arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2015-21-1-100-110arthyper-180Research ArticleСТРАНИЦА СОМНОЛОГАSOMNOLOGIST’S PAGEВЗАИМОСВЯЗЬ СИНДРОМА ОБСТРУКТИВНОГО АПНОЭ ВО ВРЕМЯ СНА С КОГНИТИВНЫМИ НАРУШЕНИЯМИ У ДЕТЕЙRELATION BETWEEN OBSTRUCTIVE SLEEP APNEA SYNDROME AND COGNITIVE DYSFUNCTION IN CHILDRENЛисовскаяН. А.LisovskayaN. A.

Лисовская Нина Александровна — младший научный сотрудник научно-исследовательского отдела артериальной гипертензии ФГБУ «СЗФМИЦ» Минздрава России;

контактная  информация: ФГБУ «СЗФМИЦ» Минздрава России, ул. Аккуратова, д. 2, Санкт-Петербург, Россия, 197341. E-mail: ninanikolskaja@gmail.com

Nina A. Lisovskaya, MD, Junior Researcher, Research Department for Hypertension, Federal North-West Medical Research Centre;

ninanikolskaja@gmail.comКоростовцеваЛ. С.KorostovtsevaL. S.

Коростовцева Людмила Сергеевна — кандидат медицинских наук, научный сотрудник научно-исследовательского отдела артериальной гипертензии научно-исследовательской лаборатории патогенеза и терапии артериальной гипертензии, рабочая группа по сомнологии ФГБУ «СЗФМИЦ» Минздрава России

Lyudmila S. Korostovtseva, MD, PhD, Researcher, Somnology Group, Research Department for Hypertension, Federal North-West Medical Research Centre

ninanikolskaja@gmail.comДубининаЕ. А.DubininaE. A.

Дубинина Елена Александровна — кандидат психологических наук, доцент, доцент кафедры клинической психологии и психологической помощи Российского государственного педагогического университета им. А. И. Герцена, научный сотрудник Санкт-Петербургского научно-исследовательского психоневрологиче ского института им. В. М. Бехтерева;

Elena A. Dubinina, PhD, Candidate of Psychology Sciences, Associate Professor, Department of Clinical Psychology and Psychological Care, Herzen State Pedagogical University of Russia, Researcher, St Petersburg Psychoneurological Research Institute n. a. V. M. Bekhterev

ninanikolskaja@gmail.comОбразцоваГ. И.ObraztsovaG. I.

Образцова Галина Игоревна — доктор медицинских наук, старший научный сотрудник научно-исследовательской лаборатории диагностики и лечения патологии детского возраста, детский кардиолог Института перинатологии и педиатрии ФГБУ «СЗФМИЦ» Минздрава России;

Galina I. Obraztsova, MD, PhD, DSc, Senior Researcher, Research Laboratory of Diagnostics and Treatment of Pediatric Diseases, Pediatrician, Institute of Perinatology and Pediatrics, Federal North-West Medical Research Centre

ninanikolskaja@gmail.comСвиряевЮ. В.SviryaevY. V.

Свиряев Юрий Владимирович — доктор медицинских наук, руководитель рабочей группы по сомнологии ФГБУ «СЗФМИЦ» Минздрава России

Yurii V. Sviryaev, MD, PhD, DSc, Head, Somnology Group, Research Department for Hypertension, Federal North-West Medical Research Centre

ninanikolskaja@gmail.comСеверо-Западный федеральный медицинский исследовательский центр, Санкт-ПетербургРоссияFederal North-West Medical Research Centre Ministry of Health of Russia Federation, St PetersburgRussian FederationРоссийский государственный педагогический университет им. А. И. Герцена, Санкт-Петербург; Санкт-Петербургский научно-исследовательский психоневрологический институт им. В. М. БехтереваРоссияHerzen State Pedagogical University of Russia, St Petersburg, 3 St Petersburg Psychoneurological Research Institute n. a. V. M. BekhterevRussian Federation201529042015211100110Copyright © Лисовская Н.А., Коростовцева Л.С., Дубинина Е.А., Образцова Г.И., Свиряев Ю.В., 20152015Лисовская Н.А., Коростовцева Л.С., Дубинина Е.А., Образцова Г.И., Свиряев Ю.В.Lisovskaya N.A., Korostovtseva L.S., Dubinina E.A., Obraztsova G.I., Sviryaev Y.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/180

Синдром обструктивного апноэ во время сна (СОАС) у детей представляет собой часто встречающуюся и недооцениваемую проблему, последствиями которой могут стать когнитивная дисфункция вплоть до отставания в психическом развитии. По результатам проведенного обзора медицинской литературы, опубликованной с 1980 по 2014 год, с использованием баз данных National Library of Medicine PUBMED, Cochrane Database for Systematic Reviews и Российского индекса научного цитирования, существуют убедительные доказательства взаимосвязи обструктивных нарушений дыхания во сне и нейрокогнитивных нарушений. Однако, несмотря на имеющиеся предпосылки, детальные патогенетические механизмы до конца не выяснены. Важно, что в различные возрастные периоды основные факторы, приводящие к возникновению СОАС у детей, отличаются, что обусловливает выбор тактики лечения. Имеющиеся в настоящее время данные позволяют предположить, что правильно и своевременно назначенное лечение СОАС может предотвратить развитие необратимых изменений, в частности нейрокогнитивной сферы, что является одной из приоритетных задач педиатрии и здравоохранения в целом, так как может способствовать успешной социальной адаптации не только детей, но и в дальнейшем у взрослых.

Obstructive sleep apnea syndrome in children represents a common and underestimated problem, in particular leading to the behavioral and emotional changes, and cognitive dysfunction. Based on the review of medical literature published between 1980 and 2014 (using the National Library of Medicine’s PUBMED database, Cochrane Database for Systematic Reviews and Russian index of science citation), there is a compelling evidence that sleep-disordered breathing is associated with neurocognitive problems in children. However, despite the available evidence, underlying mechanisms are not clear. The major factors leading to OSAS in children differ at different age, that is undoubtedly important for the management strategy. A correct and timely treatment of OSAS might prevent the development of irreversible changes, in particular neurocognitive characteristics that is one of priority problems of pediatrics and health care in general, because it can promote successful social adaptation of both children and adults.

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The authors declare that there are no conflicts of interest present.