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CHAPTER 4. THE CONCLUSION (DISCUSSION OF THE RECEIVED RESULTS)

Problem of acute respiratory infections (SHOUT) in pediatric practice gets the greatest urgency as in structure of the general primary case rate of children on a share of respiratory diseases it is necessary more cases, than on all other illnesses together taken.

(50, 135, 165, 200).

C SHOUT it is bound about 90 % of references for out-patient pediatric (56, 117, 124).

So, annually a case rate indicator these infections in the city of Moscow approximately in 1,5-1,8 times above, than value of the same indicator as a whole on the country (95, 120).

SHOUT also a flu continue to remain a serious epidemiological and social problem for Russia. On official statistical data, this group of diseases annually occupies in structure of infectious diseases about 90 % (94, 110, 119).

In 2012 among the general number of the diseased the children's population has made 52,8 % (12 970 persons), in 2011 with a flu 82,3 % of children from the general number ill (245 517 children), in 2010 - 10 113 (36,9 %) (120) had been ill.

Despite enough big arsenal of medical products, therapy of repeated infections of ENTs-bodies and respiratory tracts not always it appears effective. Especially it concerns groups of often ill children (CHBD). In this connection interest to working out of tactics of conducting and aftertreatment of children with repeated infections (100) is clear.

Perspective direction in preventive maintenance SHOUT is use safe malotoksichnyh, but the effective remedies of protection having a natural parentage (homoeopathic and phytotherapeutic preparations) (52, 142).

Research objective

Optimisation of preventive programs at often ill children (CHBD) early age in establishments was the purpose of the present research
Primary link from a position of a constitutional accessory and application of agents of a natural parentage.

Research problems

1. To analyse the anamnesis and features of a current SHOUT at observable children.

2. To define shipping, safety of the complex

Homoeopathic preparation №1 (KGP № 1), a complex homoeopathic preparation №2 (KGP № 2) and the Phytopreparation in preventive maintenance of the acute

Infectious diseases of the top respiratory tracts at children at the age from 0 till 6 years.

3. To carry out katamnesticheskoe observation within 6 months for children receiving various kinds of preventive correction, with definition of efficiency of various ways of preventive maintenance.

4. To develop the preventive maintenance scheme SHOUT at often ill children with use of agents of a natural parentage.

5. To establish interrelation between constitutional features of the child and efficiency of spent therapy.

Novelty of research

For the first time the differentiated approach to appointment of preventive correction at often ill children from a position of a constitutional accessory and application of agents of a natural parentage is developed.

The author carries out a long catamnesis (180 days) often ill children in the conditions of a children's out-patient department after carrying out of preventive actions.

Application of complex homoeopathic preparations in the program of preventive maintenance of often ill children of 1st year of a life is proved

Necessity of carrying out of preventive actions for case rate depression is proved SHOUT at children not less than 3 times a year.

Under observation were 231 child at the age from 0 till 6 years which received the preventive program referred on depression of a case rate SHOUT.

All children are carried to group of often ill children.

The course of preventive actions has made 21 day. Further all children were observed within 180 days in the conditions of a children's out-patient department.

Research was opened, randomizirovannym by means of envelopes. Before the beginning of preventive correction of children their parents have signed the informed consent.

All children have been parted on 3 groups:

1 group (basic) - 100 children receiving KGP № 1. Structure: Calcium a carbonate (Calcium carbonicum Hahnemanni trit. D6), Calcium fluoride (Calcium fluoratum trit. D6), Hydronatrii phosphas Calcium digidrat (Calcium phosphoricum trit. D6), Iodit sulfurs (Sulfur jodatum trit. D12).

2 group (basic) - 101 child, receiving KGP № 2. Structure: the Gentian (Gentiana D1), the Aconite (Aconitum D6), Brionija (Brionia D6), the Gland Natrii phosphas (Ferrum phosphoricum D12), Acid milk (Acidum sarcolacticum D12).

3 group (comparisons) - 30 children receiving the Phytopreparation. Structure: Ehinatsei a purple grass (Echinacea purpurea (L.) Moench).

Research joined children satisfying following criteria:

• Children of both floors are elderly till 6 years;

• with frequent acute respiratory diseases of the top respiratory tracts in the anamnesis: 3 and more acute respiratory diseases of the top respiratory tracts for the last half a year.

Research does not join patients who at the moment of randomization had:

• Acute respiratory diseases of the top respiratory tracts or an exacerbation of chronic disease of the top respiratory tracts (a tonsillitis, an adenoiditis, a bronchitis, tonzillofaringit, etc.).

• Serious accompanying diseases (renal insufficiency, heart diseases, a circulatory unefficiency, a cardiomyopathy,
dekompensirovannye diseases of kidneys, a thyroid gland liver, immunosupressivnye conditions).

• Congenital immunodefitsitnye conditions.

• Oncologic diseases.

• Known or prospective hypersensitivity to components of an investigated preparation

• Accepted any others immunomodulirujushchie preparations within last 6 months.

Research methods

1. Anamnestic.

2. Clinical.

3. Laboratory.

4. Katamnestichesky.

5. Statistical.

At the first investigation phase the anamnesis of selected children with allocation of risk factors has been analysed, the constitutional type of the child is defined, tables of the account of complaints and clinical symptoms of the patient are developed. To each sign the point has been appropriated.

Children looked round 5 times: 0 days (initial visit), 5 day from the beginning of preventive actions, 21 day, 90 day, 180 day (final visit).

Each time the ball estimation of all symptoms was spent.

After the termination of preventive correction (21 day) for children it was carried out katamnesticheskoe observation within 6 months with an estimation of complaints, clinical symptoms, cases were registered SHOUT, their gravity and the complicated current.

Besides the infectious index (AI) paid off - the relation of number of all cases SHOUT for a certain time interval to age of the child.

As the basic criteria of an estimation of efficiency of preparations served:

1. Change of frequency of occurrence of acute infectious diseases of the top respiratory tracts - offensive of preventive effect will be considered, if there comes reduction of quantity of exacerbations by 40 % and more;

2. Change of duration of the interrecurrent period - offensive of preventive effect will be at its augmentation at 30 % and more;

3. Change of duration of acute respiratory infections of the top respiratory tracts - the preventive effect will be reached at reduction of an indicator by 25 % and more.

Additional criteria of an estimation of efficiency are:

1. Change of a total point of complaints;

2. Change of a total point of objective symptoms;

3. Change of a point of separate complaints;

4. Change of a point of separate symptoms;

5. Changes of indicators of the analysis of blood;

6. Change of an infectious index.

Children 1, 2 and 3 groups in the beginning of research had no statistically authentic differences on key parametres and therefore were comparable.

Prior to the beginning of preventive correction by the most frequent complaints at CHBD all groups there were complaints to appetite disturbance (62,3 %); zalozhennost a nose (55 %); irritability (49,4 %); undue fatigability in the evenings (27,7 %).

Implications atopicheskogo a dermatitis (47,6 %), a hypertrophy of palatine tonsils (37,7 %), augmentation of lymphonoduses (35,1 %), adenoides I - II degrees (29,9 %) were the basic clinical symptoms at CHBD at the moment of primary survey pallor of integuments (59,3 %), allocation from a nose (58,9 %).

After the spent preventive correction more expressed depression of pathological complaints and symptoms has been noted in all groups of children, however, less expressed in 3 group.

In group of children receiving KGP № 1 and KGP № 2, reduction of complaints has made 82 % and 90,6 % accordingly. And in group of children receiving with the preventive purpose the Phytopreparation, only 43,8 % that is authentic more low, than at children of 1 and 2 groups (r

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Scientific source TISHKINA IRINA SERGEEVNA. Preventive programs at often ill children of early age in establishments of a primary link. The DISSERTATION ON COMPETITION of the SCIENTIFIC DEGREE of the CANDIDATE of MEDICAL SCIENCES. Moscow - 2015. 2015

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Other medical related information CHAPTER 4. THE CONCLUSION (DISCUSSION OF THE RECEIVED RESULTS):

  1. THE TABLE OF CONTENTS
  2. the Table of contents
  3. THE TABLE OF CONTENTS
  4. the Maintenance:
  5. CHAPTER 8. THE CONCLUSION (DISCUSSION OF THE RECEIVED RESULTS)
  6. INTRODUCTION
  7. CHAPTER №5 DISCUSSION
  8. the Table of contents
  9. Chapter 7 DISCUSSION of RESULTS of RESEARCH
  10. THE TABLE OF CONTENTS
  11. CHAPTER 4. THE CONCLUSION (DISCUSSION OF THE RECEIVED RESULTS)
  12. Chapter 7 DISCUSSION of RESULTS of RESEARCH
  13. the MAINTENANCE
  14. the Chapter VI. DISCUSSION of the RECEIVED DATA
  15. INTRODUCTION
  16. THE TABLE OF CONTENTS