственный национальный исследовательский университет»Belgorod State National Research University2022111020232512327Copyright © Крючкова Т.А., Балакирева Е.А., Матвиенко Е.В., 20232023Крючкова Т.А., Балакирева Е.А., Матвиенко Е.В.Kryuchkova T.A., Balakireva E.A., Matvienko E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/346Введение

Введение. Повышается уровень детской инвалидности, в формирование которой большой вклад вносит детский церебральный паралич (ДЦП).

Цель работы — определить ведущие факторы риска и основные причины ДЦП у детей, проживающих в Белгородской области, за 2020–2021 гг.

Материалы и методы

Материалы и методы. Выполнен анализ историй болезней 202 детей с ДЦП в возрасте от 4 мес до 7 лет.

Результаты

Результаты. В структуре ДЦП преобладали спастические формы болезни. Значительно чаще ДЦП встречался у недоношенных детей, а также в раннем возрасте у детей, проживающих в городе. Самыми частыми факторами риска возникновения ДЦП явились хроническая фетоплацентарная недостаточность и хроническая внутриутробная гипоксия плода. Задержка психоречевого развития детей преобладала среди других проявлений повреждений ЦНС у обследованных детей.

Заключение

Заключение. Анализ причин, приводящих к возникновению заболевания, показал, что в большинстве случаев не удаётся выделить ведущую из них, т. к. часто отмечается сочетание нескольких неблагоприятных факторов как во время беременности, так и в родах. Дети с ДЦП требуют постоянного ухода со стороны близких, проведения длительных курсов комплексной медикаментозной и восстановительной терапии.

Участие авторов

Участие авторов:Крючкова Т.А., Матвиенко Е.В., Балакирева Е.А. — концепция и дизайн исследования; Балакирева Е.А., Матвиенко Е.В. — сбор и обработка материала;Крючкова Т.А. — анализ полученных данных, написание текста. Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи. 

Финансирование

Финансирование. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Поступила 08

Поступила 08.02.2022Принята к печати 17.02.2022Опубликована 15.03.2022

Introduction

Introduction. Currently, worldwide the formation of cerebral palsy (CP) makes a great contribution to the gain in childhood disability prevalence. The goal is to conduct a comparative analysis of risk factors and the main causes of the development of CP in children living in the Belgorod region for the period from 2020 to 2021.

Materials and methods

Materials and methods. There were analyzed histories of two hundred two CP children aged from four months to seven years.

Results

Results. Spastic forms of the disease predominated in the structure of infantile CP. Significantly more often this pathology occurred in premature babies at an early age and children residing in urban areas. The most frequent risk factors for the onset of the disease were such pathology of pregnancy as chronic fetoplacental insufficiency and chronic intrauterine fetal hypoxia. Delayed psycho-speech development had a leading place among all manifestations of the central nervous system in CP patients is beyond doubt. An analysis of the causes leading to the onset of the disease showed that in most cases it is not possible to discriminate one of them, since a combination of several unfavourable factors is often noted during pregnancy and parturition. CP children require constant care from relatives, long courses of complex drug and rehabilitation treatment.

Contribution

Contribution:Kryuchkova T.A., Balakiryeva H.A., Matviyenko H.V. — concept and design of the study; Balakiryeva Е.A., Matviyenko Е.V. — collection and handling of materials; Kryuchkova T.A. — analysis of data obtained, writing up the ma­nuscript. All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: February 08, 2022Accepted:  February 17, 2022Published: March 15, 2022

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The authors declare that there are no conflicts of interest present.