pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2021-4-65-69pmj-2270Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESОсобенности раннего неонатального периода несовершеннолетних правонарушителейEarly neonatal features of juvenile offendershttps://orcid.org/0000-0002-4355-9504Яхиева-ОнихимовскаяД. А.Yakhieva-OnikhimovskaiaD. A.

Дарья Алиевна Яхиева-Онихимовская, к.м.н., доцент кафедры педиатрии и неонатологии

тел.: +7 (4212) 72-87-15

680009, г. Хабаровск ул. Краснодарская, 9

Daria Alievna Yakhieva-Onikhimovskaia, Candidate of Medical Sciences, Associate Professor of the Department of Pediatrics and Neonatology

tel.: +7 (4212) 72-87-15

680009, Khabarovsk, Krasnodarskaya st., 9

elven5@yandex.ruhttps://orcid.org/0000-0002-1089-8884КолесниковаС. М.KolesnikovaS. M.

Софья Михайловна Колесникова, к.м.н., заведующая кафедрой педиатрии и неонатологии

тел.: +7 (4212) 72-87-15

680009, г. Хабаровск ул. Краснодарская, 9

Sofia Mikhailovna Kolesnikova, Candidate of Medical Sciences, Head of the Department of Pediatrics and Neonatology

tel.: +7 (4212) 72-87-15

680009, Khabarovsk, Krasnodarskaya st., 9

sofhia_03@mail.ruhttps://orcid.org/0000-0002-1089-8884СупрунЕ. Н.SuprunE. N.

Евгений Николаевич Супрун, к.м.н., доцент кафедры педиатрии, детских инфекций и неонатологии

тел.: +7 (4212) 30-53-11

680000 Хабаровск, ул. Муравьева-Амурского, 35

Evgeny Nikolaevich Suprun, Candidate of Medical Sciences, Associate Professor of the Department of Pediatrics, Pediatric Infections and Neonatology

tel.: +7 (4212) 30-53-11

680000 Khabarovsk, st. Muravyov-Amursky, 35

evg-suprun@yandex.ruhttps://orcid.org/0000-0002-2708-7519ФилипповаВ. В.FilippovaV. V.

Валентина Васильевна Филиппова, к.м.н., доцент кафедры педиатрии и неонатологии 

тел.: +7 (4212) 72-87-15

680009, г. Хабаровск ул. Краснодарская, 9

Valentina Vasilievna Filippova, Candidate of Medical Sciences, Associate Professor of the Department of Pediatrics and Neonatology

tel.: +7 (4212) 72-87-15

680009, Khabarovsk, Krasnodarskaya st., 9

fuw@ipksz.khv.ruИнститут повышения квалификации специалистов здравоохраненияРоссияPostgraduate Institute for Public Health WorkersRussian FederationДальневосточный государственный медицинский университетРоссияPostgraduate Institute for Public Health Workers; Far Eastern State Medical UniversityRussian Federation202106012022046569Copyright © Яхиева-Онихимовская Д.А., Колесникова С.М., Супрун Е.Н., Филиппова В.В., 20222022Яхиева-Онихимовская Д.А., Колесникова С.М., Супрун Е.Н., Филиппова В.В.Yakhieva-Onikhimovskaia D.A., Kolesnikova S.M., Suprun E.N., Filippova V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2270Цель

Цель: выявление перинатальных факторов риска как дифференциальных предикторов насильственных и ненасильственных преступлений среди детей и подростков, попавших под внимание подразделений по делам несовершеннолетних органов внутренних дел Российской Федерации.

Материал и методы

Материал и методы. Изучение данных перинатального анамнеза 148 несовершеннолетних правонарушителей сопоставимого возраста (13-16 лет), отобранных методом сплошной выборки в ходе клинического обсервационного когортного ретроспективного исследования.

Результаты

Результаты. Дети из группы контроля в половине случаев были «поздними недоношенными» (48%), с белково-энергетической недостаточностью (частота встречаемости СЗРП 56,8%; индекс массы тела 56,1 ±13,65), начало жизни которых сопровождалось низкой оценкой по шкале Апгар (6,9 ±1,81). С первых минут жизни они требовали ургентной терапии в родильном зале (35,9%) и последующего лечения в ПИТе (25,7%) вследствие поражения дыхательной системы (асфиксия 11,5%, РДС 19,6%, эпизоды апноэ 16,2%) и нарастающей дисфункции ЦНС (ВЖК II-IV ст. 24,3%). В последующем они демонстрировали срыв ранней неонатальной адаптации и клиническую картину реализации внутриутробных нарушений развития плода, возникнувшую как вследствие неправильного обмена веществ, так и длительного кислородного голодания (гипоплазия надпочечников 27,7%, кардиомиопатия 29,7%, гипоксия 48,6%).

Заключение

Заключение. Выявленная в ходе исследования стартовая белково-энергетическая недостаточность, сопровождающаяся течением как острого, так и хронического кислородного голодания могла оказать влияние на формирование деструктивного поведения в группе несовершеннолетних правонарушителей.

Objective

Objective: Identification of perinatal risk factors as differential predictors of violent and non-violent crimes among children and adolescents who come under the attention of juvenile departments of the internal affairs bodies of the Russian Federation.

Methods

Methods: Study of the perinatal history data of 148 juvenile offenders of comparable age (13-16 years old), selected using continuous sampling method in the course of a clinical observational cohort retrospective study.

Results

Results: Children from the control group in half of the cases were “late premature” (48%), with protein-energy malnutrition (frequency of occurrence of FGRP 56.8% BMI 56.1 ± 13.65). The beginning of their life was accompanied by a low score according to Apgar scale (6.9 ± 1.81). From the first minutes of life, they required urgent therapy in the delivery room (35.9%) and subsequent treatment at the ICU (25.7%) due to the damage of the respiratory system (asphyxia 11.5%, RDS 19.6%, episodes of apnea 16.2 %) and increasing dysfunction of the central nervous system (IVH II-IV grade 24.3%). Subsequently, they demonstrated a disruption of early neonatal adaptation and a clinical picture of the realization of intrauterine fetal developmental disorders, which arose both as a result of improper metabolism and of a prolonged oxygen starvation (adrenal hypoplasia 27.7%, cardiomyopathy 29.7%, hypoxia 48.6%).

Conclusions

Conclusions: The initial protein-energy deficiency revealed in the course of the study if accompanied by the course of both acute and chronic oxygen starvation could influence the formation of destructive behavior in the group of juvenile offenders.

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