Trends in the Primary Incidence of Diseases of the Nervous System of the Kyrgyz Republic

The high incidence of diseases of the nervous system indicates an untimely identified pathology and the further progression of diseases. The dynamics in the Kyrgyz Republic as a whole showed an increase in the primary incidence of diseases of the nervous system. In 2015, an increase in the indicator was noted by +2.1%, in 2017 by +11.2%, in 2018 by +0.7%. Cases of first detected epilepsy in dynamics, from 2015 to 2017, increased by +25.1%, +17.8%, +16.0%, respectively. For the first time, cases of lesions of individual nerves, nerve roots showed an increase trend in 2015 by +7.9%, in 2017 by +18.6%, in 2018 by +11.7%. The incidence of childhood cerebral palsy is characterized by an increase in 2015 by +9.8% and a sharp increase in 2018 by +156.5%. In Bishkek, the increase in the primary incidence of nervous diseases in 2017 and 2018 years was +12.1% and +13.8% in terms of growth rate, respectively. Cases of first reported epilepsy tended to rise in all years except 2019. Increase in 2015 by +27.5%, 2016 by +23.7%, 2017 by +2.1%, 2018 by + 34.1%. Cases of lesions of individual nerves, nerve roots tended to increase in 2016 by +2.6%, in 2017 by +22.3%, in 2019 by +2.3%. The incidence of childhood cerebral palsy is characterized by an increasing trend in all years except 2019, as for cases of epilepsy. In dynamics, growth was observed in 2015 by +13.5%, in 2016 by +73.0%, in 2017 by +11.1%, in 2018 by +556.0%. The revealed trends in the incidence of diseases of the nervous system dictate the need to increase the provision of the population with neuropathologists and improve the availability of neurological care to the population.

LASER PUNCTURE IN DYSARTHRIA IN CHILDREN WITH CHILDHOOD CEREBRAL PALSY AT THE STAGE OF SANATORIUM TREATMENT

The article describes the experience of using laser puncturing methods for dysarthria in children with all forms of cerebral palsy. Statistical data of treated children with dysarthria by age, types of dysarthria and the results of course treatment with laser punctures on the s calp zones and acupuncture points of the corporeal meridians were analyzed and points of the auricle depending on the form of cerebral palsy and the type of dysarthria according to the pathogenetic criterion in 334 children for the period from 2017 to 2019. Based on the visual study of the volume of active movements of articulatory muscles, qualitative and quantitative dynamics of speech activity, a conclusion was made about the positive effectiveness in 200 (63 %) children. The greatest effectiveness was observed among children over 7 years of age – 60 % (200 children) and in pseudobulbar 79 % (197 children), cerebellar 77 % (31 children), subcortical 52 % (13 children) dysarthria. The lowest effectiveness was observed in children with severe forms of dysarthria by the degree of intelligibility to others (classification of J. Tardieu) 40 % (134 children) and in children under 7 years of age (32 %), with mixed dysarthria 45 % (9 children). The results of treatment allow us to conclude that the laser puncturing it is effective and should be systematically (1 time in 3 months if possible) included in the complex of sanatorium-resort rehabilitation for dysarthria in children with cerebral palsy, which will speed up the recovery time of articulation.