ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2018.61.18ymj-1072Research ArticleАРКТИЧЕСКАЯ МЕДИЦИНАARCTIC MEDICINEОсобенности формирования показателей инвалидности среди контингента городской детской поликлиники регионального центра субарктической территорииFeatures of the formation of disability among the contingent of the city children’s polyclinic of the regional center of the subarctic territoryШаповаловК. А.ShapovalovK. A.

Шаповалов Константин Альбертович – д.м.н., проф., зав. метод. кабинетом

Konstantin Albertovich Shapovalov - Doctor of Medical Sciences, Professor; head of the methodical cabinet

167982, Syktyvkar, ul. Ordzhonikidze, 23

stampdu@rambler.ruШаповаловаЛ. А.ShapovalovaL. A.

Шаповалова Лариса Анатольевна – врач высшей квалиф. категории

Larisa Anatol’evna Shapovalova - doctor of the highest qualification category

167982, Syktyvkar, ul. Ordzhonikidze, 23 

ЗабоеваМ. В.ZaboevaM. V.

Забоева Марина Васильевна – врач педиатр, зав. реабилитацион. центром

Marina Vasilievna Zaboeva - the head of the rehabilitation center, the pediatrician

Syktyvkar, Komi Republic 

КалининаТ. А.KalininaT. A.

Калинина Татьяна Альбертовна – врач педиатр первой квалиф. категории

Tatyana Albertovna Kalinina - doctor pediatrician of the first qualification category

Syktyvkar, Komi Republic 

ТороповаО. Е.ToropovaO. E.

Торопова Ольга Евгеньевна – врач невролог

Olga Evgenievna Toropova - doctor neurologist

Syktyvkar, Komi Republic 

ГОУ ДО «Коми республиканский институт развития образования»; ГБУЗ РК «СДП №3»РоссияState Education Agency of Additional Professional Education of Republic of Komi “Komi Republican Institute for Development of Education” ; State Budget Agency of Health of Republic of Komi “Syktyvkar Children`s Clinic No 3”Russian FederationГОУ ДО «Коми республиканский институт развития образования» ; ГБУЗ РК «Сыктывкарская детская поликлиника №3»РоссияState Education Agency of Additional Professional Education of Republic of Komi “Komi Republican Institute for Development of Education”Russian FederationГОУ ДО «Коми республиканский институт развития образования»РоссияChildren’s Clinical Hospital of the Republic of Komi «Syktyvkar Children’s Polyclinic No. 3»Russian Federation201826082025015862Copyright © Шаповалов К.А., Шаповалова Л.А., Забоева М.В., Калинина Т.А., Торопова О.Е., 20252025Шаповалов К.А., Шаповалова Л.А., Забоева М.В., Калинина Т.А., Торопова О.Е.Shapovalov K.A., Shapovalova L.A., Zaboeva M.V., Kalinina T.A., Toropova O.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/1072

С целью формирования показателей инвалидности детей городской детской поликлиники регионального центра субарктической территории для оценки результатов повседневной практической работы педиатра проведён анализ инвалидности детей в 2011-2015 гг. на основании медицинской документации Сыктывкарской детской поликлиники №3.

Formation of indicators of disability of children of a city children’s polyclinic of the regional center of subarctic territory is dictated by necessity of an estimation of results of daily practical work of the pediatrist. The analysis of the disability of children in 2011-2015 on the basis of the medical documentation of the Syktyvkar city children’s polyclinics №3, Komi Republic, Russia was carried out.In the structure of the causes of disability prevail: diseases of the nervous system - 34.74±3.55% (p<0.001); congenital anomalies, chromosomal abnormalities - 29.46±9.63% (p<0.001); diseases of the ear and its adnexa - 9.88±2.22% (p <0.001); diseases of the endocrine system, eating and metabolic disorders - 8.44±2.07% (p<0.001) and neoplasms - 7.21±1.93% (p<0.001). The share of these five classes of diseases is 84.69% of the total structure.The frequency of determination of disability in children annually increases by +1.09 units with a growth rate of + 0.91% and a growth rate of 100.91%.The incidence of diseases that caused disability in children was highest in the following classes: diseases of the nervous system - 42.06±4.29 (p<0.001); congenital anomalies, chromosomal abnormalities - 29.57±3.88 (p<0.001); diseases of the ear and its adnexa - 11.96±2.69 (p<0.001); diseases of the endocrine system, eating disorders and metabolic disorders - 10.21±2.51 (p<0.001) and neoplasms - 8.74±2.33 (p<0.001).A stable annual growth rate of children with disabilities at 4.52% suggests that the process will continue in the future.Complex treatment carried out within the framework of individual programs for rehabilitation / habilitation of disabled children allowed to completely restore health in 43 children (4.77%), improve the condition - 52 (5.77%), stabilize the pathological process - 90.24%. Weight gain occurred in 4 people (0.44%) due to the progression of the disease.

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