Features of the physical development of children with bronchopulmonary dysplasia

Abstract

We observed 131 children (269 cases) with a diagnosis of bronchopulmonary dysplasia. Found that children with bronchopulmonary dysplasia characterized by a delay in weight gain (73.9 + 2.8%, p <0.0001), height (54.8 +3.2%, p <0.001) and body mass index ( 67.5 3.03%, p <0.001). Proven tendency to "catch up" with the average correction of 28 months of age in girls and 16 months - in boys. In 36 months, the body weight in 50% of women and 25% of the surveyed male reached the average. Dynamics of growth in children with bronchopulmonary dysplasia delayed up to 15 months corrected age in girls and up to 24 months - for boys. At 24 months of age corrected 50% female patients, showed a growth of more standard median. Male patients a growth rate standards only 36 months. Found a moderate correlation gain in body weight with respiratory failure II level (r = -0,442, p <0.05) and significant - with symptoms of respiratory failure III degree (r = -0,676, p <0.05). The dynamics of growth was significantly less correlated with signs of respiratory distress II and III degree (r = -0,146; r = -0,447, p <0.05). In analyzing the data in children with BPD revealed the dependence of low body weight (less than 25 percentile) (r = 0,429; p <0.05) and length (r = -0,149, p <0.05) on the presence of defects of the central nervous system disorders nervous and respiratory drive. Defined much dependence dynamics of body weight on the presence of episodes of hypoxia and disorders of the nervous and respiratory drive (р <0.05)