ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2018-2-143-155ssmu-1212Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEW AND LECTURESКлинические инструменты оценки тяжести бронхообструктивного синдрома у детей дошкольного возрастаClinical scale to assess of bronchial obstruction severity at preschoolershttps://orcid.org/0000-0002-2234-5355КамалтыноваЕ. М.KamaltynovaE. M.

д-р мед. наук, доцент, кафедра факультетской педиатрии с курсом детских болезней, 

643050, г. Томск, Московский тракт, 2

DM, Associate Professor, Department of Faculty Pediatrics with the Course of Children Diseases,

2, Moscow Trakt, Tomsk, 634050

https://orcid.org/0000-0002-4449-4810ДеевИ. А.DeevI. A.

д-р мед. наук, профессор, кафедра факультетской педиатрии с курсом детских болезней, 

643050, г. Томск, Московский тракт, 2

DM, Professor, Department of Faculty Pediatrics with the Course of Children Diseases,

2, Moscow Trakt, Tomsk, 634050

https://orcid.org/0000-0002-7130-9609ФедороваО. С.FedorovaO. S.

д-р мед. наук, профессор, кафедра факультетской педиатрии с курсом детских болезней, 

643050, г. Томск, Московский тракт, 2

DM, Professor, Department of Faculty Pediatrics with the Course of Children Diseases,

2, Moscow Trakt, Tomsk, 634050

НиколаеваН. В.NikolaevaN. V.

заочный аспирант, кафедра факультетской педиатрии с курсом детских болезней, 643050, г. Томск, Московский тракт, 2

врач-педиатр, 652057, Кемеровская область, г. Юрга, ул. Шоссейная, 8

Postgraduate Student, Department of Faculty Pediatrics with the Course of Children Diseases, 2, Moscow Trakt, Tomsk, 634050;

Pediatric, 8, Shosseynaya Str., Yurga, Kemerovo Region, 652057

nik1801@mail.ruПолевщиковаМ. И.PolevshchikovaM. I.

аспирант, кафедра факультетской педиатрии с курсом детских болезней,

643050, г. Томск, Московский тракт, 2

Postgraduate Student, Department of Faculty Pediatrics with the Course of Children Diseases,

2, Moscow Trakt, Tomsk, 634050

Сибирский государственный медицинский университет (СибГМУ)РоссияSiberian State Medical University (SSMU)Russian FederationСибирский государственный медицинский университет (СибГМУ); Юргинская районная больница (ЮРБ)РоссияSiberian State Medical University (SSMU); Yurginsky District HospitalRussian Federation201820072018172143155Copyright © Камалтынова Е.М., Деев И.А., Федорова О.С., Николаева Н.В., Полевщикова М.И., 20182018Камалтынова Е.М., Деев И.А., Федорова О.С., Николаева Н.В., Полевщикова М.И.Kamaltynova E.M., Deev I.A., Fedorova O.S., Nikolaeva N.V., Polevshchikova M.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://bulletin.ssmu.ru/jour/article/view/1212

Определение тяжести заболевания является важным фактором выбора алгоритма лечения любого заболевания. Бронхообструктивный синдром у детей широко распространен. Раннее определение тяжести заболевания и своевременное лечение устраняют клинические проявления синдрома, улучшая качество жизни пациентов. Критериями тяжести, как правило, служит определенный набор клинических и параклинических параметров, различных для разных нозологических форм. В частности, снижение параметров функции внешнего дыхания является золотым стандартом оценки тяжести бронхообструктивного синдрома, однако проведение легочных тестов у детей дошкольного возраста затруднительно. Альтернативой оценки функции внешнего дыхания у дошкольников могут служить клинические инструменты. Существует большое количество исследований, посвященных объективной оценке определения тяжести бронхообструктивного синдрома с помощью балльных клинических шкал. Настоящий обзор посвящен анализу существующих инструментов оценки тяжести и контроля терапии бронхообструктивного синдрома у детей дошкольного возраста.

The severity of the disease is the main factor for further treatment. Bronchoobstructive syndrome of children is widespread. Early detection of the disease severity and correct treatment eliminate the clinical manifestation of the syndrome and improve the quality of patients life. Criteria of severity, as a rule, serve a certain set of clinical and paraclinical parameters used for different nosological forms. In particular, the decrease in parameters of the function of external respiration is the “gold standard” for assessing the severity. Lung function tests for preschoolers are limited. Clinical respiratory scales may be useful in the evaluation of preschooler. Alternative assessment respiratory function is sometimes used as clinical scale. Numerous studies devoted to the objective assessment of bronchial obstruction syndrome severity. A scientific literature review is dedicated to the analysis to the assessment of the bronchoobstructive syndrome severity degree and the effectiveness of therapy at preschool-aged children.

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