The Science Journal of the American Association for Respiratory Care

2003 OPEN FORUM Abstracts

DIAGNOSIS OF DONOZOLOGIC DISTURBANCES OF HEALTH OF CHUKITSKI CHILDREN WITH RECURRENT BRONCHITIS AND THEIR CORRECTION AT THE EVPATORIA RESORT

Kobets T.V., Motritch A.K. Crimea State Medical University (Simferopol, Ukraine), Sanatorium "Brigantina" (Evpatoria, Ukraine)

Chukotski children with recurrent bronchitis have been restored their health at the Evpatoria resort (Crimea) for three years. The actual question for pediatrists of sanatorium is a revealing of children in the state of "pre-disease", when there is no clinical manifestations of disease, but there are disturbances in protective systems. Administration of sanatory treatment in a complete extent to these children may result in the derangement of adaptive-compensatory mechanisms, that may be clinically marked by the bronchitis development. Our investigation is designed to work out diagnostic criteria of donozologic disturbances in Chukotski children with recurrent bronchitis and ways of their correction at the resort. To solve this task we investigated 67 Chukotski children with recurent bronchitis aged from 7 to 14 years. Indexes of 19 healthy Chukotski children of the same age category were taken as a control. All children were in the condition of a comparative well-being of health. Biochemical and clinical investigations were carried on in the dynamics: blood indexes (Kalcalif and Nekrasov, indexes if oxidant-dien conjugate (DC), TBK active products and antioxidant systems-catalase, peroxidase, superoxidismutose, ceruloplasmins. All children got a resort treatment - bathing in sea, airings by sea, mud cure, physiotherapy - inhalations with mineral water, electrophoresis with brine, bathes, galotherapy, massage of the chest. All children were undergone to sanation of the foci of chronic infection. On admission the children with RB had decreased index Kal-Calif to 0,5 and less, and increased Nekrasov indexes: ELLOKAU 2,6, New 2 3,4, New 3 4,1 and New 32 2,5 decreased, general blood analysis was n norm. Administration to these children of a complete complex of treatment resulted in a disease recurrency. Sanatory therapy according to our regime allowed to prevent execerbation development Acute respiratory diseases. On admission children with RB had increased DK and TBK and decreased indexes of antioxidant potential. Against a background of sanatorium-resort treatment on admission the children manifested normal indexes of oxidant-antioxidant defense. Children increased their weight mass, appetite, their son and mood became normal. Thus, introduction of blood indexes at the resort allowed to decrease the number of exacerbation among the children with recurrent bronchitis. Sanatorium-resort treatment itself promoted increase of antioxidant defense of the children and their adaptive-compensatory possibilities.

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