urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/umj.23.5.143ZHHQMPurmj-1613Research ArticleЛитературные обзоры | Literature reviewsLiterature reviewsБронхолегочная дисплазия у детей. Современный взгляд на исходы заболеванияBronchopulmonary Dysplasia in Children. An Up-to-Date View of Disease Outcomeshttps://orcid.org/0009-0005-6459-763XЦарёваЖ. А.TsarevaZh. A.

Жанна Александровна Царёва — аллерголог-иммунолог пульмонологического отделения

Екатеринбург

Zhanna A. Tsareva - Allergologist-Immunologist of the Pulmonology Department

Ekaterinburg

dmb9zhanna@yandex.ruhttps://orcid.org/0000-0003-4588-5909ЦарьковаС. А.TsarkovaS. A.

Софья Анатольевна Царькова — доктор медицинских наук, профессор, заведующий кафедрой поликлинической педиатрии

Екатеринбург

Sof’ja A. Tsarkova - Doctor of Sciences (Medicine), Professor, Head of the Department of Polyclinic Therapy

Ekaterinburg

tsarkova_ugma@bk.ruЛипинаВ. Р.LipinV. R.

Валентина Рейнгольдовна Липина — кандидат медицинских наук, заместитель главного врача по клинической фармакологии

Екатеринбург

Valentina R. Lipina - Candidate of Sciences (Medicine), Deputy Chief Physician for Clinical Pharmacology

Ekaterinburg

vlipina@e1.ruДетская городская клиническая больница № 9РоссияChildren’s City Clinical Hospital No. 9Russian FederationУральский государственный медицинский университетРоссияUral State Medical UniversityRussian Federation202418102024235143–156Copyright © Царёва Ж.А., Царькова С.А., Липина В.Р., 20242024Царёва Ж.А., Царькова С.А., Липина В.Р.Tsareva Z.A., Tsarkova S.A., Lipin V.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/1613

Введение. Бронхолегочная дисплазия (БЛД) — хроническое заболевание легких новорожденных с развитием кислородозависимости к 36 неделям постконцептуального возраста (ПКВ). В последнее десятилетие его частота увеличилась. Публикуется все больше современных научных данных о неблагоприятном влиянии БЛД не только на развитие легких, но и сердечно-сосудистую систему. В литературе имеется достаточно информации об исходах БЛД, однако проблема сердечно-сосудистых нарушений, новых методов лечения и реабилитационных программ с последующим их внедрением в клиническую практику продолжает изучаться. Цель работы — систематизация современных литературных данных о кардиоваскулярных нарушениях у детей с БЛД в анамнезе для оптимизации диагностики, лечения и реабилитации детей, а также разработки рекомендаций по профилактике и управлению кардиоваскулярными осложнениями у этой категории детей.Материалы и методы. Поиск научных статей проводился по ключевым словам bronchopulmonary dysplasia и сardiovascular disorders в базах данных PubMed, UpToDate, Google Scholar, eLibrary.ru. В ходе обзора литературы проанализировано более 80 публикаций, посвященных кардиоваскулярным проблемам, включая врожденные пороки сердца и связанные с ними сердечно-сосудистые нарушения.Результаты и обсуждение. В настоящее время хорошо изучены исходы БЛД, в то время как о сердечно-сосудистых заболеваниях и возможном прогнозе для детей, перенесших БЛД, информации мало.Заключение. Сердечно-сосудистые нарушения у детей с БЛД в анамнезе являются актуальной проблемой в педиатрической практике. Представленный обзор литературы суммирует накопленную в течение нескольких лет информацию по исходам кардиоваскулярных изменений и определяет направление дальнейшего изучения проблемы, выявления групп повышенного риска по развитию этих заболеваний у детей.

Introduction. Bronchopulmonary dysplasia (BPD) is a chronic neonatal lung disease, with oxygen dependence by 36 weeks post conceptual age (PCA). Over the past decade, the frequency of the disease has increased. More and more modern scientific data are published that BPD has an adverse effect not just the development of the lungs, but also on the cardiovascular system. There is a large amount of information in the literature about the outcomes of BPD, but there is not enough information about the consequences of cardiovascular disorders in children with a history of BPD. Lack of clear criteria to predict and prevent to demonstrate cardiovascular disorders, were the basis for a detailed study of the literature concerning this issue.Purpose of the study based on study of the results of studies by local and foreign authors, to analyze the nature of cardiovascular disorders in children with a history of BPD, and to determine directions for more detailed scientific and practical search for a solution to this problem.Materials and methods. Research articles were searched for keywords “bronchopulmonary dysplasia” and “сardiovascular disorders” in the PubMed, UpToDate, Google Scholar databases, eLibrary.ru. At least 80 publications have been extracted from search results for simplification. Analyses of the results of studies by local and foreign authors on outcomes, BPD, including cardiovascular disorders, was carried out.Results and discussion. At the moment, the outcomes of BPD are well understood, while few information on cardiovascular disorders and possible prognosis for children who have undergone BPD.Conclusion. Cardiovascular disorders in children with a history of BPD are a pressing problem in pediatric practice. The presented literature review summarizes the information accumulated over several years on the outcomes of cardiovascular changes and determines the direction for further study of the problem, involving pediatricians and doctors of other specialties in order to identify groups at increased risk for the development of these diseases in children.

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