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Артериальная гипертензия

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ВЗАИМОСВЯЗЬ СИНДРОМА ОБСТРУКТИВНОГО АПНОЭ ВО ВРЕМЯ СНА С КОГНИТИВНЫМИ НАРУШЕНИЯМИ У ДЕТЕЙ

https://doi.org/10.18705/1607-419X-2015-21-1-100-110

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Аннотация

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.

Об авторах

Н. А. Лисовская
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия

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



Л. С. Коростовцева
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия
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


Е. А. Дубинина
Российский государственный педагогический университет им. А. И. Герцена, Санкт-Петербург; Санкт-Петербургский научно-исследовательский психоневрологический институт им. В. М. Бехтерева
Россия

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;



Г. И. Образцова
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия

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;



Ю. В. Свиряев
Северо-Западный федеральный медицинский исследовательский центр, Санкт-Петербург
Россия
Свиряев Юрий Владимирович — доктор медицинских наук, руководитель рабочей группы по сомнологии ФГБУ «СЗФМИЦ» Минздрава России


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Для цитирования:


Лисовская Н.А., Коростовцева Л.С., Дубинина Е.А., Образцова Г.И., Свиряев Ю.В. ВЗАИМОСВЯЗЬ СИНДРОМА ОБСТРУКТИВНОГО АПНОЭ ВО ВРЕМЯ СНА С КОГНИТИВНЫМИ НАРУШЕНИЯМИ У ДЕТЕЙ. Артериальная гипертензия. 2015;21(1):100-110. https://doi.org/10.18705/1607-419X-2015-21-1-100-110

For citation:


Lisovskaya N.A., Korostovtseva L.S., Dubinina E.A., Obraztsova G.I., Sviryaev Y.V. RELATION BETWEEN OBSTRUCTIVE SLEEP APNEA SYNDROME AND COGNITIVE DYSFUNCTION IN CHILDREN. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2015;21(1):100-110. (In Russ.) https://doi.org/10.18705/1607-419X-2015-21-1-100-110

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ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)