Saratov JOURNAL of Medical and Scientific Research

Nesterenko O.V.

Saratov State Medical University, Department of Faculty Pediatrics, Assistant Professor

Differential approach to treatment of primary nocturnal enuresis in children

Year: 2011, volume 7 Issue: №3 Pages: 666-670
Heading: Pediatrics Article type: Original article
Authors: Nesterenko O.V., Goremykin V.I., Koroleva I.V., Elizarova S.U., Sidorovich O.V.
Organization: Saratov State Medical University
Summary:

The aim of the work is to develop an algorithm of differentiated therapy in children with PNE. 234 children aged 5-15 years were studied. Results of treatment of children with primary nocturnal enuresis using the traditional therapeutic scheme and the algorithm of differential therapy based on identification of individual pathology were analyzed. The best clinical effect (recovery— in 73,1%, improvement— in 19,4% of cases) was obtained in children undergone the complex of recommended measures: psychological consultation, rational and family psychotherapy, medication correction, physical and physiotherapy, alarm-monitoring; the complex was used differentially, i.e. depending on the identified pathology. In conclusion the article stated that individual treatment program with the obligatory inclusion of alarm-control for child with PNE should be selected after performing the recommended set of diagnostic measures

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Psycho-autonomic and urodynamic disorders in children with primary nocturnal enuresis

Year: 2010, volume 6 Issue: №3 Pages: 653-658
Heading: Pediatrics Article type: Original article
Authors: Nesterenko O.V., Koroleva I.V., Goremykin V.I., Elisarova S.U., Khignyak A.M, Protopopov A.A.
Organization: Saratov State Medical University
Summary:

The analysis of psycho-autonomic status, urodynamics of lower urinary tract, the character of family education in children with various courses of primary night enuresis (PNE) was made. 198 children with PNE and 36 healthy children who formed the control group were examined. It was found out that children with PNE were observed to have detrusion-sphincter dissynergy and inadequate family education; the severity of enuresis correlated with the severity of minimal brain dysfunctions. Peculiarities of autonomic regulation in children with primary nocturnal enuresis were caused by stable increase of the parasympathetic nervous system tonus and decrease of the sympathetic nervous system tonus, the severity of the both increasing with the increase of the disease severity

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BIOSOCIAL FACTORS AND PSYCHOVEGETATIVE PECULIARITIES IN FORMATION OF ADAPTATION ABNORMALITIES IN CHILDREN WITH GROWTH RETARDATION

Year: 2009, volume 5 Issue: №1 Pages: 80-82
Heading: Pediatrics Article type: Original article
Authors: V.I. Goremykin, А.А. Protopopov, I.V. Koroleva, I.A. Egorova, A.V. Khizhnyak, S.U. Elizarova, L.N. Volkova, O.V. Nesterenko
Organization: Saratov State Medical University
Summary:

110 children aged 7-16 with growth retardation have been under the study. Children with different clinical variants of growth retardation are characterized by individual clinical psychophysiological peculiarities. The cause-effect relation of biosocial factors, psychovegetative changes and high morbidity rate of children with growth retardation established in the research point out to their adaptation abnormalities, that require a differentiated approach to the development of rehabilitation programs.

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