thealthЗдравоохранение ТаджикистанаHealth care of Tajikistan0514-2415Редакция журнала «Здравоохранение Таджикистана»10.52888/0514-2515-2022-355-4-45-49thealth-409Research ArticleСтатьиСтабилизация недоношенных детей с респираторным дистресс-синдромом и возможности ее проведения в Республике ТаджикистанStabilization of premature infants with respiratory distress syndrome and possibilities of its implementation in the Republic of TajikistanМахкамовК. К.MakhkamovK. K.

к.м.н., доцент, заведующий кафедрой неонатологии,

г. Душанбе, ул. Адхамова 5, кв 27

candidate of medical sciences, Head of the Depatment of Neonatology

Dushanbe, st. A. Adhamov 5, apt 27

kkm63@mail.ruГОУ «Институт последипломного образования в сфере здравоохранения Республики Таджикистан»ТаджикистанState Educational Establishment «Institute of Postgraduate Education of Health Sphere of Republic of Tajikistan»Tajikistan202217022023044549Copyright © Махкамов К.К., 20232023Махкамов К.К.Makhkamov K.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.zdrav.tj/jour/article/view/409Цель исследования

Цель исследования. Анализ современных подходов диагностики и лечения РДС у недоношенных детей на этапе родильного зала и возможности их использования в нынешних условиях Республики Таджикистан.

Материалы и методы исследования. Проводили анализ положений и нормативных документов для родовспомогательных учреждений, включая их ежегодные отчеты, и национальные протоколы по неонатологии, утвержденные Министерством здравоохранения и социальной защиты населения Республики Таджикистан. Данные сопоставляли с положениями Европейского консенсуса по РДС 2019 г. в части его диагностики и стабилизации состояния новорожденных в родильном зале.

Результаты исследования и их обсуждение. В работе отражены современные научно обоснованные подходы к диагностике и ведению недоношенных детей, родившихся с очень низкой и экстремально низкой массой тела. С учетом существующих на сегодня рекомендаций Европейского согласительной комиссии по РДС, касающихся вопросов диагностики, респираторной поддержки и лечения сурфактантом, которые необходимо осуществлять на этапе родильного зала, определены возможности их использования в Республике Таджикистан в настоящее время.

Заключение

Заключение. Практическое использование научно обоснованных современных стратегий выхаживания недоношенных с РДС будет способствовать снижению смертности и осложнений. 

Aim

Aim. To analyze modern approaches to the diagnosis and treatment of Respiratory-Stress Syndrome (RDS) in premature babies at the stage of the delivery room and the possibility of their use in the conditions of the Republic of Tajikistan.

Material and methods

Material and methods. We analyzed the provisions and regulatory documents for obstetric facilities, including their annual reports, and national protocols on neonatology approved by the Ministry of Health and Social Protection of the Republic of Tajikistan. The data were compared with the provisions of the 2019 European Consensus on RDS in terms of its diagnosis and stabilization of newborns in the delivery room.

Results and discussion

Results and discussion. The paper reflects current evidence-based approaches to diagnosing and managing preterm infants born with very low and extremely low birth weights. Taking into account the current recommendations of the European Commission on RDS concerning the issues of diagnosis, respiratory support and surfactant treatment to be performed at the stage of the delivery room, the possibilities of their use in the Republic of Tajikistan are determined.

Conclusion

Conclusion. Practical use of scientifically grounded modern strategies for nursing preterm infants with RDS will help to reduce mortality and complications. 

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