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International neurological journal 4 (74) 2015

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Neuro-psychological development of children who have suffered from perinatal hypoxic damage of central nervous system

Authors: Tarasova I.V., Kasyan S.M. - Sumy State University, Medical institute (Sumy, Ukraine)

Categories: Neurology

Sections: Medical forums

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The article was published on p. 139-140

 

The problem of adaptation for children who suffered from perinatal hypoxic damage (PHD) of the central nervous system (CNS) is very important. The effects of PHD of CNS reflect not only the severity of injuries, but the effectivenes of the implementation of sanogenetic mechanisms of the body and medical and social factors in order to compensate timely the neuroontogenesis distortion. The attention of researchers is paid to the study of not only various neurophysiological mechanisms of brain damage in children, but to peculiarities of their further development.

Purpose of the work. To study the influence of perinatal hypoxia of CNS on the dynamics of neuropsychological development of children in the first year of life.
Materials and methods. 73 children born in 2011–2013 suffered from PHD of CNS and 20 healthy mature newborns without perinatal history were under the supervision in the dynamics of the first year of life. They were treated in the department of intensive care and neonatal department of Sumy Region Children’s Hospital. The gestational age of the patients were 38 weeks or more. The psychomotor development of children in the 1st year of life was assessed according to our method (scale of Zhurba L.T., 2003), with the definition of groups and mean age of NPD and the individuallines of development. The statistical analysis of the results was carried out using Microsoft Excel, Windows XP. To assess the likelihood of the differences of averages, the Students test was calculated, the methods suit a bleforbiomedical research were applied. The study indicators reflecting physical development, found that weight, body length, chest circumference, weigh-height ratio in the group of children who underwent PHD of CNS were significantly (p < 0,001) lower than in children in the control group. In children with PHD of the CNS aged 1 month. NDP delay dominated for 1 epicrisis period (69,8 %) as to 1–2 (48,0 %), 3–4 (32,8 %) rates. At the age of 12 months, 8,2 % of children had underdevelopment for 4 epicrisis terms and 6,8 % of children — more than 5 epicrisis terms.Among children who underwent PHD of CNS, high proportion of disability is recorded. This study recorded 52 % (38) full-term newborns. The high rate of complications of CNS demonstrates the need for comprehensive differential treatment and rehabilitation of children with hypoxia, taking into consideration etіological factor, factors that act in the ante-, intra- and post-natal periods, clinical course and pathologic changes detected in neurosonography.


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