<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ppharm</journal-id><journal-title-group><journal-title xml:lang="ru">Педиатрическая фармакология</journal-title><trans-title-group xml:lang="en"><trans-title>Pediatric pharmacology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-5776</issn><issn pub-type="epub">2500-3089</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/pf.v11i2.961</article-id><article-id custom-type="elpub" pub-id-type="custom">ppharm-123</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>В ПРАКТИКУ ПЕДИАТРА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>For Pediatricians' Practice</subject></subj-group></article-categories><title-group><article-title>УРОВНИ КАЛЬЦИЙ-КРЕАТИНИНОВОГО И ФОСФАТ-КРЕАТИНИНОВОГО КОЭФФИЦИЕНТА МОЧИ У НОВОРОЖДЕННЫХ ДЕТЕЙ РАЗЛИЧНОГО ГЕСТАЦИОННОГО ВОЗРАСТА</article-title><trans-title-group xml:lang="en"><trans-title>CALCIUM, CREATININE AND URINARY PHOSPHATE/CREATININE RATIO CONCENTRATIONS IN NEONATES OF VARIOUS GESTATIONAL AGES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фомина</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Fomina</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>заведующая отделением патологии недоношенных детей БУЗ Орловской области «Детская областная клиническая больница», аспирант ФГБОУ ВПО «Орловский государственный университет»</p></bio><bio xml:lang="en"><p>head of the premature infant pathology department at the Regional children’s clinical hospital (Budgetary Healthcare Institution in Orel Region), PhD candidate at the Orel State University (Federal State Budgetary Educational Institution of Higher Professional Education)</p></bio><email xlink:type="simple">fomin.max1979@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>T. A.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шульга</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shulga</surname><given-names>A. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Орловский государственный университет, Медицинский институт&#13;
Детская областная клиническая больница, Орел<country>Россия</country></aff><aff xml:lang="en">Orel State University, Medical School&#13;
Regional children’s clinical hospital, Orel<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Орловский государственный университет, Медицинский институт, Российская Федерация<country>Россия</country></aff><aff xml:lang="en">Orel State University, Medical School, Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Орловский государственный университет, Медицинский институт, Российская Федерация&#13;
Детская областная клиническая больница, Орел, Российская Федерация<country>Россия</country></aff><aff xml:lang="en">Orel State University, Medical School, Russian Federation&#13;
Regional Children’s Clinicalhospital, Orel, Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>04</day><month>04</month><year>2014</year></pub-date><volume>11</volume><issue>2</issue><issue-title>Педиатрическая фармакология</issue-title><fpage>72</fpage><lpage>77</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Фомина О.И., Кузнецова Т.А., Шульга А.В., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Фомина О.И., Кузнецова Т.А., Шульга А.В.</copyright-holder><copyright-holder xml:lang="en">Fomina O.I., Kuznetsova T.A., Shulga A.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pedpharma.ru/jour/article/view/123">https://www.pedpharma.ru/jour/article/view/123</self-uri><abstract/><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective: specify peculiarities of calcium and phosphates excretion in neonates of various gestational ages and types of feeding in neonatal period. Patients and methods. Calcium-creatinine (Ca/Cr) and phosphate-creatinine (P/Cr) ratio concentrations were determined in 96 healthy neonates of 38-40 weeks of gestational age and 146 premature infants of 28-37 weeks of gestational age of various types of feeding. Results. The Ca/Cr ratio concentration in healthy term infants in the early neonatal period amounted to 0.9-2.2 (median – 1.8), the P/Cr ratio concentration – 0.8-2.1 (median – 1.6). The Ca/Cr ratio concentration in premature infants (28-37 weeks of gestational age) amounted to 0.9-2.4 (median – 1.9), which is comparable to this parameter’s value in term infants. The P/Cr ratio concentration amounted to 0.7-3.1 (median – 2.4), which exceeds this parameter’s value in term infants. The lesser the gestational age and birth weight, the higher the Ca/Cr and P/Cr ratio concentrations. The authors revealed hypercalciuria and hyperphosphaturia in premature infants with a very low body weight fed with specialized formulas. Conclusions. Use of specialized formulas in small premature infants (gestational age &lt; 33 weeks) with VLBW results in excessive calcium and phosphates excretion. It is reasonable to monitor their concentrations using a non-invasive and informative method of determining Ca/Cr and P/Cr ratios. Feeding of premature infants with BW &gt; 1,500 g with breast milk only (in case of the mother’s adequate lactation) allows avoiding hypercalciuria and hyperphosphaturia and preventing risk of a renal pathology.</p></sec><sec><title> </title><p> </p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>новорожденные</kwd><kwd>недоношенные дети</kwd><kwd>экскреция кальция</kwd><kwd>экскреция фосфора</kwd><kwd>кальций-креатининовый (Ca/Cr) коэффициент</kwd><kwd>фосфат-креатининовый (P/Cr) коэффициент</kwd></kwd-group><kwd-group xml:lang="en"><kwd>neonates</kwd><kwd>premature infants</kwd><kwd>calcium excretion</kwd><kwd>phosphorus excretion</kwd><kwd>calcium-creatinine (Ca/Cr) ratio</kwd><kwd>phosphate-creatinine (P/Cr) ratio</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Рациональное вскармливание недоношенных детей: методические указания. Министерство здравоохранения и социального развития Российской Федерации, Российская акад. мед. наук, Науч. центр здоровья детей, ФГУ НЦ акушерства, гинекологии и перинатологии им. В. И. Кулакова Министерства здравоохранения России, Союз педиатров России. 2-е изд., доп. и перераб. М.: Союз педиатров России. 2010. 72 с.</mixed-citation><mixed-citation xml:lang="en">Ratsional'noe vskarmlivanie nedonoshennykh detei: metodicheskie ukazaniya. Ministerstvo zdravookhraneniya i sotsial'nogo razvitiya Rossiiskoi Federatsii, Rossiiskaya akad. med. nauk, Nauch. tsentr zdorov'ya detei, FGU NTs akusherstva, ginekologii i perinatologii im. V. I. Kulakova Ministerstva zdravookhraneniya Rossii, Soyuz pediatrov Rossii. 2-e izd., dop. i pererab [Rational Feeding of Premature Infants: Practical Policies. Ministry of Health and Social Development of the Russian Federation, Russian Academy of Medical Sciences, Scientific Center of Children’s Health, Kulakov Research Center for Obstetrics, Gynecology and Perinatology (Federal State Institution) of the Ministry of Health of Russia, Union of Pediatricians of Russia. 2nd edition, enlarged and revised]. Moscow, Union of Pediatricians of Russia, 2010. 72 p.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Фурцев В. И., Прахин Е. И., Грицан А. И. Изменение политики педиатрической службы здравоохранения в отношении практики грудного вскармливания. Педиатрия. 2002; 1: 69–71.</mixed-citation><mixed-citation xml:lang="en">Фурцев В. И., Прахин Е. И., Грицан А. И. Изменение политики педиатрической службы здравоохранения в отношении практики грудного вскармливания. Педиатрия. 2002; 1: 69–71.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Педиатрия по Нельсону. М.: Рид Элсивер, МИА. 2009; 2: 69–96.</mixed-citation><mixed-citation xml:lang="en">Furtsev V.I., Prakhin E.I., Gritsan A.I. Pediatriya = Pediatrics. 2002; 1: 69–71.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Handbook/ESPN. 2008; 130: 43–60.</mixed-citation><mixed-citation xml:lang="en">Handbook/ESPN. 2008; 130: 43–60.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Грушецкая Г. П. Особенности экскреции кальция и фосфора у новорожденных детей. Автореф. дис. … канд. мед. наук 14.00.09. М., 2003. 24 с.</mixed-citation><mixed-citation xml:lang="en">Pediatriya po Nel'sonu [Nelson’sPpediatrics]. Moscow, Reed Elsevier, MIA, 2009. pp. 69–96.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Папаян А. В., Стяжкина И. С. Неонатальная нефрология: руко- водство. Спб.: Питер, 2002. 448 с.</mixed-citation><mixed-citation xml:lang="en">Папаян А. В., Стяжкина И. С. Неонатальная нефрология: руко- водство. Спб.: Питер, 2002. 448 с.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Львовский Е. Н. Статистические методы построения эмпирических формул: учебное пособие для вузов. 2-е издание, перераб. и доп. М.: Высшая школа. 1988. С. 239.</mixed-citation><mixed-citation xml:lang="en">Handbook/ESPN. 2008; 130: 43–60.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Ларина Т. А., Кузнецова Т. А., Цыгин А. Н. Идиопатическая гиперкальциурия в структуре причин мочекаменной болезни (МКБ) у детей Орловской области. Российский педиатрический журнал. 2007; 3: 46–48.</mixed-citation><mixed-citation xml:lang="en">Ларина Т. А., Кузнецова Т. А., Цыгин А. Н. Идиопатическая гиперкальциурия в структуре причин мочекаменной болезни (МКБ) у детей Орловской области. Российский педиатрический журнал. 2007; 3: 46–48.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Grushetskaya G.P. Osobennosti ekskretsii kal'tsiya i fosfora u novorozhdennykh detei. Avtoref. dis. … kand. med. nauk [Peculiarities of Calcium and Phosphorus Excretion in Neonates. Author’s abstract]. Moscow, 2003. 24 p.</mixed-citation><mixed-citation xml:lang="en">Grushetskaya G.P. Osobennosti ekskretsii kal'tsiya i fosfora u novorozhdennykh detei. Avtoref. dis. … kand. med. nauk [Peculiarities of Calcium and Phosphorus Excretion in Neonates. Author’s abstract]. Moscow, 2003. 24 p.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru"></mixed-citation><mixed-citation xml:lang="en"></mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Papayan A.V., Styazhkina I.S. Neonatal'naya nefrologiya: rukovodstvo [Neonatal Nephrology: Guideline]. St. Petersburg, Piter, 2002. 448 p.</mixed-citation><mixed-citation xml:lang="en">Papayan A.V., Styazhkina I.S. Neonatal'naya nefrologiya: rukovodstvo [Neonatal Nephrology: Guideline]. St. Petersburg, Piter, 2002. 448 p.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru"></mixed-citation><mixed-citation xml:lang="en"></mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">L'vovskii E.N. Statisticheskie metody postroeniya empiricheskikh formul: uchebnoe posobie dlya vuzov. 2-e izdanie, pererab. i dop [Statistical Methods of Constructing Empirical Formulae: University Textbook. 2nd edition, revised and enlarged]. Moscow, Vysshaya shkola, 1988. p. 239.</mixed-citation><mixed-citation xml:lang="en">L'vovskii E.N. Statisticheskie metody postroeniya empiricheskikh formul: uchebnoe posobie dlya vuzov. 2-e izdanie, pererab. i dop [Statistical Methods of Constructing Empirical Formulae: University Textbook. 2nd edition, revised and enlarged]. Moscow, Vysshaya shkola, 1988. p. 239.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru"></mixed-citation><mixed-citation xml:lang="en"></mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Larina T.A., Kuznetsova T.A., Tsygin A.N. Rossiiskii pediatricheskii zhurnal = Russian pediatric journal. 2007; 3: 46–48.</mixed-citation><mixed-citation xml:lang="en">Larina T.A., Kuznetsova T.A., Tsygin A.N. Rossiiskii pediatricheskii zhurnal = Russian pediatric journal. 2007; 3: 46–48.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
