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THE TABLE OF CONTENTS

The list of reductions............................................................................................. 5

Introduction...............................................................................................................

6

Chapter 1. The literature review................................................................................ 11

1.1. Modern representations about functional disorders

Gastroenteric tract at children of early age.............................. 11

1.1.1. Infantile regurgitations............................................................ 13

1.1.2. Infantile intestinal gripes.................................................. 14

1.1.3. Functional constipations............................................................... 27

1.2. Diagnostics of functional disorders of the gastroenteric

Tract at children of early age..................................................................... 28

1.3. Correction of functional disorders of the gastroenteric

Tract at children of early age........................................................... 30

1.3.1. Correction of infantile regurgitations.......................................... 31

1.3.2. Correction of infantile intestinal gripes.................................. 32

1.3.3. Treatment of the diarrhoeia bound with laktaznoj by insufficiency......... 35

1.3.4. Correction of functional constipations........................................... 36

Chapter 2. A material and research methods....................................................... 38

2.1. The clinical characteristic of groups.................................................... 38

2.2. Research methods......................................................................... 43

2.2.1. The Clinico-Anamnestichesky method of research.......................... 43

2.2.2. The hydrogen respiratory test with lactose.................................. 44

2.2.3. Feces crops on a dysbacteriosis......................................................... 45

2.2.4. PTSR a feces...................................................................................... 47

2.2.5. Definition kalprotektina in a feces............................................. 47

2.3. Methods of the statistical analysis of results of research............. 48

Chapter 3. Clinical features of functional disorders zheludochnoyokishechnogo a tract at children of early age......................................................................... 50

3.1. Structure of functional disorders of a gastroenteric tract 50

3.1.1. Structure of functional disorders of a gastroenteric tract depending on presence laktaznoj failures.................................... 51

3.1.2. Structure of functional disorders of the gastroenteric

Tract depending on age........................................................................ 52

3.1.3. Structure of functional disorders of the gastroenteric

Tract depending on a feeding kind..................................................... 54

3.2. Clinico-Anamnestichesky features at children in the investigated

Groups................................................................................................. 55

3.2.1. The characteristic of clinical semiology of functional disorders of a gastroenteric tract in dependence

From presence laktaznoj failures..............................................................

56

3.2.2. The characteristic of clinical semiology of functional disorders of a gastroenteric tract in dependence

From age........................................................................................................... 60

3.2.3. The characteristic of clinical semiology of functional disorders of a gastroenteric tract in dependence

From a feeding kind........................................................................................ 64

3.3. Features of the anamnesis of patients of investigated groups...................... 67

3.3.1. Features of the anamnesis of patients depending on presence laktaznoj failures.............................................................................................. 68

Chapter 4. Clinico-laboratory features of functional disorders of a gastroenteric tract of children with laktaznoj insufficiency................. 76

4.1. Features of clinical semiology of the functional

Disorders of a gastroenteric tract at laktaznoj failures 77

4.2. Data of the hydrogen respiratory test at children with laktaznoj

Insufficiency........................................................................................... 80

4.3. Level kalprotektina at children with laktaznoj insufficiency........ 82

Chapter 5. Features of an intestinal microflora at functional disorders of a gastroenteric tract at children of early age.................................... 85

5.1. Results of crops of a feces on a dysbacteriosis..................................................... 85

5.1. Results quantitative PTSR a feces................................................................................... 92

5.2. A comparative estimation of results of crops of a feces on a dysbacteriosis

And PTSR a feces...................................................................................................... 100

5.3. Results of definition of level kalprotektina in a feces...................... 101

Chapter 6. An estimation of efficiency of correction FR GASTROINTESTINAL TRACT at children of the early

Age............................................................................................................... 106

6.1. The analysis of dynamics of clinical semiology against therapy......... 106

6.2. Dynamics of level of hydrogen in exhaled air a therapy background..................................... 119

6.3. Dynamics of level kalprotektina against therapy............................ 121

6.4. Dynamics of structure of an intestinal microflora against therapy by data

Feces crops on a dysbacteriosis.......................................................................... 122

6.5. Dynamics of structure of an intestinal microflora against therapy by data

PTSR a feces......................................................................................................... 124

Chapter 7. Discussion of results of research................................................ 128

Conclusions............................................................................................................... 138

Practical references............................................................................... 140

The literature list............................................................................................ 141

The appendix 1..................................................................................................... 159

The appendix 2...................................................................................................... 162

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Scientific source KUBALOVA Saida Sultanovna. CLINICAL VALUE LAKTAZNOJ of INSUFFICIENCY And MICROBIC DISTURBANCES AT FUNCTIONAL DISORDERS of the GASTROENTERIC TRACT At CHILDREN of EARLY AGE. The dissertation on competition of a scientific degree of the candidate of medical sciences. St.-Petersburg - 2014. 2014

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