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KO‘KRAK QAFASI DEFORMATSIYALARING UCHRASH DARAJASI TASNIFI VA RIVOJLANISHINING ETIPATOGENETIK OMILLARI Ko'krak Qafasi deformatsiyalaring uchrash darajasi tasnifi va rivojlanishining etipatogenetik omillari
Pub Date : 2024-01-08 DOI: 10.56121/2181-2926-2023-2-11-376-380
Mirzakarimov Bahromjon, Djumabaev Juraqul, Isakov Nuriddin
Ko‘krakning old devori nuqsonlari to‘sh, qovurg‘a va mushaklarning zararlanishiga, ko‘krak qafasi shakli va/yoki uning funksiyasini o‘zgarishiga olib keluvchi tuzilmali anomaliyalarni o‘z ichiga oladi. Ko‘krak qafasi deformatsiyalarining etiopatogenetik mexanizmlari, ularni tashxislash va ko‘krak qafasining xirurgik rekonstruksiyasi masalalari bolalar xirurgiyasining dolzarb muammolari qatoriga kiradi. Ushbu sharh maqolasida bolalar va o'smirlarda ko'krak qafasi deformatsiyasining rivojlanishining etiologiyasi va patogenezi ko'rib chiqiladi va tasnifi va uning o'zgarishi batafsil tavsiflanadi. So'nggi yillarda ko'krak qafasi deformatsiyasini uch o'lchovli modellashtirish va miqdoriy baholashga asoslangan murakkab tasniflar taklif qilindi. ASFI tasnifi ham taklif qilinadi, u tasniflash xususiyatlarini o'z ichiga oladi: nuqson turi (Anomaliya), deformatsiya simmetriyasi (simmetriya), funktsional buzilishlar turlari (funktsiya) va asosiy baholash ko'rsatkichlari (indekslar). An'anaviy atamalar o'rniga tashqi belgilarni tavsiflovchi bunday tizimli, miqdoriy tasnifdan foydalanish kelajakda deformatsiyalari bo'lgan bemorlarni davolash va davolash taktikasini aniqlash imkonini beradi. Maqolada ushbu muammo bo'yicha mahalliy va xorijiy tadqiqotchilar tomonidan chop etilgan so'nggi ilmiy ma'lumotlar jamlangan.
古老的颅骨畸形很容易形成可挽救的异常,这可能导致脚趾、肋骨和肌肉受损,并形成颅骨头部缺损和/或功能障碍。颅骨畸形的病因病理机制、治疗方法以及颅骨头部的Xirurgical重建故事是Bolalar Xirurgery领域一系列Dolzarb研究的主题。本文讨论了波拉拉尔和奥斯密尔故事中颅骨头部畸形的病因和发病机理,并详细介绍了它们的分类和分型。随后几年,根据对颅骨头畸形的建模和定量描述,提出了新的分类方法。还提出了 ASFI 分类法,其中包括分类特征:nuqson 游览(异常)、变形的对称性(对称)、功能性霜冻游(funktsiya)和 asosiy baholash ko'rsatkichlari(索引)。这种类型的祖先称谓 o'rniga 中的文件建议为从微观分布分类中确定 foydalan 中具有变形的 bemors 的情况和策略提供了可能性。文章讨论了当地和国际专家就此问题收集的科学知识。
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引用次数: 0
COVID-19, DEPRESSİON AND ANXİETY: A STUDY AMONG ADOLOSCENTES covid-19、抑郁和焦虑:一项针对嗜睡者的研究
Pub Date : 2024-01-08 DOI: 10.56121/2181-2926-2023-2-11-393-397
Şaban Azizoğlu
Our aim in this study was to compare the anxiety students who were studying for national exams and who were not studying for these exams. In addition, it was evaluated whether the exam anxiety of patients who had Covid and those who did not have Covid increased during this period. Materials and Methods: The study was conducted in 2022. A total of 100 students were included to our study. Group 1: COVID-19 positive group, group 2: COVID-19 negative control group. School score, BAI and BDI scores were evaluated. Results: No significant demographic differences were found between COVID-19-positive and control groups in age, gender, or socio-economic status (p>0.05). The COVID-19 group exhibited higher anxiety levels with a mean BAI score of 24.7±11.4 compared to the control's 15.5±8.80 (p<0.001). Their academic performance was also lower (mean school score: 66.2±20.8) than controls (79.3±18.65, p=0.001). Negative correlations between BAI (r=-0.335, p<0.001) and BDI (r=-0.223, p=0.026) with school scores suggest that higher anxiety and depression are associated with poorer academic outcomes. Conclusions: Our study highlights the significant impact of exam stress and COVID-19 on students' anxiety levels and academic performance.
本研究的目的是比较参加国家考试和不参加国家考试的学生的焦虑程度。此外,我们还评估了使用 Covid 和未使用 Covid 的患者在此期间的考试焦虑是否会增加。材料与方法研究于 2022 年进行。研究共纳入 100 名学生。第一组:COVID-19 阳性组,第二组:COVID-19 阴性对照组:COVID-19阴性对照组。评估学校评分、BAI和BDI评分。结果COVID-19阳性组和对照组在年龄、性别或社会经济地位方面没有明显的人口统计学差异(P>0.05)。COVID-19 阳性组的焦虑程度较高,平均 BAI 得分为 24.7±11.4,而对照组为 15.5±8.80(P<0.001)。他们的学习成绩(平均学业成绩:66.2±20.8)也低于对照组(79.3±18.65,P=0.001)。BAI (r=-0.335, p<0.001) 和 BDI (r=-0.223, p=0.026)与学校成绩呈负相关,表明焦虑和抑郁程度越高,学习成绩越差。结论我们的研究强调了考试压力和 COVID-19 对学生焦虑水平和学习成绩的重要影响。
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引用次数: 0
CLINICAL AND IMMUNOLOGICAL ASPECTS OF BRONCHIAL ASTHMA WITH ATOPIC DERMATITIS IN CHILDREN 儿童支气管哮喘伴特应性皮炎的临床及免疫学研究
Pub Date : 2023-10-31 DOI: 10.56121/2181-2926-2023-2-7-268-272
Ozoda Yomgurova, Musharraf Shodieva
This article presents the results of a clinical and immunological examination of 68 children with allergic bronchial asthma and 22 children with atopic dermatitis. The purpose of the work is to determine the concentrations of IgA, IgM, IgG to identify clinical and immunological features in the blood serum of children with allergic asthma and AD and to identify clinical and immunological features in groups of these patients. Methods. At the allergy department of the VDOCH, 68 children with allergic asthma and 22 children with AD aged from 4 to 14 years (of which 53 boys and 37 girls) were examined. All children were examined clinically and laboratory (complete blood count, general urine test, biochemical blood test, nasal swab for eosinophils, stool test for helminth eggs, scraping for enterobiasis), and a carefully collected medical history. Results and conclusions: Taking into account the number of acute respiratory infections in the history, we identified significant differences in these groups of patients (p = 0.017). The concentrations of IgA, IgM, IgG in the blood serum of the examined patients were determined using an enzyme-linked immunosorbent assay (ELISA). We found that 33.8% of children with asthma and 36.4% of children with atopic dermatitis have low IgA levels. We also determined low IgG concentrations in more than half of the examined patients both in the group with bronchial asthma and in the group with atopic dermatitis (58.8% and 59.1%, respectively), which, in combination with low levels of other immunoglobulins, can be regarded as transient immunodeficiency in children.
本文报告68例过敏性支气管哮喘患儿及22例特应性皮炎患儿的临床及免疫学检查结果。本研究的目的是通过测定过敏性哮喘和AD患儿血清中IgA、IgM、IgG的浓度,确定其临床和免疫学特征,并确定这些患者组的临床和免疫学特征。方法。在VDOCH过敏科,对4 ~ 14岁的过敏性哮喘儿童68例和AD儿童22例(其中男孩53例,女孩37例)进行了检查。所有儿童均接受临床和实验室检查(全血细胞计数、尿常规检查、血生化检查、鼻拭子检查嗜酸性粒细胞、粪便检查蠕虫卵、刮痧检查肠蠕动),并仔细收集病史。结果和结论:考虑到历史上急性呼吸道感染的数量,我们发现这两组患者之间存在显著差异(p = 0.017)。采用酶联免疫吸附试验(ELISA)测定患者血清中IgA、IgM、IgG的浓度。我们发现33.8%的哮喘儿童和36.4%的特应性皮炎儿童IgA水平较低。我们还发现,在支气管哮喘组和特应性皮炎组中,超过一半的检查患者中IgG浓度低(分别为58.8%和59.1%),这与低水平的其他免疫球蛋白相结合,可视为儿童短暂性免疫缺陷。
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引用次数: 0
КАЧЕСТВО ЖИЗНИ ДЕТЕЙ С БОЛЕЗНЬЮ ГИРШПРУНГА ПОСЛЕ ОПЕРАЦИИ DE LA TORRE-ORTEGA 德·拉·托尔-奥尔特加手术后,格斯普朗儿童的生活质量
Pub Date : 2023-07-31 DOI: 10.56121/2181-2926-2023-2-7-260-264
Умиджон Мамажанов, Бахром Мирзакаримов
В статье представлены результаты изучения функциональной активности и качества жизни детей с болезню Гиршпрунга, оперированных по усовершенствованному методу De La Torre-Ortega и классической методике Соаве-Ленюшкина. Цель исследования. Изучить показатели функциональной активности и качества жизни детей с болезнью Гиршпрунга, оперированных методом De La Torre-Ortega. Материал и методы исследования. В исследование были включены 21 детей, оперированных по поводу болезни Гиршпрунга на клинических базах кафедры детской хирургии Андижанского государственного медицинского института. Больные были в возрасте от 2 до 18 лет. 4 (19,04%) больных поступили в клинику в стадии декомпенсации, 12 (57,14%) - в стадии субкомпенсации, 5 (23,8%) - в стадии компенсации. У 13 (61,9%) детей выполнялась усовершенствованная методика операции De La Torre-Ortega и 8 (38,1%) производилась трансанальная резекция толстой кишки по классической методике Соаве-Ленюшкина. Качество жизни оперированных детей оценивалась по адаптированной шкале PedsQL™4.0, которая включает всего 21 вопросов, оценивающие физическое, эмоциональное, социальное и ролевое функционирование. Анализ качества жизни детей с болезнью Гиршпрунга показал достоверный прирост показателей по всем шкалам при выполнении усовершенствованной методики операции De La Torre-Ortega до 84,1-92,3% по отношению к группе здоровых детей с изменением значения общего балла с 52,8±10,0 до 70,4±6,4 (t=6,79; p<0,001).
这篇文章展示了在改进的soave - lenyushkin方法下研究吉尔斯普朗儿童的功能和生活质量的结果。目的研究。研究德·拉·托尔-奥尔特加治疗的吉尔斯普朗儿童的功能性和生活质量。材料和研究方法。这项研究包括21名儿童在安集延国家医学研究所儿科外科临床基础上接受手术治疗。病人年龄在2到18岁之间。4(19.04%)患者在失代偿阶段入院,12(57.14%)在次补偿阶段,5(23.8%)在补偿阶段。13(61.9%)的儿童接受了改良后的德·拉·托尔-奥尔特加手术,8(38.1%)接受了典型的索夫-伦尤什金剖腹手术。生活质量操作判断孩子适应量表PedsQL™4.0,包括只有21个问题,评估身体、情感、社会功能和角色。对吉卜林儿童生活质量的分析显示,德·拉·托尔特加手术的改进方法从52.8 10.0到70.4 (t= 6.79;p< 0.001)。
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引用次数: 0
ЗНАЧЕНИЯ АНТРОПОМЕТРИЧЕСКИХ ПОКАЗАТЕЛЕЙ ДЛИННОТНЫХ И ОБХВАТНЫХ РАЗМЕРОВ ДЕТЕЙ ПЕРВОГО ГОДА ЖИЗНИ 第一年儿童长而圆的人类测量值
Pub Date : 2023-07-31 DOI: 10.56121/2181-2926-2023-2-7-277-281
Мавжуда Абдуллаева
Показателями физического развития являются антропометрические данные, скорость их изменения в процессе роста, гармоничность развития, соотношение календарного и биологического возраста, конституционные особенности. Цель исследования: исследование уровня физического развития по основным абсолютным и относительным величинам размеров тела детей в динамике первого года жизни. Материалы и методы исследования. В исследование включены 106 детей раннего возраста, которые проспективно наблюдались течение всего срока наблюдения от 1 месяца до 1 года жизни. Исследования проведены согласно рекомендациям ВОЗ изучения роста и развития детей. Обхватные размеры и размеры по длиннику у детей получены с помощью горизонтального ростомера и сантиметровой ленты. Точность измерений для обхватных размеров и длинников составляла ±0,1 см. результаты и Выводы: выявлена неоднородность увеличения абсолютных и относительных величин основных показателей антропометрии; абсолютные и относительные величины антропометрии выражено зависят от периода постнатальной жизни и пола обследованных детей; представленные исследования рекомендованы учитывать при трактовке динамики антропометрических показателей физического развития детей в динамике первого года жизни.
身体发育的指标是拟人化数据、生长速度、发展和谐、日历和生物年龄比例、宪法特征。研究的目标:在生命的第一年,研究儿童的基本绝对和相对大小的身体发育水平。研究材料和方法。研究包括106名早期儿童,他们在一生中观察了1个月到1年。这项研究是根据世卫组织关于儿童成长和发展的建议进行的。孩子们的曲线大小和长度是用水平高度计和厘米胶带制成的。尺寸和长度的测量精度为0.1厘米,结果和结论:人类测量基数的绝对和相对值增加的不均匀性;人类测量的绝对和相对值取决于研究儿童的后职业生活和性别;这些研究建议在解释儿童第一年动量中的人体测量动力学时考虑。
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引用次数: 0
IMPACT OF CIRCUMCISION EXPERIENCES ON SURGICAL ANXIETY IN ADULTHOOD: A COMPREHENSIVE STUDY 包皮环切术对成年期手术焦虑的影响:一项综合研究
Pub Date : 2023-07-31 DOI: 10.56121/2181-2926-2023-2-7-253-259
Suleyman Sagir
Objective: Our purpose was to investigate whether patients who had previously undergone circumcision (considering the timing and method of the procedure) experienced altered levels of anxiety when facing other surgeries later in life. Materials and methods: It was investigated to what extent circumcision affects surgical anxiety. Patients who applied to our clinic to undergo surgery due to any disease in adulthood were included. The surgery anxiety scale was used for collection of the data. Results: This study involved 54 men, with an average age of 46.7 years, assessing their surgical anxiety scores in relation to various factors. While 59.3% had one surgery, significant minorities underwent multiple procedures. Regarding anesthesia during surgeries, 61.1% received local, 24.1% spinal, and 14.8% general anesthesia. Notably, 63% of participants were smokers. Previous hospitalization was reported by 51.9%, and 37% had other surgeries. Interestingly, 59.3% had contracted COVID-19. Age of circumcision showed no significant effect on anxiety scores. However, those who underwent forced circumcision (11.1%) had notably higher anxiety scores (p=0.04). Most circumcisions (96.3%) occurred in hospitals, with doctors conducting 81.48% of them. No correlation was found between patients' age during circumcision and current anxiety. Significantly, forced circumcisions led to increased surgical anxiety. Conclusions: Our study suggests that while circumcision's method, location, and performer significantly influence the individual's surgical anxiety in adulthood, the age of circumcision does not play a determining role.
目的:我们的目的是调查以前接受过包皮环切术的患者(考虑到手术的时间和方法)在以后面临其他手术时是否会经历焦虑水平的改变。材料和方法:调查包皮环切术对手术焦虑的影响程度。我们纳入了成年后因任何疾病向我们诊所申请手术的患者。采用手术焦虑量表进行数据收集。结果:本研究涉及54名平均年龄46.7岁的男性,评估他们的手术焦虑评分与各种因素的关系。虽然有59.3%的人做了一次手术,但有相当一部分人做了多次手术。术中麻醉61.1%为局麻,24.1%为脊柱麻,14.8%为全身麻。值得注意的是,63%的参与者是吸烟者。51.9%的患者曾住院,37%的患者曾接受过其他手术。有趣的是,59.3%的人感染了COVID-19。割包皮的年龄对焦虑评分没有显著影响。然而,那些接受过强迫包皮环切术的人(11.1%)的焦虑得分明显更高(p=0.04)。大多数包皮环切手术(96.3%)发生在医院,其中81.48%由医生进行。包皮环切术患者的年龄与当前焦虑之间没有相关性。值得注意的是,强制包皮环切导致手术焦虑增加。结论:我们的研究表明,虽然包皮环切术的方法、位置和实施者显著影响个体在成年期的手术焦虑,但包皮环切术的年龄并不起决定性作用。
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引用次数: 0
КАЧЕСТВО ЖИЗНИ ДЕТЕЙ И ПОДРОСТКОВ С ОЖИРЕНИЕМ НА ФОНЕ ЛЕЧЕНИЯ 儿童和青少年在治疗期间的生活质量
Pub Date : 2023-07-31 DOI: 10.56121/2181-2926-2023-2-7-265-267
Гулхайо Маматхужаева, Абдураим Арзикулов
В последние годы появились данные о выраженной взаимосвязи между ожирением и психическими заболеваниями, которая влияет на все аспекты качества жизни человека. Целью настоящей работы явилось изучение качество жизни детей и подростков до и после лечения. Материал и методы: В нашем исследовании качество жизни оценено у 127 детей и подростков от 7 до 17лет с идиопатическим ожирением (62 девочки и 65 мальчиков) и 120 практически здоровых детей с нормальной массой тела. Средний возраст обследованных составил 14,45±0,16 лет. Анкетирование проведено после объяснения детям и родителям процедуры исследования. В работе применен педиатрический опросник оценки КЖ PedsQL 4.0. Результаты: У детей, страдающих ожирением, при снижении массы тела происходит значимое улучшение по всем показателям качества жизни кроме школьного функционирования. Снижение массы тела влияет на улучшение внешнего вида, что повышает эмоциональный фон, у детей появляется уверенность в себе.
近年来,有证据表明肥胖和精神疾病之间存在明显的联系,影响着人类生活质量的方方面面。真正的工作是研究治疗前后儿童和青少年的生活质量。材料和方法:在我们的研究中,估计有127名7岁至17岁的儿童和青少年患有特发性肥胖(62名女孩和65名男孩)和120名健康体重正常的儿童。平均年龄为14.45 0.16岁。调查问卷是在向孩子和父母解释研究过程后进行的。它使用了PedsQL 4.0的儿科调查问卷。结果:肥胖儿童在身体质量下降时,除了学校表现外,所有生活质量都有显著改善。身体质量的下降影响了外观的改善,这增加了情感背景,给孩子们带来了自信。
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引用次数: 0
RESULTS OF IMMUNE STATUS IN SICK CHILDREN WITH NEURODERMITIS USING ACUNE REFLEX THERAPY AND EXTERNAL THERAPY 针刺反射疗法与外置疗法对神经性皮炎患儿免疫状态的影响
Pub Date : 2023-07-31 DOI: 10.56121/2181-2926-2023-2-7-273-276
Adhamjon Pakirdinov
Increasing the effectiveness of the treatment of dermatological patients with neurodermitis is an important social task. This is due to the significant spread of a number of dermatoses and the severe course of some of them. The traditional methods of treatment currently used in dermatology are far from always effective, and sometimes they themselves are associated with a variety of side effects and complications, sometimes very severe. In this regard, the great interest that is manifested in non-drug methods of therapy is understandable. One of these methods is acupuncture. Purpose of the study. To study immunological indicators in children with neurodermitis and develop a method of corrective therapy in the process of acupuncture with the use of broncho-munal. Materials and research methods. 32 children with neurodermitis aged 12 to 14 years were under observation. The results of the studies allow us to conclude that acupuncture has a normalizing effect on the parameters of the humoral link of the immune system of girls with neurodermitis. The question arises about the possible mechanisms of such action of acupuncture. In addition to the well-known general effects of acupuncture on the human body in the form of stimulation of the function of the adrenal cortex, the central nervous system, a decrease in the level of certain biologically active substances, the possibility of a direct effect of acupuncture on some lymphoid organs through the acupuncture points responsible for them is not excluded. Conclusions: In the pathogenesis of sick children with neurodermitis, there is a change in the functional activity of the humoral link of immunity, expressed in an increase in the level of serum IgE. Acupuncture, being an effective method of treating girls with neurodermitis, has a normalizing effect on some of the altered parameters of the humoral immunity in children with neurodermitis. expressed in an increase in the level of serum IgE. Acupuncture, being an effective method of treating girls with neurodermitis, has a normalizing effect on some of the altered parameters of the humoral immunity in children with neurodermitis. expressed in an increase in the level of serum IgE. Acupuncture, being an effective method of treating girls with neurodermitis, has a normalizing effect on some of the altered parameters of the humoral immunity in children with neurodermitis.
提高神经性皮炎皮肤病患者的治疗效果是一项重要的社会任务。这是由于许多皮肤病的显著传播和其中一些疾病的严重病程。目前皮肤科使用的传统治疗方法并不总是有效,有时它们本身就伴有各种副作用和并发症,有时非常严重。在这方面,对非药物治疗方法表现出的巨大兴趣是可以理解的。其中一种方法是针灸。研究目的:目的:研究神经性皮炎患儿的免疫指标,探讨针刺过程中支气管-气道的矫正治疗方法。材料和研究方法。对32例12 ~ 14岁神经性皮炎患儿进行观察。研究结果使我们得出结论,针灸对神经性皮炎女孩免疫系统的体液联系参数具有正常化作用。问题是关于针灸的这种作用的可能机制。众所周知,针灸对人体的一般作用是刺激肾上腺皮质、中枢神经系统的功能,降低某些生物活性物质的水平,除此之外,不排除针灸通过负责它们的穴位对某些淋巴器官产生直接作用的可能性。结论:在神经性皮炎患儿发病过程中,存在免疫体液环节功能活性的改变,表现为血清IgE水平升高。针刺是治疗女童神经性皮炎的一种有效方法,对神经性皮炎患儿体液免疫的一些改变参数具有恢复正常的作用。表现为血清IgE水平的升高。针刺是治疗女童神经性皮炎的一种有效方法,对神经性皮炎患儿体液免疫的一些改变参数具有恢复正常的作用。表现为血清IgE水平的升高。针刺是治疗女童神经性皮炎的一种有效方法,对神经性皮炎患儿体液免疫的一些改变参数具有恢复正常的作用。
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引用次数: 0
MICROELEMENTS AND THEIR PHYSIOLOGICAL SIGNIFICANCE FOR THE BODY OF CHILDREN AND ADOLESCENTS 微量元素及其对儿童和青少年身体的生理意义
Pub Date : 2023-06-30 DOI: 10.56121/2181-2926-2023-2-6-239-243
Feruza Sultanova, Barno Inakova, Mukaddas Umarova, Khakimakhon Makhsudova
Abstract: This review article discusses the role of micro and macro elements in pediatrics. A thorough study of the biological role of MEs, carried out in recent years, has made it possible to accumulate factual material reflecting their influence on various physiological functions of the body and, in particular, on the metabolism of a growing organism. About 20 chemical elements take part in the formation and development of various body tissues and their physiological reactions. MEs take an active part in various types of metabolism of proteins, fats, and carbohydrates; influence the course of redox processes, the synthesis of hormones, the functions of the internal secretion organs and the nervous system. The effects of ME, which are part of physiologically active compounds, manifest themselves mainly in their influence on metabolic processes and their too high or too low content is fraught with far-reaching consequences. Knowledge of the physiological level of vitally important, irreplaceable MEs in the body of newborns, the parameters of their balance and significance in the processes of adaptation to extrauterine living conditions will contribute to the development of measures to prevent the implementation of maladaptive syndromes and those diseases in the genesis of which the main role is played by a lack or excess of MEs in the body, their imbalance.
摘要:本文综述了微量元素和宏量元素在儿科学中的作用。近年来对微机械的生物学作用进行了深入的研究,积累了大量事实材料,反映了微机械对身体各种生理功能的影响,特别是对生长生物体代谢的影响。大约有20种化学元素参与人体各种组织的形成和发育及其生理反应。MEs积极参与蛋白质、脂肪和碳水化合物的各种代谢;影响氧化还原过程,激素合成,内分泌器官和神经系统的功能。ME作为生理活性化合物的一部分,其作用主要表现在对代谢过程的影响上,其含量过高或过低都会带来深远的影响。了解新生儿体内至关重要的、不可替代的小微物质的生理水平、它们的平衡参数以及它们在适应宫外生活条件过程中的意义,将有助于制定措施,防止出现适应不良综合征,以及那些主要由体内小微物质缺乏或过多、失衡造成的疾病。
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引用次数: 0
AN INVESTIGATION OF THE RELATIONSHIP BETWEEN THE QUALITY OF LIFE OF THE CHILD PATIENT AND THE PARENT AFTER DESMOPRESSIN TREATMENT IN CHILDREN WITH PRIMARY NOCTURNAL ENURESIS 原发性夜间遗尿症患儿去氨加压素治疗后患儿与家长生活质量关系的研究
Pub Date : 2023-06-30 DOI: 10.56121/2181-2926-2023-2-6-217-222
Sagir Suleyman
Our study aimed to assess the quality of life of both children with monosymptomatic enuresis and their parents during the enuresis period and through the process of cessation with desmopressin treatment. Materials and methods: The study assessed 78 children aged 6-18 with Monosymptomatic Nocturnal Enuresis (MEN) treated with desmopressin. Comprehensive evaluations, including physical exams and lab tests, were conducted. The surveys on the impact of enuresis on daily life and emotional well-being were evaluated. Results: The study observed 78 patients, averaging 10.6 years old, primarily treated for urinary incontinence with desmopressin. Patient demographics indicated 68% had education below high school, 74% were Turkish, and 26% Syrian. Familial data revealed an average of 3.87 siblings per patient. Key findings included a significant reduction in the number of incontinence days per week post-treatment (from 5.09 days to 2.59 days). Quality of Life (QOL) scores for both patients and parents showed significant improvement after treatment. The mean QOL for patients increased from 20 to 26.8, while for parents, it rose from 13 to 24.6. Overall, desmopressin demonstrated a positive impact on urinary incontinence and the associated quality of life. Conclusions: With treatment, there is a noticeable improvement in psychological, social, and emotional aspects among children with MEN and their parents. Therefore, it is essential to treat children experiencing MEN.
我们的研究旨在评估单症状性遗尿症患儿及其父母在遗尿期间以及在去氨加压素治疗停止过程中的生活质量。材料和方法:研究评估了78例6-18岁单症状性夜间遗尿症(MEN)患儿,采用去氨加压素治疗。进行了全面评价,包括体格检查和实验室化验。评估遗尿对日常生活和情绪健康的影响。结果:该研究观察了78例患者,平均年龄10.6岁,主要用去氨加压素治疗尿失禁。患者人口统计数据显示,68%的人受教育程度低于高中,74%是土耳其人,26%是叙利亚人。家族性数据显示,每位患者平均有3.87个兄弟姐妹。主要发现包括治疗后每周尿失禁天数显著减少(从5.09天减少到2.59天)。治疗后患者及家长的生活质量(QOL)均有显著改善。患者的平均生活质量从20提高到26.8,而家长的平均生活质量从13提高到24.6。总的来说,去氨加压素对尿失禁和相关的生活质量有积极的影响。结论:经治疗,MEN患儿及其父母在心理、社会和情感方面均有显著改善。因此,治疗经历男性行为的儿童是必要的。
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