Рeculiarities of changes in vital signs in children of different age groups with community-acquired pneumonia under the influence of high-frequency chest wall oscillation
Keywords:
pneumonia, children, vital signs, oxygen saturation, high&frequency chest wall oscillationAbstract
High-frequency chest wall oscillation (HFCWO) is a modern bronchodrainage method whose mechanism of action is aimed at improving the function of external respiration and restoring gas exchange in the lungs in children.Objective. To study the peculiarities of changes in vital indicators in children of different age groups with community-acquired pneumonia (CAP) under the influence of high-frequency chest oscillations.
Materials and methods. The dynamics of the vital signs were evaluated for 107 children aged 6 to 17 years with acute and uncomplicated course of САP, medium severity, average age — 11.73±0.53 years. The children were divided into the main group (MG) — 55 children who were assigned basic therapy (BT) with additional oscillation procedures and the control group (CG) — 52 children who received and only BT.
Results. We noticed a normalization of body temperature in both groups, comparing the vital signs. Using the oscillation procedures has a positive effect on systolic and diastolic arterial vise and heart rate without disrupting hemodynamics. There was a reliable recovery of in children with systolic and diastolic arterial vise from 22.43±0.43 (95% CI 11.05–32.95) to 18.29±0.29 (95% CI 7.85–28.15), and improvement of RR in children with CG from 22.3±0.53 (95% CI 11.56–34.44) to 19.21±0.23 (95% CI 8.34–29.66). It’s important to note a significant increase of SpO2 — 4.72% in MG compared to the CG of 2.34%, respectively.
Conclusions. The high efficiency of HFCWO in the treatment of MG’s children with CAP is confirmed by the reliable dynamics of vital signs, in particular, the increase of blood saturation indicates the restoration of the functioning of the respiratory tract.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of an participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interest was declared by the authors.
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