zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2016-13-3-10zdor-1712Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEРАСПРОСТРАНЕННОСТЬ СТЕНОЗИРУЮЩЕГО ЛАРИНГОТРАХЕИТА СРЕДИ ДЕТЕЙ, ПРОЖИВАЮЩИХ НА УЛИЦАХ С РАЗНОЙ ТРАНСПОРТНОЙ НАГРУЗКОЙPREVALENCE OF STENOSING LARYNGOTRACHEITIS AMONG CHILDREN RESIDING ON STREETS WITH DIFFERENT TRAFFIC LOADСтаниславчукЛ. М.StanislavchukL. M.noemail@neicon.ruВинницкий национальный медицинский университет им. Н. И. ПироговаVinnytsya National Medical University named after N. I. Pirogov201628092016034851Copyright © Станиславчук Л.М., 20162016Станиславчук Л.М.Stanislavchuk L.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/1712

Цель: изучить концентрацию антропогенных аэрополлютантов и распространенность стенозирующего ларинготрахеита (СЛТ) среди детей на улицах с разной транспортной нагрузкой. Материалы и методы. Проведен анализ состояния атмосферного воздуха на улицах с разной интенсивностью движения автотранспорта г. Винницы за период 2000-2003 гг. Оценивали концентрацию взвешенных веществ с содержанием диоксида кремния менее 20 %, диоксида серы, оксида углерода, диоксида азота. Изучали частоту эпизодов СЛТ (1-3 эпизода заболевания) и рецидивирующего СЛТ (4 и более эпизодов заболевания) у детей в возрасте 0-14 лет, проживающих в домах, расположенных на улицах с разной транспортной нагрузкой. Результаты. Показатели средней и максимальной концентрации загрязняющих веществ в атмосферном воздухе на улицах с интенсивным движением транспорта значительно превышали таковые на улицах с неинтенсивным движением. Распространенность СЛТ и рецидивирующего СЛТ была значимо выше на улицах с высокой транспортной нагрузкой. Установлена связь между распространенностью СЛТ среди детей, интенсивностью движения автотранспорта и концентрацией в атмосферном воздухе загрязняющих веществ. Наиболее сильной оказалась связь между распространенностью СЛТ и концентрацией диоксида азота. Заключение. Распространенность СЛТ среди детей связана с интенсивностью движения автотранспорта и концентрацией антропогенных поллютантов в атмосферном воздухе.

Objective: to study concentrations of anthropogenic air pollutants on streets with different traffic load and prevalence of laryngotracheitis (LT) among children residing on those streets. Material and methods. We have analyzed the quality of free air on streets with different traffic density in Vinnytsya during 2000-2003. We have studied the concentrations of suspended matters with the content of silicon dioxide less than 20 %, sulfur dioxide, carbon dioxide, and nitrogen dioxide. We have analyzed the frequency of LT cases (1-3 episodes of the disease) and recurrent LT (4 or more episodes of the disease) among children under 14 residing on the streets with different traffic load. Results. The indices of the average and maximum concentrations of free air pollutants on the streets with high traffic density significantly exceeded those on the streets with low traffic density. The prevalence of LT and recurrent LT was significantly higher on the streets with high traffic load. We have found a connection between the prevalence of LT among children, traffic density and concentrations of free air pollutants. The connection between the prevalence of LT and the concentration of nitrogen dioxide has turned out to be the strongest. Conclusion. The prevalence of LT in children is related to traffic load and concentrations of anthropogenic free air pollutants.

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