Preventive Medical Examination of Healthy Children

Кильдиярова, Р. Р.

doi:10.15690/vsp.v17i3.1896

“…Влияние многочисленных факторов внешней среды способно оказать значительное влияние на рост, развитие и заболеваемость детей и подростков [1][2][3][4]. Приоритетным направлением медицинской помощи подрастающему поколению страны является проведение массовых профилактических осмотров [5,6]. Проведение диспансеризации детей и подростков в Российской Федерации регламентируется в настоящее время приказом Минздрава России от 10.09.2017 г.…”

Section: Issn 2221-2582unclassified

Data of Dispensary Examination of Teenagers in the Shalinsky District of the Republic of Chechnya

Иванов,

Грицинская,

Дитковская

et al. 2023

Children's Medicine of the North-West

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Введение. Выявление ранних отклонений в состоянии здоровья возможно при проведении профилактических медицинских осмотров. Цель исследования: оценка состояния здоровья школьников в Республике Чечня. Материал и методы. В рамках диспансеризации было осмотрено 327 учащихся средних школ Шалинского района (138 девочек и 189 мальчиков) в возрасте от 14 до 17 лет. Проведено: соматометрия; осмотр педиатра, детского эндокринолога, акушера- гинеколога, оториноларинголога, детского стоматолога, офтальмолога, детского хирурга, детского уролога- андролога и травматолога- ортопеда. Оценка физического развития дана по нормативам WHO Growth Reference 2007. Результаты. Среднее физическое развитие было у 78,3±2,3% школьников; гармоничное — у 60,4±2,7% учащихся. Дисгармоничные варианты физического развития, обусловленные дефицитом массы тела, отмечались чаще (21,7±2,3%), чем обусловленные избыточным питанием (17,9±2,4%). Выявлена высокая распространенность эндемичного зоба (28,3±2,4%), кариеса зубов (65,1±2,6%), нарушения осанки (32,1±2,5%), хронического тонзиллита (36,8±2,7%), снижения остроты зрения (33,1±2,6%), различных вариантов нарушения менструального цикла (у 54,3±4,2% девочек). По данным диспансерного осмотра определена II группа здоровья — у 66,6±3,4% мальчиков и 65,2±4,1% девочек; III группа — у 33,4±3,4% и 34,8±4,1% соответственно. Заключение. Анализ полученных данных позволяет спланировать мероприятия по дальнейшему обследованию, лечению, реабилитации и диспансерному наблюдению учащихся Шалинского района Чечни. Introduction. Detection of early deviations in health is possible during preventive medical examinations. Purposes and tasks: assessment of the health status of schoolchildren in the Republic of Chechnya. Material and methods. Within the framework of the clinical examination, 327 secondary school students of the Shali region (138 girls and 189 boys) aged from 14 to 17 were examined. Completed: somatometry; examination by a pediatrician, pediatric endocrinologist, obstetrician- gynecologist, otorhinolaryngologist, pediatric dentist, ophthalmologist, pediatric surgeon, pediatric urologist- andrologist and orthopedic traumatologist. The assessment of physical development is given according to the standards “WHO Growth Reference 2007”. Results. Average physical development was in 78.3±2.3% of schoolchildren; harmonious — in 60.4±2.7% of students. Disharmonious variants of physical development caused by a defi cit in body weight were observed more often (21.7±2.3%) than those caused by excess nutrition (17.9±2.4%). A high prevalence of endemic goiter was revealed (28.3±2.4%); dental caries (65.1±2.6%); posture disorders (32.1±2.5%); chronic tonsillitis (36.8±2.7%); decrease in visual acuity (33.1±2.6%); various options for menstrual irregularities (in 54.3±4.2% of girls). According to the dispensary examination, the II health group was identifi ed in 66.6±3.4% of boys and 65.2±4.1% of girls; Group III in 33.4±3.4% and 34.8±4.1%, respectively. Conclusion. Analysis of the data obtained allows planning measures for further examination, treatment, rehabilitation and dispensary observation of students in the Shali district of Chechnya.

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“…По результатам профилактических медицинских осмотров, одним из важных показателей состояния здоровья детского населения является распределение детей по группам здоровья [4,8]. В 2013-2019 гг.…”

Section: результатыunclassified

On the state of child health in Ekaterinburg based on results of prophylactic medical examinations

Rozhkova¹,

Царькова

²

,

Savelyeva

³

et al. 2020

jour

4

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Morbidity parameters in children aged 0–17 years have been analyzed based on results of prophylactic medical examinations conducted in Ekaterinburg between 2013 and 2019. The prophylactic medical examination coverage of pediatric population, distribution among the health status groups and frequency of regular medical check-ups have been studied. In 2019 versus 2013, children aged 0–17 years demonstrated a 1.6-fold increase in overall morbidity, and 2.3-fold increase in primary-care morbidity. In 2013–2017, a higher level of overall morbidity was found in children aged 15–17 years compared to children 0–4 years of age, owing to the emergence of newly diagnosed diseases. It was noted than the most frequently diagnosed diseases included diseases of the musculoskeletal system and connective tissue, diseases of the eye and eye appendages, diseases of nervous system, digestive system, endocrine system, nutritional disorders and metabolic disorders. Each year, based on results of prophylactic medical examinations, the proportion of children for whom the outpatient examination has been recommended amounts to 9.5%, outpatient treatment to 35.0%, and outpatient medical rehabilitation to 9.3%. The fraction of healthy children as of 2019 was 23.1% of all examined children. In 2019 the coverage for medical check-ups at the health facilities was 605.6 per 1000 children, that is 1.8 times higher than that in 2013 (334,0 per 1000 children).

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On the state of child health in Ekaterinburg based on results of prophylactic medical examinations

Rozhkova¹,

Царькова

²

,

Savelyeva

³

et al. 2020

jour

0

View full text Add to dashboard Cite

Morbidity parameters in children aged 0–17 years have been analyzed based on results of prophylactic medical examinations conducted in Ekaterinburg between 2013 and 2019. The prophylactic medical examination coverage of pediatric population, distribution among the health status groups and frequency of regular medical check-ups have been studied. In 2019 versus 2013, children aged 0–17 years demonstrated a 1.6-fold increase in overall morbidity, and 2.3-fold increase in primary-care morbidity. In 2013–2017, a higher level of overall morbidity was found in children aged 15–17 years compared to children 0–4 years of age, owing to the emergence of newly diagnosed diseases. It was noted than the most frequently diagnosed diseases included diseases of the musculoskeletal system and connective tissue, diseases of the eye and eye appendages, diseases of nervous system, digestive system, endocrine system, nutritional disorders and metabolic disorders. Each year, based on results of prophylactic medical examinations, the proportion of children for whom the outpatient examination has been recommended amounts to 9.5%, outpatient treatment to 35.0%, and outpatient medical rehabilitation to 9.3%. The fraction of healthy children as of 2019 was 23.1% of all examined children. In 2019 the coverage for medical check-ups at the health facilities was 605.6 per 1000 children, that is 1.8 times higher than that in 2013 (334,0 per 1000 children).

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Preventive Medical Examination of Healthy Children

Cited by 8 publications

References 2 publications

Data of Dispensary Examination of Teenagers in the Shalinsky District of the Republic of Chechnya

Data of Dispensary Examination of Teenagers in the Shalinsky District of the Republic of Chechnya

On the state of child health in Ekaterinburg based on results of prophylactic medical examinations

On the state of child health in Ekaterinburg based on results of prophylactic medical examinations

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